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HIMSS 2023 – What did we take away?

Tido Inc. at HIMSS Conference

From cars to healthcare, Vik and John chat about a variety of topics in the latest This Week in Health Tech podcast, but we focused on Vik’s experience from HIMSS. Check out the episode, we chatted a bit about AI generated automated responses to patient messages to physicians.

After our conversation an interesting study was released in JAMA about ChatGPT outperforming physicians on empathy responding to messages. There’s a lot to unpack there! There is some controversy surrounding the applicability of the study and how it was conducted, but it does raise interesting questions and possibilities for the future. It brings us back to the question about where to use technology in healthcare? How do we do this without unintended consequences or further alienating patients from healthcare? If patient’s know they are interacting with a computer, how does this impact engagement and adherence? What is the applicability in the healthcare environment?

Part of the promise of AI is to do what people do, only do it faster. Synthesize information into a coherent string of words delivered in a certain style. When we consider a response to a patient inquiry, LLMs have the ability to aggregate styles and deliver an empathetic response, they also have the luxury of time, being able to do it quickly. It can take about 15-30 seconds for these AI models to generate a response, it takes a clinician longer to craft a meaningful response.

If we allow AI to write a response, then we still need the human to read it over and make sure it is relevant, applicable, and appropriate. This assurance takes time from the clinician to read over the response, understand the patient question, the context, the patient background, and for some questions to dig a bit deeper and find out why the patient is asking a question.

Before we seek out another solution with many unknowns, we should start to look at what we have now and consider whether or now we are optimizing the current systems. Will a new AI solution really save time, or will it increase the burden with more back and forth? There are so many interconnected solutions out there, are we actually utilizing them, or are we working around them?

Making incremental, seemingly insignificant, improvements can have dramatic improvements to clinical efficiency. Reliable interconnected systems, making sure the information is flowing back and forth, and ensuring that any AI solutions that we will come to rely on actually have access to all the information, is just as essential now as it will be in the future. Disconnected systems can render AI just as inefficient as they render our clinical teams now.

Want to make sure your systems are talking to each other? Tido’s automated applications and integration monitoring can avoid many of the problems and inefficiencies that clinical teams, and AI, will experience when networks aren’t communicating and the information isn’t flowing smoothly. For over 10 years we’ve been partnering with health systems to ensure their getting the most from their current investments. Contact us today and see how we can work with you to optimize your technology investments.

Healthcare M&A… Another present for the holidays?

Healthcare Mergers and Acquisition

HLTH 2022 has come and gone and the technologies out there promise great things from healthcare in the future, but these technologies take time to mature and prove there efficacy. While there is hope for the future, the specter of decreased valuations and funding looms over an industry poised for change. There is one thing has been clear these past few months, consolidation is continuing, the holiday sales season is in full swing for the healthcare industry. While a large merger, or smaller consolidation may be an early holiday present for executives and investors, it creates challenges and headaches for IT teams and clinical staff. Tylenol certainly won’t help cure these woes.

Migrating different EHR systems is probably the largest hurdle, but there are also systems for pharmacy and radiology that can create a nightmare for IT teams that are already taxed maintaining existing systems. The additional burden can be overwhelming and cause systems to grind to a halt.

For clinical staff focused on seeing patients and taking care of their needs, the disruption to smooth operations can likewise be overwhelming. Did all the information transfer over? Has a patient’s medication allergy been missed? Has an existing medication been missed that could interact with a new one? These are concerns that need to addressed to put the clinical staff’s mind at ease and ensure that they can provide the best possible care to the patient’s.

Beyond patient safety concerns, there are also productivity concerns. Ineffective integration can lead to slowdowns in clinics, creating long wait times and dissatisfaction among staff and the patients who are waiting to be seen. Missing radiology reports, delays in diagnostic testing, lab results not showing, and prescriptions not getting routed properly are just some of the problems that can arise without proper integration and testing of systems.

Clinical staff are not IT experts and likely have little idea of what happens behind the scenes to ensure the smooth flow of information and data that enable safe and effective care. The clinical teams just want systems that work. When systems fail clinical staff safety can be compromised, staff frustration will grow as they resort to work-arounds. Most clinical staff have experienced this when EHRs and other systems were first rolled out, they are often jaded by these experiences that were disruptive and disconnected.

How do you ensure that transition to a new EHR will populate the data where it is expected? Will there be conflicting patient information? Will the images be migrated over to the right patient? Will prescriptions be sent to the pharmacy?

There is no end to the questions from clinicians about how it will work and what the experience will be after. How prepared are the teams behind the scenes to enable this migration? Do IT teams have the experience necessary to carry out this operation in an efficient and effective manner, after all, it’s not something they do every day.

There are many stresses associated with mergers and consolidation, IT systems should not be one of them. Tido Inc. can help handle these questions and work with IT teams to enable efficient and effective systems integration and migration. Check out Tido’s integration and migration packages.

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.

Hospitals are losing billions in 2022, how can IT improve ROI with existing infrastructure?

healthcare financials

Hospital margins have been challenged by increases in labor expenses and shortages coupled with declining admissions and procedures. As financial pressures increase so too does the pressure on all departments to provide more value, more savings, and a greater ROI. Costs are rising faster than hospitals can raise revenues and prices.

There are a lot of solutions out there that offer promise of greater efficiencies for clinicians, new cloud based software that can provide greater insights into care practices and increased billing. Beyond the internal benefits, there are additional advances in hospital at home programs, and remote monitoring for chronic conditions. There is a learning curve to these systems, and for most it can often take months or years to realize the promised return.

How do you provide greater cost savings and efficiencies in care through existing IT networks and infrastructure? What can IT departments do now that doesn’t require education and training campaigns, massive investments in infrastructure or new systems?

In healthcare we know that early identification of problems is key to the most effective treatment. This is no different when it comes to IT systems ensuring safe and effective patient care.

How about monitoring the reliability of their current networks? All of these interconnected solutions require connected networks to function optimally and provide the necessary advances in patient safety and clinician efficiency. Buying the latest cloud-based AI solution to improve diagnosis, treatments, safety, and insurance denials, is only useful when the network is functioning.

Back in 2018 network reliability was identified as one of the risks to patient safety, what have systems done since then to ensure reliability? The pandemic likely radically changed or accelerated certain IT investments, moving up some upgrades or canceling others.

Calculating a basic ROI for pro-active network monitoring can be accomplished, just looking back at previous blog posts we can often see the time used by staff on this activity. If end-users are monitoring the network and checking for transmission of data and reports, their time is easily measured and value assigned. Are the IT departments measuring this time? Unlikely, but the unit managers can tell you how many hours each person spends on this.

  • When we considered the Cath Lab in a previous post, an RT or RN spends 3-5 hours every week checking feeds. Multiply this by every imaging area in the hospital, the numbers add up very quickly, at the most basic there may be 4 different imaging areas connected.
  • Pharmacy systems were also previously reviewed, how much time is spent reporting issues? It can be up to 20 minutes of a nurses time on the phone troubleshooting, likely with at least one additional call back.
  • How about remote monitoring programs? How much time will a nurse or physician spend on the phone with a patient trying to troubleshoot transmissions only to find that a connection was interrupted within the hospital’s own system?

Taking a look at the overall IT infrastructure the numbers can quickly add up throughout a hospital or health system. How often are feeds interrupted? Likely not that often, but even a single interruption after a monthly update can have significant ramifications to productivity when spread across an organization.

Those are the simple calculations to measure ROI, more difficult to measure are the ramifications to patient safety, staff satisfaction, and perhaps even future IT investment. If “nothing ever works around here” then there will be difficulty getting clinician buy-in to adopt the newest and best technologies.

Pro-active monitoring can enable early detection and warning. A simple message from IT can alert staff that IT is already aware of a problem and working on a resolution. Is IT optimizing the existing infrastructure to provide the best ROI?

Tido provides automated end to end monitoring solutions that will automatically alert your teams there is a disruption.

How to keep healthcare uninterrupted; staffing challenges

healthcare applicationsAll health systems, no matter if they are small, medium, or large are dealing with increasing number of applications. The COVID-19 pandemic has accelerated digital transformation in every major sector, vastly increasing our reliance on technology to meet many of our daily needs. And healthcare is no exception! Our health systems have greatly expanded their digital footprint to better serve our patients, empowering them to perform routine tasks without leaving the comfort of their home—such as paying bills, requesting medication refills, and even receiving personal health updates digitally.

More than 30 percent of health systems are reporting that they can’t locate enough candidates to fill open positions, and all are feeling the effects of staffing shortages. Beyond recruiting, retention is even more difficult with the increase in turnover and employee burnout.

On top of this the applications that health system IT deals with are becoming increasingly complex. Most if not all applications whether it’s a desktop application, web, or mobile, integrate with each other to transfer information in real-time.  There are very few standalone applications in today’s integrated environment.

So we have increasing number of complex and integrated applications in a health system with fewer people to manage and support them. This presents a significant challenge for IT departments and can also impact patient care. Helpdesk ends up relying on end-users to report production application issues to start the process of diagnosing and resolving the issues. Reliance on manual identification and reporting causes significant delay in diagnosing and fixing issues. This interruption can impact patient safety and outcomes.

Currently, most healthcare organizations have basic monitoring in place for their digital assets, such as operating system errors and breaks in connectivity. However, typically there is no active end-to-end monitoring of the production environment that would catch issues in real-time and alert the appropriate staff proactively. To keep healthcare uninterrupted, we recommend using end-to-end monitoring of applications and interfaces in your production environment.

At Tido, we realized that there had to be a better way to proactively monitor applications and interfaces in production, to make IT staff aware of the issues immediately; before the end-users are even aware that there is an issue with the system. To address this ongoing problem, we have developed high-quality automated monitoring services for healthcare systems.

  • Tido’s monitoring framework uses Microsoft Azure Monitor to reduce reliance on manual reporting—helping to detect 95% of application and integration issues automatically in the production environment.
  • Tido’s end-to-end monitoring framework automates application, interfaces, and data checks in EHR and all downstream applications in the production environment: PACS, Pharmacy, LAB, Cardio, Ambulatory, and more.
  • Tido’s monitoring solution sends automated notifications to responsible parties and the IT help desk within seconds, alerting them about live application or interface issues to avoid unscheduled downtime and reduce patient safety issues.

Contact us to find out more about how your healthcare organization can subscribe to Tido’s end-to-end monitoring packages, to proactively maintain the quality of all the applications and interfaces in your digital health system and keep healthcare uninterrupted.

 

 

Does your digital health system rely on end-users to find production application and integration issues?

health care applications

As it turns out, 95% of integration issues in hospital applications are manually identified by end-users. On average, it takes 35 frustrating minutes for end-users to identify and report issues to the IT help desk—and a gruelling 55 minutes for staff members or vendors to initiate a fix for the issue. 

  • Currently, most healthcare organizations have basic monitoring in place for their digital assets, such as operating system errors and breaks in connectivity. However, typically there is no active end-to-end monitoring of the production environment that would alert the appropriate staff proactively. 
  • This means that healthcare staff only become aware of issues in digital systems when end-users take the time to file a report. 
  • Help desk workers then have to use the minimal information provided by the end-user to decipher which systems might be affected, and then try to contact the appropriate analyst for specific applications or integration programs—which can take long hours to fix, compromising the integrity of essential healthcare systems. 

The reliance on manual identification and reporting of issues causes considerable delays in diagnosing and fixing issues with digital health systems, which can have a significantly negative impact on patient safety and outcomes. 

At Tido, we realized that there had to be a better way to proactively monitor applications and interfaces in production, to make IT staff aware of the issues immediately; before the end-users are even aware that there is an issue with the system. To address this ongoing problem, we have developed high-quality automated monitoring services for healthcare systems.

  • Tido’s monitoring framework uses Microsoft Azure Monitor to reduce reliance on manual reporting—helping to detect 95% of application and integration issues automatically in the production environment. 
  • Tido’s end-to-end monitoring framework automates application, interfaces, and data checks in EHR and all downstream systems in the production environment: PACS, Pharmacy, LAB, Cardio, Ambulatory, and more. 
  • Tido’s monitoring solution sends automated notifications to responsible parties and the IT help desk within seconds, alerting them about live application or interface issues to avoid unscheduled downtime and reduce patient safety issues.

Contact us to find out more about how your healthcare organization can subscribe to Tido’s end-to-end monitoring packages, to proactively maintain the quality of all the applications and interfaces in your digital health system.

Implementing Test Automation in Health Care || Part 1: Website Testing

In this episode of This Week Health Tech, Vik and Jimmy talk on website test automation strategies for healthcare. This is the first part in a month long series focusing on Healthcare Web, Mobile, EHR Testing and Test Automation.

Here is what they discussed:

  • “What is test automation?”
    • Vik begins this episode by defining testing and the importance of test automation. Testing within the healthcare space is underrated, mainly because of low QA resources. Vik explains why test automation should become a top priority for healthcare providers.
  • “Who is in charge of managing the website, testing, etc.?”
    • Website management is a collaboration between departments, including IT and Marketing. Vik elaborates on how different departments have specific roles in terms of maintenance, updating, testing, etc.
  • “Let’s divide testing into 3 categories: Continuous, Automated, and Live”
    • Along all stages of development, continuous testing needs to be performed. When the test script development is finished, then those scripts can be used to automate testing against a combination of browsers/OS. Live testing must be done as well, to ensure a correctly working user experience.
  • “Once you have the Selenium automated test scripts written, you can fire them off anytime.”
    • Vik describes the process of using a testing framework, such as Selenium, to perform automated tests. Test scripts can be written in a multitude of languages (Java, Python, C#, etc.). By using a real cloud device, the automated scripts can be ran against hundreds of browser/device/OS combinations.
  • “Lets talk about testing techniques.”
    • Typical techniques include Functional, Compatibility, and Performance testing. Vik goes into detail on how each type relates to testing.
  • “The number of web and mobile applications will continue to grow.”
    • Vik makes the case again on the importance of testing for the future. The number of health apps will continue to grow, especially because of COVID. Continued testing for mobile apps is the only way to ensure that the consumer will receive a correctly working product.

Listen to the full episode:


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

Test Automation Packages

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

Accelerate Healthcare Digital Transformation with APIs

In this episode of This Week in Health Tech, Vik and Jimmy discuss the basics of an API and its impact on digital transformation in health systems.

Here is what they discussed:

  • “What is an API?”
    • Vik explains to Jimmy  how APIs work together with other apps. APIs act like a bridge that connect different systems and make it easy to share data.
    • The digital transformation happening now requires APIs to be able to connect apps such as telehealth and remote monitoring.
  • “With the Cures Act coming from the government, health systems have to enable data sharing..”
    • COVID has certainly accelerated the digital transformation shift, but the shift had already been started. Vik explains the incentives for customers, healthcare, and the government to push for more data sharing, starting ultimately with better patient care.
  • “From a CIO standpoint, what do I need to have to run everything efficiently?”
    •  Vik states that its starts with having the correct strategy. This means being able to plan for the use APIs over the traditional approach for integration.
  • “Once you do all the hard work and have the infrastructure in place for APIs, then you can simply reuse it.”
    • Vik explains the pros of using APIs over traditional integration.
  • “What is the ROI for using APIs over the traditional approach?”
    • Vik explains the competitive advantage of using APIs over traditional integration, ranging from reduced work time to providing a better user experience for all parties involved.


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

Mobile Apps Management for Health Systems

In this episode of This Week In Health Tech, Vik and Jimmy are joined by Wayne Che, CTO of Sowingo Inc. The group jumps into what it takes to manage and develop mobile apps for health systems.

Here is what they discussed:

  • If I’m a health system and people are asking for a certain app, should I Build or Buy the app?”
    • With the boom in the app economy because of COVID-19, Vik and Wayne talk about the best approach healthcare providers can take for mobile app development. Wayne goes over pro’s and con’s for Build vs Buy apps.
  • “We recently launched a new digital package to help health systems manage all the mobile apps, and it does include custom development.”
    • Tido Inc offers a Digital Package for the management of mobile and web apps for healthcare systems.
  • “A very important point is continually testing and maintaining the app.”
    • As we’ve mentioned before, you can never have enough testing. Being able to provide an app that works correctly on all devices is one of the first steps in providing good patient engagement. Wayne makes a point that testing on real devices is crucial so the best experience can be provided.
  • “From an infrastructure standpoint, do you want to host in-house or do you make use of cloud providers?”
    • With so many cloud-based providers available, Vik asks Wayne if storing the infrastructure in-house has any advantage over the cloud. Wayne makes several points in favor of cloud-based, such as privacy and security compliance, cost and for scaling.
  • “Regardless of the Cures Act, healthcare innovation is happening.”
    • The ONC’s Cures Final Act allows seamless and secure access, exchange, and use of electronic health information. Vik and Wayne discuss how API’s can be used for data sharing. The healthcare industry has been lagging behind other industries, and Vik comments that innovation needs to happen to provide the patient the best healthcare experience.
  • “One thing is clear, whether you build in-house, buy it, or take a hybrid approach, we are going to see more and more apps.”
    • Jimmy asks the best approach to mobile development, and Wayne gives his take on different development models. Vik mentions that the innovation is not going to stop with apps, citing examples such as wearables and remote-monitoring apps.

Listen to the full episode:

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


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

Test Automation Packages

Sowingo Inc:

https://sowingo.com/

The Inpatient Digital Experience

In this episode of This Week in Health Tech, Vik and Jimmy are joined by Jeff Fallon, CEO and Chairman of eVideon, where they discuss the digital transformation happening to the hospital inpatient experience.

Here is what they discussed:

  • “About 75 percent of hospital rooms have not changed much since the 1970’s…”
    • Jeff and Vik discuss the current state of hospital rooms and how the digital transformation can be achieved in hospital rooms.
  • Why now do you see this different approach for providing inpatient healthcare?”
    • Jimmy asks Jeff why the digital transformation has taken so long in healthcare. Jeff answers that the pandemic has certainly accelerated the transition, and compares it to the changes happening in telehealth. Jeff also mentions value-based care being a big driver for hospitals to make the change.
  • “The right approach is to provide an experience where the patient doesn’t feel like a guest in someone’s hospital.”
    • Vik brings up the idea of smart hospital rooms, and Jeff agrees that the technology is there to provide better patient engagement.
    • The use of smart TVs and smart speakers can help give patients more control over their experience in the hospital.
  • “It looks like eVideon is making a more interactive/pleasant experience for patients..”
    • Jimmy asks Jeff about how eVideon is providing an overall better inpatient experience. Jeff elaborates on the importance of providing entertainment for patients and being able to give patients control over what apps they want to use.
  • “You better have a smart digital strategy for all types of folks.”
    • Vik makes a good point that everyone is not on the same level when it comes to using technology. Jeff addresses this as well and comments that a smart digital strategy is one that can benefit everyone, regardless of an individual’s comfortability with technology.

Listen to the full episode:

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

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

eVideon Healthcare: https://www.evideon.com/