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Are your charges still floating in the clouds?

Health System lost charges

How long did it take for those charges to drop? Was it halfway through the cycle? When did you find out they didn’t? Billing is seldom a simple process, with a variety of different systems required to communicate in order to get reports from the procedure to the billing department. Missing reports can prevent the charges from dropping, wreaking havoc on your revenue cycle.

Reconciliation can catch this, but how often is this done? Once a month? Once a week? 7 days and up to 4 weeks is way too long to find a problem. When you consider how long payment cycles can drag on, delaying them further can be problematic.

I’ve written often on the problems network breaks can cause on clinical teams. Broken networks can cause frustration for every department, not just the clinical teams. Billing is connected to almost every system in the hospital or practice, it’s even more vulnerable to these problems, relying on all these systems working to get an accurate picture of the supplies and time. If the report from Radiology didn’t cross over from the PACS to the VNA to the EHR, will it ever show as completed? If it shows as completed, is the report actually there and available to the billing department?

There are dozens of systems with dozens of different tech stacks, from reporting to supplies to pharmacy, getting a hand on each one to make sure they’re talking can be difficult. With most identification of issues coming from the end user, you often won’t know there’s a problem until its too late. Automated applications and integration monitoring can avoid many of these delays. Notifying the right teams early so problems can be addressed quickly, often before the end users even notice, can keep these teams working and the revenue cycling.

Tido Inc. can help you avoid these costly delays. How confident are we in this? Quite, confident. We have over 10 years of experience partnering with health systems and hospitals on their technology needs, from application monitoring to a variety of digital packages to support their operations.

Need more convincing? Contact us! We’re happy to talk about our processes and some of the results we’ve achieved. In fact, we’re willing to give you 3 months free to try it out, but there’s a catch… Only if you mention the song hinted at in this blog! Check out the next This Week in Health Tech podcast with Vik Patel and I’ll reveal the song!

We know convincing our colleagues in the finance office of the value of this service can be challenging just on the say-so of the vendor, so we’ll help you show the results with a free trial before you have to go and ask for a bigger slice of that pie.

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.

Harnessing that free energy in healthcare.

healthcare free employee time

This isn’t about powering your data center with solar cells on the helipad. It’s actually about capturing the creativity and time that you’re already paying for. Clinical staff inside hospitals are powerhouses of innovation and creativity. Have you seen what a nurse can do with a roll of 3M transpore tape?!

I only half kid about the tape, but anyone who has tried to introduce new solutions and technology into a clinical workspace has undoubtedly been met with skepticism. Anyone who has gone back to see how those systems and tools are actually used, has undoubtedly been surprised to see how and if they were used.

Are those tablets waterproof? They make great trays for carrying medications and water.

Giving clinical staff back time to focus on their patients and get creative with solutions for systems, processes, and technology innovation can be invaluable. In a time when doctors, nurses and technologists are leaving the bedside and joining tech companies, it can be more important than ever to retain that staff and capture those ideas. Many of these ideas are not large scale changes to the macro environment, they are small and relatively simple ideas that make interactions and workflows easier that can lead to better engagement.

How do you give back time? When we think of the time wasted on inefficient processes, especially when it comes to inefficient IT systems, there is a large opportunity to free up time. In previous posts I’ve written about the inefficiency of reporting application and integration outages and how early notification can save clinical time.

How do you harness that “free” energy? Since you’re already paying for it, it’s not really free, maybe it’s more akin to installing a co-generation plant. When you alleviate the burden of reporting IT issues by clinical staff, they are free to focus on their patients, to address their patient’s needs, concerns, and monitor for their safety. Time and attention lead to fewer safety incidents and better outcomes. Beyond that when clinical staff have time to consider their workflows and systems interactions they will come up with better ideas.

Consider all the money spent on “solutions” and upgrades that do not yield expected results. When a new solution is proposed how much engagement are clinical staff able to give before a purchase? How much time and energy are they able to spend making the new solution work? How much thought are they able to give to iterating and improving EHR user interfaces and workflows? All of these things take time, and if they don’t have time, all these solutions will seldom achieve their full potential.

Leveraging IT assets to their fullest potential will improve the ROI, in addition to improving margins. For over 10 years Tido Inc. has been partnering with hospitals and healthcare organizations to leverage the most from their IT infrastructure. Automated applications and interfaces monitoring and alerts, application integration, and assisting with digital strategy. Contact us today to see how we can help capture some of that energy!

I wonder if solar panels on a helipad would work? I think I’ve found today’s rabbit hole!

Freeing up staff to focus on patients… What can we learn from the ticker tape?

Applications and Integration Monitoring - Ticker

Ticker tape was a revolutionary tool for moving information fast. Widely used by the financial industry for the quick transmittal of stock prices, sports reporters used it relay scores, and in many other industries for relaying information fast to people who didn’t necessarily know Morse code. Ever wonder where the 3-4 letter symbols for stocks and sports teams came from? How about the traditional 15 minute delay for financial information? Ticker tapes. Crazy right? Traditional ticker tapes went out with the 60’s (1960’s that is), but today we see “ticker tape” scrolls at the bottom of screens and on LED billboards.

Back to the question at hand… What can we learn from ticker tape? Getting information from the people that have it to the people that need in a timely manner can have a real improvement in operations, saving time and freeing up valuable manpower to handle other tasks.

Having a simple scroll at the bottom of the clinician’s screen showing important information can save time, and reduce frustration. Health systems have numerous moving parts and inter-connected technology. When something breaks, who reports it? The front line clinical staff. When an application / system (EHR, Pharmacy, Laboratory, PACS, Mobile, Web Applications) or interface fails , every clinician is impacted at the same time. Problem with the pharmacy network, blood bank, PACS? The front line staff calls the department first, once they are aware there is a problem, then a person from each department will call help desk. This is where the cascade begins.

In large units there will likely be 2 or 3 people calling the help desk before the word gets around to the rest of the unit. Multiply this time X number of units. The calls quickly overwhelm the most well-staffed help desks. What happens when an upgrade impacts more than one system? Gridlock, like a ticker tape parade in New York City.

Automated end-to-end applications and integration monitoring coupled with real information can be a powerful tool to alert front-line staff of application issues, alleviating the need of multiple calls to the help desk. Freeing front-line staff from calling the help desk, and associated wait time, allows them to keep their focus where it belongs, on the patients. Early awareness allows early response and early action, any clinician will tell you this is key to preventing larger health problems down the road. This is just as true for our IT systems.

Automated end-to-end applications and integration monitoring monitoring can alert IT staff to problems early, allowing faster response and resolution, before the calls to the help desk and online tickets quickly overwhelm departments. IT staff can focus on resolving the problem, not resolving the tickets.

Providing high quality patient care is the mission of any hospital or health system, the networks and systems in place are there to support this mission. At a time when health systems need to get the most out of their current FTEs, effectively utilizing technology to quickly relay important information saves time and money, but more importantly, it can help take one more burden off of our front-line clinical staff. For more than 10 years Tido Inc has been partnering with hospitals and health systems get the most out of their IT infrastructure, from advisory services, to systems integration, to Automated end-to-end applications and integration monitoring, we’re here to help extend the reach of your IT department. Want to know how?! Of course you do! Contact us today, we’re happy to connect see how we can help.

Winter is coming…

Birds migrate south for better climates.  Is it time to start re-evaluating your EHR climate?

Well known among clinicians are the challenges with many EHR systems, troubling user interfaces, difficulty navigating screens, and the number of mouse clicks required for even the most mundane tasks. As different EHR systems improve and provide more user-friendly interfaces, the challenges associated with choosing the best system for patient care should not be insurmountable.

Staff have finally gotten used to the existing system, so why change? Just because the current system is what everyone is used to, does not necessarily mean it is the best choice.

Health systems and physician practices have more choices than ever for EHR systems. Cloud based systems allow great flexibility and decreased infrastructure costs, traditional licensed software systems can offer more customized security and storage options. Practices may outgrow one EHR and have a need to move on to a new one, maybe the price has become prohibitive, maybe the nature of the practice itself has changed. The reasons for changing the EHR can be numerous.

Physicians, nurses, techs, and whole practices have likely spent countless hours customizing interfaces, connecting numerous devices and apps, and reducing their reliance on fax machines. Choosing a new EHR, for whatever reason, should not be a step backwards.

How do you choose a new EHR to begin with?

How do you handle the data migration?

What about all the existing patient data?

What about all the clinical workflows?

Where do you even start?!

Larger health systems may have an army of IT specialists at their disposal to help answer these questions, but even for large systems a migration of this size is a challenge. Are there the right people in place to begin with? What does the current infrastructure look like, can it even support a new system? For smaller hospitals or independent practices all these questions can seem overwhelming.

In 2016 the ONC published a guide to selecting EHR vendors, while published six years ago, the information is still relevant. For clinical and patient care staff one of the most important questions to be answered is whether or not the patient’s information will be present on day one. All patient data and information should be readily available to provide the continuity of care that everyone expects. All equipment used to enable patient care should be connected and functioning from day one.

Anyone who has been through systems and EHR implementations in healthcare is likely aware of the challenges and pain points that can occur. No matter how much training and testing has been completed, on day one, there will be questions and something will be missed. Clinical staff want systems that just work, and if something is broken, they want it fixed quickly so they can focus on their patients.

If you’ve experienced the challenge of implementing an EHR system, the thought of migrating to a new one might give you nightmares. Don’t let data migration, testing, and support be a barrier to implementing the best system for clinical staff and patients. Tido Inc. can help answer many of these questions with advisory services and assist with EHR migration and post go-live support.

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.

 

 

Tido’s Trailblazing Tech Bulletin – Issue #1 Digital Transformations

health care applicationsIssue #1—Digital Transformations

April 20 2022

Hello everyone! We’re pleased to welcome you to the very first issue of Trailblazing Tech from Tido. 

From now on, you’ll receive exciting monthly updates that dig into cutting-edge health tech topics, such as: the future of digital health, innovative interoperability, mobile and web apps, automated monitoring services, and—of course—some juicy tidbits about what’s new at Tido.

So, from the bottom of our digital hearts, thank you for embarking on this journey with us. Wishing you all an amazing April, and a splendid spring season! And we hope you enjoy Tido’s insights on extraordinary technologies that are revolutionizing the healthcare industry.

 

End-users are actually superior to healthcare professionals at rooting out application and integration issues. Why are we passing the buck to them? We can do better!

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. 

That’s why we’re working with healthcare teams to use Azure Monitor for automated system monitoring, transforming their digital services to drastically reduce reliance on manual reporting, while also significantly improving customer service. The positive feedback we’ve received is truly incredible!

 

Digital transformation is accelerating in healthcare, but don’t worry—you can keep up! How to provide the best user experience in web and mobile 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.

But the process of fine-tuning the user experience has been—to put it mildly—quite complicated. To help other healthcare providers to navigate this important issue, Baptist Health’s team reveals how they’re using web and mobile test automation as a key part of their ongoing digital transformation.

 

The gift of health tech for your healthy ears! Check out this lively, illuminating new episode of our podcast: This Week in Health Tech.

In this jam-packed episode of This Week in Health Tech, Vik and Jimmy have an incredible chat with Dr. Brett Oliver (Chief Medical Information Officer, Baptist Health) to dive into several fascinating topics, such as the future of telehealth, digital transformation, interoperability, cultural change across the industry, and much more.

 

Global Health Tech Buzz:

  1. Chatbot Technology Still Has a Long Way to Go
  2. Meditech and Google Health to collaborate on clinical search in Expanse EHR 
  3. Top takeaways from HIMSS22: What CIOs need to know 

 

That’s all from Tido for now. Thanks for reading! Stay tuned next month for Issue. Subscribe Here.

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.