The Right Tools for Relevant Results

Adam Curran

Adam Curran

Product Marketing Manager at SRS Health
Adam Curran is a Product Marketing Manager at SRS. He oversees marketing intelligence to support the development of strategic marketing plans. Prior to joining the organization, he was a key member of a pharmaceutical software company’s Clinical Development Business Unit, specializing in the clinical data management elements of the drug development lifecycle. He was also the editor for their microsite’s blog. Adam has also held roles at the UK’s National Energy Foundation and Skills Funding Agency.
Adam Curran

surgical-tools-315pxThere is discussion in the industry about the effectiveness of healthcare information technology (HCIT) solutions. And so there should be; although we have seen improvements in HCIT solutions, a significant number of physicians are not happy with their current systems. Perhaps it is because some vendors feel that they know what’s better for their practice, and build the system around their vision at the expense of how the doctor likes to do things. Or maybe it’s because vendors sell practices solutions that aren’t specialized to their requirements—leading to complexity, fatigue and frustration. In either case, doctors are forced to use tools that are inappropriate to their needs and slow them down.

It’s not rocket science: doctors want tools that help them do their job effectively. Like the stethoscope—it’s one of the oldest medical tools still in use today, but it continues to perform an essential task, even in an era of high tech, and there is nothing complicated about it. Although it was originally invented to spare a young physician the embarrassment of putting his ear directly up against the chest of a young woman, it turned out to have enormous diagnostic value. Because of that, the stethoscope quickly caught on with other doctors.

Another good example is molecular breast imaging (MBI). Mammography was a good way to detect breast cancer, but MBI turns out to be three times more effective at finding tumors in dense breast tissue. MBI is simply a tool that has produced better results.

What about laser surgery? Developed at first for eye and skin surgery, it has expanded its range to include different medical and cosmetic procedures, from cosmetic dermatology to the removal of precancerous lesions. Laser surgery allows doctors to perform certain specific surgeries more safely and accurately—again, a new tool that provides better results.

When it comes to HCIT solutions, however, the reception has been decidedly less enthusiastic. Maybe that’s because, in contrast to the examples above, it hasn’t been clear what the purpose of HCIT solutions actually were. To help doctors collect data on patients, or to help administrators collect data on doctors? To make practices more efficient, or to simplify the government’s monitoring of public health? Without a clear task to perform, it’s not surprising that HCIT solutions have produced mixed results. It’s hard to assess the value of a tool when you aren’t sure what it is supposed to do.

It turns out that, like the stethoscope, electronic health record solutions were a tool designed for extra-diagnostic reasons, and then later repurposed. However unlike the stethoscope, the adoption of EHRs has been driven not by doctors who found them helpful, but by hospitals, insurance plans, and government agencies who sought to control skyrocketing costs and standardize healthcare. This disparity has been an underlying cause for ineffective workflows within the systems. And even when EHRs were designed with physicians in mind, they were designed for primary care physicians, leaving the specialist community underserved.

What is clear is that, when an HCIT solution is designed with the primary purpose of helping doctors, the industry does see value in them. According to the latest Black Book survey of specialty-driven EHRs, 80% of practices with specialty-distinctive EHRs affirm their confidence in their systems. The same survey reported that satisfaction among users who had switched to specialty-driven EHRs has shot up to 80%. And finally, 86% of specialists agreed that the biggest trend in technology replacements is specialty-driven EHRs due to specialist workflow and productivity complications.

The statistics show what we already knew; doctors want the technology and tools that give them relevant results. Like earlier great medical inventions, HCIT can play a vital role too. One positive development is that EHRs, like the lasers used in surgeries, have evolved to serve a variety of specific purposes. Just as there isn’t a single type of laser that is used by both ophthalmologists and dermatologists, EHRs are increasingly specialty specific.

This means that specialists are no longer forced to use systems designed for primary care physicians that collect every piece of data that every type of doctor might possibly need. That sort of all-inclusive data collection doesn’t lead to better results; if anything, too much data causes unnecessary clutter, making analysis more difficult. What is crucial is having more RELEVANT data. Specialists need EHRs that collect the data that is relevant to them, and only the data that is relevant to them. They need an HCIT solution that is driven by their specialty, that respects their workflow, and that has the flexibility to handle their practice’s unique requirements.

To find out more about developments in HCIT solutions that are improving patient care, check out our latest whitepaper, “Healthcare: How Moving from Paperless to Frictionless is Improving Patient Care”.

The ABCs of APIs

Ryan Newsome

Ryan Newsome

Vice President of Software Engineering at SRS Health
Prior to joining SRS almost 10 years ago, Ryan started his career as a software engineer for Map Info/Pitney Bowes. Throughout the years Ryan has been an expert in all things web, interoperability, and in agile leadership. He currently oversees all of product engineering at SRS and has led SRS’ transition to an Agile/Scrum Development Methodology. In his free time, you can find Ryan either skiing, cycling or spending time with his family. Fun Fact: Ryan played Division 1 Soccer at Sienna where he attended on a scholarship. Goal!
Ryan Newsome

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APIIt seem that everywhere you look in today’s tech industry, you hear the term APIs, and healthcare IT is no exception. Healthcare has recently joined the frenzy by promoting emerging interoperability standards like FHIR. Regulators believe that APIs will support this interoperability so much that APIs are included in meaningful use Stage 3. So, you might now be asking, what are APIs, and why are they so important?

In the simplest terms, APIs are a doorways that allow developers to create bridges between different applications. API stands for Application Programming Interface. APIs are sets of rules that govern how one application can communicate with another. APIs do all this by “exposing” some of a program’s internal functions to the other developers in a limited capacity. This makes it possible for products to share data and take actions on one another’s behalf without requiring developers to share all of their software product’s code.

APIs have been around for decades, so why all of the publicity now? Over the last 10 years companies have started to make their APIs publically available, which has been a catalyst for the spin-off of new business models, innovative solutions, distribution channels, and synergies between business partnerships.

A recent example of this can be found with your smart phones. What do you think fueled the recent app revolution? If companies like Apple and Google did not provide APIs, app developers would not be able to use the functionality found on your phone. Ever wonder how SnapChat has access to your phone’s camera? You guessed it, APIs!

In the end, APIs are a wonderful tool that provides you with flexibility and complete control over your healthcare IT ecosystem.

Now that you know a bit about APIs, how do you see your organization leveraging them in the future?

Hackathon 2.0: Bringing the Best Out of Participating Clients and Employees!

Adam Curran

Adam Curran

Product Marketing Manager at SRS Health
Adam Curran is a Product Marketing Manager at SRS. He oversees marketing intelligence to support the development of strategic marketing plans. Prior to joining the organization, he was a key member of a pharmaceutical software company’s Clinical Development Business Unit, specializing in the clinical data management elements of the drug development lifecycle. He was also the editor for their microsite’s blog. Adam has also held roles at the UK’s National Energy Foundation and Skills Funding Agency.
Adam Curran

hack2-srs-logoWe have had a lot of fun here at SRS over the last couple of weeks; don’t worry, we have still been working hard! To clarify, we have been focused on our second annual Hackathon, a collaborative forum designed to innovate meaningful HCIT solutions for specialists.

We brought together our enthusiastic employees throughout the organization as well as select clients to come up with ideas for new and useful innovations. We didn’t simply see this as a side-project; our staff was fully committed to this project, and was working around the clock over the last couple of weeks bringing these great ideas to fruition.

This year’s theme was “Problem Solved”. Cross-functional teams were created and tasked to come up with breakthrough solutions to problems that would affect the patient and/or clinical experience.

Teams were also asked to think from the point of view of a new start-up healthcare IT company and encourage to invent a solution that really responded to a need in the market today from a fresh perspective.

Each team presented their solution’s business case, along with a prototype, video, and supportive marketing campaigns. Judges selected winners, and SRS will be funding development of the innovations that they believe will have the biggest impact on providing better healthcare through technology.

Several of the ideas selected will be showcased in the Innovation Expo at SRS’ annual User Summit. Clients can see future innovations in action and add their feedback at the event. Last year’s expo was one of the highlights of the conference.

We are always looking to hear great ideas, and get very excited during the Hackathon period which allows us to bring together our creative staff and client partners. That is the thing about great ideas; you just never know where the next one will come from! This is the way to come up with solutions that are truly user-centric in design.

Click here to learn more about how we do things.

Patient-centric Data Capture—Where Is It?

Adam Curran

Adam Curran

Product Marketing Manager at SRS Health
Adam Curran is a Product Marketing Manager at SRS. He oversees marketing intelligence to support the development of strategic marketing plans. Prior to joining the organization, he was a key member of a pharmaceutical software company’s Clinical Development Business Unit, specializing in the clinical data management elements of the drug development lifecycle. He was also the editor for their microsite’s blog. Adam has also held roles at the UK’s National Energy Foundation and Skills Funding Agency.
Adam Curran

hc-prof-blog-image-v2We all know how increasingly important the patient experience is becoming in clinical trials and healthcare. With more emphasis being placed on quality care and patients’ active participation in their own treatment, it follows that this will have an effect on what solutions and services are required to satisfy consumers in this market. Consumers nowadays have a flood of information available at their fingertips—an amount unimaginable even just 15 years ago. And while the ability to look up symptoms online in the middle of the night has undoubtedly increased the number of hypochondriacs, it has also led to a higher number of truly educated patients, and an accompanying need for specialists to respect and involve them in the diagnosis and treatment process.

But what does it mean to be patient-centric? Our good friend Wikipedia defines it as “support[ing] active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment.” Not much help, is it really?

The Institute of Medicine defines it as “providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions.” The difference in definitions seems to come down to how involved the patient gets in their healthcare. The first definition suggests that the specialist is at the center of decision making, but supports the patient involvement as well. The latter, at least in my opinion, implies that the specialist actively collaborates with the patient by empowering them with the necessary data to make their own treatment decisions.

By either definition, however, data capture is currently falling short of what it takes to be truly patient-centric, despite how far it has come over the last decade. Electronic Health Record (EHR) solutions have been widely adopted in a variety of healthcare specializations, and although the way they collect data can create friction and inefficiencies with specialists’ workflow, they still provide enormous benefits. They streamline access for the specialists to vast quantities of patient data more quickly than traditional paper-based systems, and they eliminate need for patients to fill out the same forms again and again at each specialist’s office.

With the power of technology growing at an exponential rate, new technology solutions are coming out every day, but the challenge is to figure out how to use these technologies to address the real problems that medical practices are facing. In other words, to provide the right technology solution, one that really works for practices. At the moment, more often than not, EHR software interferes with and takes time away from the doctor-patient interaction. However, by giving specialists data-capture tools that allow them to focus on their traditional role of caregivers and that reduce the time and energy that is diverted away from patients, everyone benefits: specialists win, and therefore so do their patients.

There are already good vendors out there who are designing solutions with specialists’ requirements in mind, and some of these certainly help to give specialists more time with patients. However, to achieve a truly patient-centric solution, data capture will need to both predict and adapt to the data being fed into it in real-time. This would give specialists relevant, up-to-date information right at their fingertips, which they could use both to inform their own decision-making process and to educate the patient on their particular condition. The result would be a collaborative, evidence-based plan of care that—because the patient had participated in creating it—would lead to an increased patient commitment to the plan and a better outcome overall.

That’s what providing a truly patient-centric solution looks like.

To find out more about the evolution of data capture and what to expect in the future, you can read our recent white paper on this topic.

How the Evolution Started in Data-Capture Technology

Adam Curran

Adam Curran

Product Marketing Manager at SRS Health
Adam Curran is a Product Marketing Manager at SRS. He oversees marketing intelligence to support the development of strategic marketing plans. Prior to joining the organization, he was a key member of a pharmaceutical software company’s Clinical Development Business Unit, specializing in the clinical data management elements of the drug development lifecycle. He was also the editor for their microsite’s blog. Adam has also held roles at the UK’s National Energy Foundation and Skills Funding Agency.
Adam Curran

EvolutionDo you remember the days when cell phones were brand new? I am not referring to the Nokia 3310 (back when all we needed was a single game, Snake – simpler times . . .). I am talking about when they were first launched and introduced. Those were the days when cell phones were only purchased by business people and you could only make calls near a transmitter tower (oh how mobile!). They used to come with big cases, but these were not for the phone itself; their real purpose was to hold the phone’s huge battery! Despite that, the purpose of original cell phones was clear—to make phone calls on the move. Well, so long as you were going past at least one transmitter tower on the way . . .

Fast-forward to today—the cell phone we once knew has completely changed, and along with it, we see a transformation in how people see and use their phones. What used to be their original purpose (making phone calls) has now been virtually replaced by activities such as Internet browsing, checking social networks, shopping, listening to music, and playing games (you can still download Snake, but it’s no longer pre-installed!).

It would probably be more fitting to call them powerful mini-computers; the average smartphone today is millions of times more powerful than all of NASA’s combined computing power in 1969. Smartphones today are even powerful enough to run old Windows operating systems such as Windows 95. Good to know for all those old-operating-system enthusiasts who want a bit of nostalgia on the go.

The evolution of cell phones eventually led to a revolution in the market. The pace at which technology was developing eventually led to the creation of the first iPhone—the rest is history!

So how does the evolution and revolution in cell phones relate to data-capture technology? Just as the first cell phones had only one purpose—talking—data capture nowadays means simply sharing or collecting information. While 1990s-era electronic data capture focused almost exclusively on big data associated with clinical trials such as EDC and electronic patient reported outcomes (ePRO), it was eventually adapted for private medical practice. Over the years, the opportunities afforded by electronic data capture have grown, partly because of healthcare costs.

However, although these first digital data-capture systems offered some relief to physicians and other users, they were still time-consuming and cumbersome, creating more productivity issues than they solved. What was meant to save time actually had the opposite effect; while the new systems were being introduced, they actually resulted in physicians seeing fewer patients.

Back then, these solutions were designed for primary-care physicians. Specialists, who needed to maintain smaller sets of data, found that these first digital systems did not take their specific needs into account. What specialists required was a solution that would allow them to see many patients without sacrificing data quality and regulatory compliance. Fortunately, there were a few vendors who had the insight to rise up to the challenge and help to solve these specialty-specific problems.

To find out more about the evolution of data capture and how EHR solutions are becoming revolutionary—like smartphones—read our recent whitepaper on this topic.

What is HCIT Friction?

Khal Rai

Khal Rai

Senior Vice President, Development at SRS Health
Khal oversees the Software Engineering, Business Analysis, Quality Assurance, and Product Management teams at SRS. His 17+ years’ experience in software development and healthcare IT have resulted in a true passion for collaborating with customers, then translating their needs into innovative solutions and better service experiences. He believes that motivated employees and satisfied customers are keys to maintaining business success. He has a B.S. degree in Computer Engineering from the University of Cincinnati, and an M.S. degree in Electrical Engineering from Purdue University.
Khal Rai

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wheelThe Truth Is Stranger Than Friction

I just returned from two eye-opening experiences: HIMSS, the largest health IT event in the industry, and AAOS, the country’s largest orthopaedic conference. Of course, I heard about the amazing benefits of many new technological and medical breakthroughs . . . But what really got my attention was hearing some physicians say that when it comes to productivity, they wish they could return to the days of paper charts.

What? Since when do medical professionals want to turn back time on medical technology advancements like productivity solutions? All of those innovations were designed with an important goal in mind: to help doctors have more time to help more patients. However, due to many reasons, the data collection process is getting in between doctors and patients. That friction is rubbing both parties the wrong way—and the need to get beyond that friction was the clear message I took away from both HIMSS and AAOS.

Friction isn’t inherently bad: it is the force that allows our tires to grip the pavement, lets us steer the way we want to go, and enables our brakes to stop us from crashing. However, excess friction hinders movement and wastes energy: that’s what’s happening right now in the world of EHR solutions. What we need are systems that work with—not against—physicians while they perform their very important work. By creating smarter solutions, we can transform friction into traction: positive momentum that takes us where we want to go, faster—in a way that enhances, instead of interferes with, the doctor-patient experience.

In order to really help advance healthcare, the next generation of EHR solutions must do more than just capture data. They must be intelligent technologies that go beyond frictionless, creating the traction to:

  • Operate in the way that best supports each doctor’s work style, so that physicians can concentrate on patients, not iPads
  • Enable seamless data collection during patient interactions, so that doctors are not spending hours recording data later
  • Leverage mobile platforms and predictive technologies that not only keep up with busy specialists but actually help move them forward

Turning meaningless friction into meaningful traction is the driving force behind what we are calling Smart Workflows. Living and practicing in the Information Age, the only way to go is forward—not to reduce the technology involved, but to reduce its intrusiveness by developing software that easily captures required data while actually prioritizing the physician’s role in medicine. That’s something no EHR has ever done—nor any paper chart, for that matter.

To frictionless and beyond!

~ Khal Rai