A thank-you message from our CEO & Founder, Matthew Galetto

A thank-you message from our CEO & Founder, Matthew Galetto

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Matthew Galetto, CEO & Founder

In what has been an incredibly challenging year for healthcare workers, I would like to say thank you, on behalf of MediRecords, to all our customers who have played such a key role providing health care during these unprecedented times.

If there has been one positive to come out of such a difficult year it is perhaps the changes to the MBS that have delivered improved access to healthcare to their regular GP for so many people. The pandemic has forced the need for new models of remote and virtual care, highlighting the importance of the next generation of digital health technology. Technology that is based on industry standards and interoperable through cloud technology. Robust technology that is reliable to access, regardless of the healthcare setting, be it acute, secondary, or primary. We have been privileged to work with our all our partners and customers supporting their response to COVID-19 during 2020. 

 

The ability to react and pivot has been a common theme this year. This was most evident when MediRecords was selected by Healthdirect to provide the clinical platform underpinning the National Coronavirus Helpline. I’d like to thank and congratulate not just our team, but also our partners at Healthdirect, VoiceFoundry and AWS for their incredible rapid response to public need, that saw us roll out a solution to thousands of users in a matter of days. And in a year where we have all been personally tested more than we could have predicted, we are privileged to have begun supporting The Blackdog Institute, as they lead the way in mental health research and support.  

 

Closer to home, I am delighted our team have continued their excellent work supporting the day-to-day operations of our customers and further developing the MediRecords platform in response to customer feedback and industry need. Highlights include the greatly expanded functionality for specialists, integrations with technology partners that improve the utility of our products and aiding our General Practice users to be even more efficient in delivering care from the clinic or via telehealth. 

 

The MediRecords team has rapidly expanded this year to meet an increasing need for digital health technology that is reliable, effective and supports existing and new models of care. Across Sydney and Brisbane our team has doubled in size this year, and this growth shows no sign of slowing down as we continue into 2021. An expanded team will allow us to focus even more on our customer needs.

 

A cultural and industry wide shift is taking place in digital healthcare with regards to adoption of cloud technology. Whilst the pandemic may have pressed the accelerator, there is already a clear shift towards new models of virtual care that can only be serviced with modern technology, as evidenced by changes in funding models to drive the adoption of virtual health. Healthcare organizations will continue to have to pivot and adapt to new circumstances and require a configurable, adaptable, and scalable technology to enable this.  

The devastating news regarding recent outbreaks in NSW in what has already been a very difficult year, look set to continue into early 2021. However, with vaccinations scheduled from March next year we can be optimistic about the future. The way Australians have responded by adhering to social distancing requirements is tremendous, as has been our government’s response. I am encouraged that the vaccination rollout will also be well executed and managed during 2021 allowing us to return to a ‘new’ normal.

On behalf of the MediRecords team I would like to extend our appreciation for the continued support of our customers.

Finally, a special call out to front line health workers who are keeping us all safe and well. We wish you a Merry Christmas and a Happy New Year. 

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    Benefits of the Cloud for Healthcare: AI & the Internet of Things

    Using Artificial Intelligence (AI) and Internet of Things (IoT) technology to support clinical decisions

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    Michelle O'Brien, Head of Strategy

    In my next article, which again looks to demystify some of the tech babble around the benefits of cloud for healthcare, I am exploring what we mean by AI, IoT and how these can be used to support clinical decisions.

    First of all, some clarity on what these terms actually mean: 

    Artificial intelligence: 

    Artificial Intelligence, or AI, refers to computer programs that can think, work and make decisions similarly to humans. The uses are broad, but are already well known to us today.  

    Saying ‘Hey Siri’ or ‘Hey Google’ to your phone brings an AI assistant to life. Plenty of services use AI in a more subtle way, such as Netflix recommending your next show to binge-watch, or Amazon suggesting which item people like you also bought. 

    In healthcare, AI is often used for voice recognition, with doctors using software such as Dragon to convert their speech into text without typing. Clinical decision support tools such as UpToDate by Wolters Kluwer are also a form of AI, interpreting health data to provide clinicians with information to support their clinical decisions.  

    Machine Learning: 

    Machine learning refers to the process AI software goes through to improve automatically through experience, much like we humans learn from our daily experiences.  

    Internet of Things:  

    The internet of things, or IoT for short, refers to physical objects like patient devices that are fitted with sensors or use Bluetooth technology to collect and send data over the internet.

    Some examples you may find at home are an Amazon Alexa speaker that can turn off your lights, a smart scale that sends your weight to your phone, or a Fitbit that sends your steps for the day to an app. 

    Devices like Fitbits and Apple watches are now overlapping into healthcare as they provide health data such as activity levels and heart rates. But more medical focussed devices such as the TGA approved pulse oximeters, blood pressure cuffs and blood glucose monitors are widely available to use at home as well. 

    Remote Monitoring: 

    In a healthcare context, remote monitoring means gathering patient data outside of the traditional bricks anmortar setting, such as the GP clinic or outpatient department. 

    This ties in with the IoT, in that IoT devices can record patient data at home and send this to a patient’s medical record via their phone. But it also includes software on smartphones that do not require physical devices, for example a simple mood diary for mental health patients like Innowell. 

     

    What does this have to do with the Cloud? 

    These exciting uses of AI and the Internet of Things are all reliant on being able to send the data they collect to the clinicians providing care. This is only possible in real time thanks to Cloud EMRs, such as MediRecords, that pull the data together in one place. 

    I explored this ‘interoperability’ of services in my previous explainer article here. 

    What are some examples in Australian Healthcare? 

    There are already a range of products and services available in Australia that exist to help clinicians provide better patient care. 

    iHealth

    iHealth have developed a range of IoT devices designed to help patients monitor themselves at home, including: 

    • Wireless Pulse Oximeters,
    • Thermometers,
    • Wireless Blood Pressure Monitors, 
    • Scales; and 
    • Wireless Blood Glucose Monitors

    These devices share the health data they collect with the patient’s smartphone via Bluetooth, which is then shared with the patient’s cloud based medical record such as MediRecords. 

     iHealth products are approved by the Therapeutic Goods Administration (TGA).  

    ResApp

    ResApp is a remote monitoring smartphone app that can diagnose and manage respiratory conditions such as pneumonia, asthma and sleep apnoea. All of this is possible through ResApp’s AI, which they say can diagnose conditions just through listening to a patient cough using their phones microphone.  

    PainChek

    And PainChek have developed remote monitoring software that uses a smartphones camera to detect if a non-verbal patient is in pain. This works by using AI to read the patients’ facial expression and will allow clinicians to ease the suffering endured by patients unable to communicate. 

    These are just three of many great examples from within Australia, demonstrating that Australia is at the forefront of innovation in AI technology. 

     

    How can AI and the IoT Improve Healthcare in Practice? 

    This is best explained in a theoretical example, in this case a patient who suffers from a chronic respiratory illness. 

    From the examples above this patient could monitor themselves periodically using an iHealth Wireless Pulse Oximeter (IoT), to ensure they were still receiving enough oxygen in their blood.  

    This data is sent from the Oximeter to their phone via Bluetooth, which then sends the data to their electronic health record, for example MediRecords, in the cloud. A dashboard capability could be used within MediRecords to alert clinicians of patients who may need support.  

    A product like ResApp could be used to provide the clinicians with additional clinical decision support in the absence of a face to face appointment which is not always possible. 

    Where a clinician is concerned about a patient, they can set up an appropriate intervention 

    AI used this way supports infection control management in treating respiratory illnesses. This is just one theoretical use case. The range and capabilities of medical AI and IoT devices means similar methods of remote monitoring and treatment are available for a range of conditions. 

    Michelle O’Brien, who is based in our Sydney office, is Head of Strategy here at MediRecords.

     

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      MediRecords Product Update October 2020

      ePrescribing Token on Phone

      MediRecords Product Update: October 2020

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      Maxwell Holmes, Product Manager

      Improvements coming on 8th October 2020 include an expanded Medication Grid and improved Password Protection

      MediRecords recently announced the introduction of e-Prescribing using eRx. If you are interested in joining our pilot program please email to support@medirecords.com 

      As part of the ePrescribing release there are some changes coming to MediRecords that will affect all our users, including those not using e-Prescribing. 

       

      New fields on the Medication Grid 

      The Medication Grid will now display the Type and Status of a prescription, as can be seen in the image below. Prescriptions that have not been printed will display as draft. Printing the prescription will update the status to Printed 

      Prescription types are ManualPaperscript and Paperless 

      Manual scripts are any scripts generated using MediRecords without an integration to eRx electronic script exchange; Paperscripts are printed scripts that also contain an eRx SCID barcode; and Paperless scripts are scripts generated using e-Prescribing. 

       

       

      Password Policy Changes 

      As part of our ongoing commitment to data security, MediRecords will now lockout any account with five failed login attempts. If your account does become locked out, you will be sent a Reset My Password email and will be asked to create a new password.  

      We have also added options for organisations to enforce password complexity to ensure that password security is taken seriously 

      The defaults for your organisation will stay the same. If you are interested in changing your password complexity enforcement, you can find out more via the following link: https://support.medirecords.com/hc/en-us/articles/360001890095-Password-Policy.

       

      If you have any questions about these changes, or how they may affect you, then please reach our to our friendly support team on 1300 103 903, or via support@medirecords.com

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