MediRecords in the fast lane for FHIR connectivity
 

MediRecords in the
fast lane for FHIR connectivity

MediRecords will be releasing new FHIR integration pathways for clients throughout 2023, as part of our commitment to a better connected Australian healthcare system. 

 

As can be seen from our FHIR Roadmap below, we not only have established and proven options for data sharing, but we’re investing in the expansion of our Connect platform which comprises of  FHIR (Fast Health Interoperability Resources) and Connect services.

We now have FHIR integrations with hospital systems for ePrescribing, and updating patient records. New resources in development for MediRecords 2.0 include allergies, diagnostic requests and reports, patient summaries, and inpatient charting.

MediRecords Chief Executive Officer Matthew Galetto said the Connect platform enabled health care providers and patients to access records quickly and securely, driving better and timelier health outcomes.

“We’re keen to see more software vendors hit the road and deliver on industry standards for interoperability, resulting in connected health care across Australia,” Mr Galetto said.

“Some vendors seem to be waiting for a reason to modernise when the motivation should be clear — the right care at the right time, wherever you are in Australia.”

MediRecords is part of a national consortium, led by Leidos Australia, developing a new Health Knowledge Management (HKM) system for the Australian Defence Force. This project will see MediRecords connect health records for GPs, allied health practitioners, specialists, patients, and hospitals.

MediRecords is also supporting the Victorian Virtual Emergency Department with an integrated ePrescribing system.

MediRecords Technical Product Lead Sanjeed Quaiyumi said 2023 would be an exciting year. “We’re working on consultation notes and can’t wait to hit other milestones on our roadmap.”

MediRecords FHIR Roadmap

MediRecords FHIR roadmap was last updated 01/11/23.

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    Communication the key to reducing hospital readmissions

    Communication the
    key to reducing
    hospital readmissions

    Can health tech help reduce hospital readmissions?

     

    According to a global research review, telehealth and virtual wards can certainly make a difference.

    The Deeble Institute — the research arm of the Australian Healthcare and Hospitals Association (AHHA) — reviewed international research on the role of primary care in reducing hospital readmissions.

    In its Evidence Brief no. 24, the Institute says telehealth can be used to boost general practice involvement in hospital discharges and subsequent multidisciplinary virtual care, resulting in fewer unplanned readmissions.

    Unplanned readmissions are associated with poorer health outcomes, dissatisfaction with healthcare, increased costs, and bed blockages.

    The report highlighted research that showed improved communication and coordination of care between GPs, hospitals and/or pharmacists is effective.

    “Effective interventions included … electronic tools to facilitate quick, clear, and structured (health) summary generation… use of electronic discharge notifications; and web-based access to discharge information for general practitioners,” reported the Netherland’s Hesselink and colleagues.

    Virtual wards are another way to reduce risk of hospital readmissions and improve outcomes during hospital-to-home transition, with research indicating these can be effective with specific disease cohorts but less so with non-specific, complex diseases.

    The Evidence Brief contrasted virtual wards with Hospital in the Home (HITH). HITH is a form of remote hospital inpatient care whereas virtual wards facilitate transition from hospital care to home care.

    “Compared to HITH, virtual wards typically have a higher degree of interdisciplinary care coordination and review, are simpler in design and implementation, and have a broader scope of activities,” The Deeble Institute reported.

    “Transitional care is similar to virtual wards, but usually implemented within existing systems. Virtual wards typically require a completely new care pathway and potentially new organisations to manage its implementation.”

    MediRecords Connect provides FHIR (Fast Health Interoperability Resources) and API options for connectivity with hospital systems, including patient administration systems (PAS). MediRecords is deployed as an ePrescribing system at two Australian virtual emergency departments and as an outpatient billing and claiming system for Queensland Health. New functionality enabling multidisciplinary case management and inpatient care will be released later this year.

    MediRecords is also integrated with the Coviu telehealth platform for streamlined virtual consultations.

    Top three Technologies that reduce hospital admissions:

    Further reading

    ‘A wonderful day’: telehealth to become permanent

    Improving Patient Handovers From Hospital to Primary Care

    Consumer adoption of digital health in 2022: Moving at the speed of trust

    PARR++ is dead: long live predictive modelling

    Impact of ‘Virtual Wards’ on hospital use: a research study using propensity matched controls and a cost analysis

    Applying the Integrated Practice Unit Concept to a Modified Virtual Ward Model of Care for Patients at Highest Risk of Readmission: A Randomized Controlled Trial

    Effect of post-discharge virtual wards on improving outcomes in heart failure and non-heart failure populations: A systematic review and meta-analysis

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      MediRecords 2.0: New ways to Care, Connect and Engage
       

      MediRecords 2.0: New ways to Care, Connect
      and Engage

      MediRecords 2.0 is the most comprehensive overhaul of our electronic patient record and clinic management system since we launched in Australia in 2016. While there have been many product updates over the years, MediRecords 2.0 is designed to use screen space better, streamline workflows, reduce administrative burn-out and support shared care.

       

      MediRecords Head of Product Jayne Thompson says, “Innovation is as important to us as it is to our customers”. The 2.0 product update reflects this philosophy, introducing best-in-class user experience design and other client-driven enhancements, while reinforcing the foundations for next generation digital health connectivity.  

      Having grown beyond its origins as Australia’s pioneering, cloud-based practice management system, the MediRecords platform is now underpinned by three pillars: Care, Connect and Engage. Each of these will gain major new features during 2023.

       

      Care

      The MediRecords Care pillar contains core clinical features such as patient records, ePrescribing, appointment management, investigations, billing and claiming, correspondence, and assessments. New Care functionality will include: 

      • Case Management – Members of a designated Care Team can view and update client case notes. This is particularly valuable where care is shared between a multidisciplinary team working from separate locations or across different shifts. For example, mental health practitioners can collaborate with GPs and rehabilitation specialists as patients progress towards a safe return to work. 
      • Group appointments – Patients will be able to book and join group sessions or classes. This feature will enable group therapy, family consultations and community health programs, with providers able to message an entire group or individual group members. 
      • New mental health and readiness for work assessment templates are being added, including the Glasgow Coma Scale. 
      • Single provider view of appointments: Clinicians practising across multiple clinics won’t have to jump between them to view their appointments. Appointments across multiple sites will be consolidated in a single view. 
      • New communication capability: Real time chat with team members will be available throughout MediRecords, making it easier to message team members on the fly. Our new Comms bar will also provide shortcuts to SMS, email, alerts, and notifications. 
      • Inpatients – In a major new premium* feature, MediRecords will be able to support complex care, including inpatient admissions, detailed charting, clinical escalations, progress notes and Discharge Summaries. 
      • Our Letter writer tool is having a makeover and will be even easier to use, with highly requested new functionality, such as digital signatures. 
      • We’ve added industry-leading means of recording Consent (or denial of consent) and made it easier to add attachments to patient records. 
      • Custom fields and Tagging can be used in patient records, creating new and innovative ways to capture information, search records and report on data. 

       

      Connect 

      Many clients are familiar with our Connect site. MediRecords was an early adopter of FHIR (Fast Health Interoperability Resources) and API technology and new options for using these to share data are on the way. We have proven integrations with patient monitoring devices, patient-reported outcome and engagement measure systems (PROMs and PREMs), dictation technology and partner products. MediRecords is built on the SNOMED-CT-AU data coding system, which makes the data we share cleaner and primed for analytics. 

      • We now have FHIR integrations with enterprise products such as hospital patient administration systems (PAS) and scanned medical record software. This means a patient record created or updated in MediRecords can be pushed up into hospital systems, ensuring consistency of records and supporting better patient safety. Current options include allergies, medication requests and dispense notifications. 
      • New FHIR resources to be added throughout 2023 include referrals, diagnostic requests, diagnostic reports, and vital signs.  

       

      Engage 

      MediRecords has already connected over 60,000 patients to healthcare records via our patient mobile app. This enables consumers to book appointments, see medication information, receive reports and educational resources, and access and store personal health documents. We’re taking this to the next level in 2023 with an entirely new patient engagement platform. This will include new features such as:  

      • Real time surveys and forms 
      • Clinical assessment and observations data for remote monitoring 
      • In-appointment chat functionality 
      • Secure web access to personal health data. 

      Frequently asked questions

      MediRecords 2.0 is an overhaul of our current platform rather than a new product. All existing customers will transition to 2.0. Sticking with the old MediRecords format will not be an option.

      We will perform the update remotely. Users won’t have to download or do anything.

      We have done our utmost to preserve familiarity and usual behaviour within the MediRecords application, but the new layout may take some adjustment. To help with this, we have been providing Lunch and Learn sessions for clients. Please reach out to our training team if you have any further questions, training.success@medirecords.com.

      Development will finish in March. Rigorous testing will follow before pilot sites switch to 2.0 in late April. Once we have considered their feedback, we’ll finalise the date for general release and shout it from the rooftops to let you know. 

      If you are a current client, please contact your Account Manager if you would like to be a test pilot for these new features. Limited places are available.  

      MediRecords 2.0 is an upgrade of your existing system and will be covered by usual licence fees. However, some of the optional new features will be Premium products and require additional fees. Details will be published as soon as possible. 

       

      For other questions, please email support@medirecords.com.

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        Federal Government digital health upgrade grants on the way

        Federal Government digital health upgrade grants on the way

        Update: 24 April 2023

        New details are now available on the Strengthening Medicare General Practice Grants.

        Grants of $25,000, $35,000 or $50,000 are available depending on practice size. The grants will be administered by your local Primary Health Network (PHN) or the National Aboriginal Community Controlled Health Organisation (NACCHO). To take advantage of this funding, complete a grant application sourced via your PHN or NACCHO.

         

        MediRecords welcomes the news that Federal Government grants aimed at helping to enhance digital health capability for Medicare general practices and Aboriginal Community Controlled Health Services (ACCHS) will become available from April. 

         

        General practices and ACCHS will be eligible for one-off grants of up to $50,000 for innovation, training, equipment, and minor capital works under three categories:

        1. Enhance digital health capability – Accelerate moves to a more connected healthcare system that meets future standards;
        2. Upgrade infection prevention and control arrangements – Ensure infectious respiratory disease (e.g. COVID, influenza) patients can be safely seen face-to-face; and/or
        3. Maintain and/or achieve accreditation against the Royal Australian College of General Practitioners (RACGP) Standards for General Practice to promote quality and safety in health care.

        The grants were an election promise from then opposition leader Anthony Albanese in May 2022. The Strengthening Medicare – GP Grants Program was subsequently allocated $220 million in the October 2022 federal budget.

        Medicare general practice grants will be administered by local Primary Health Networks (PHNs) and ACCHS grants by the National Aboriginal Community Controlled Health Organisation (NACCHO). Practices and health services owned or operated by a state, territory or local government agency are ineligible.

        MediRecords Chief Executive Officer Matthew Galetto welcomed the move and said he hoped it signalled a shift to better data connectivity between GPs and the broader health care system.

        “We would like to see incentives for general practices to switch to the cloud, given the environmental, security and interoperability benefits that flow from leaving behind legacy software and hardware systems.”

        Mr Galetto said the grants program was an opportunity for the Federal Government and PHNs to drive industry-wide reform and boost adoption of new technology platforms.

        “Just as PIP (Practice Incentives Program) grants helped shift GPs from paper-based systems to electronic, this grant funding should seek to do the same for next generation interoperable technology.”

        “This is bigger than improving the My Health Record. There is an opportunity to follow the United States example and provide genuine connectivity of digital health records for patients, from primary to tertiary care.”

        MediRecords is a true cloud electronic health record system featuring global standards-based interoperability and SNOMED-CT-AU clinical coding. MediRecords pioneered cloud practice management software in Australia and is now used by general practitioners, specialists, multidisciplinary clinics, hospitals, and government departments.

        Practices considering using their grant to upgrade to cloud clinical software are welcome to reach out to MediRecords. We provide onboarding services including training, data migration and configuration of electronic prescribing, telehealth integration, Medicare claiming and more.

         

         
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          Health care reform: No gain without pain
           

          A fundamental failing of our health system

          November 24, 2022

          Health care reform:
          No gain without pain

          A shift to value-based care in Australia may be inevitable but is unlikely to be painless. This post is the first in a series looking at healthcare industry issues.

          Australia has a unique set of problems to overcome, said David Rowlands, a member of the Roster of Digital Health Experts at the World Health Organization (WHO).

          He told the October Wild Health Summit: “What we are seeing are symptoms of a fundamental failing of our health system.”

          “Our health system was designed 50 years ago for problems of 50 years ago. (It) was not designed to deliver integrated, value-based care. It was designed to deliver episodic care.”

          Episodic care is provided to patients who need treatment for an “episode” of care with a foreseeable “endpoint”. Examples include cases treated in hospital Emergency Departments.

          The focus in Australia’s health care system, Mr Rowlands said, is on outputs, not outcomes.

          Value-based care uses a model where providers, including hospitals and physicians, are paid based on patient health outcomes. Under value-based care agreements, practitioners are rewarded for helping patients improve their health, reduce the effects and incidence of chronic disease, and live healthier lives.

          The “value” in value-based healthcare is paid after measuring health outcomes against the cost of delivering them.

          In contrast, episodic care is paid on an activity-based or fee-for-service model measuring the amount of healthcare services delivered.

          Mr Rowlands said tinkering with the system will fail. “After 50 years, it’s time for a review.” He said the Australian system needed independent, external experts to determine the way forward. He cited Lumos, a new partnership between the NSW PHNs and the NSW Ministry of Health, as an example of doing things differently.

          Lumos generates insights into patients’ journeys across the health system and shares de-identified data from general practices with other health services to provide a comprehensive view of patient pathways.

          Elisabeth Koff, the managing director at Telstra Health and immediate past secretary at NSW Health, said she had helped negotiate health agreements and most came down to money rather than a strategic approach to healthcare.

          She said reform agreements focusing on outcomes had been negotiated but, “then we forget about them, and they sit on the shelf”.

          While there had been progress in New South Wales around collaborative communities, Ms Koff said change would be slow as governments are focused on the short term and, “health care reform is hard… no pain, no gain”.

          Tracey Johnson, the CEO and company secretary at Inala Primary Care, said Australia’s health system is run by “mini-empires”, each seeking individual advancement.

          “We don’t have a healthcare system,” she said. “We have a profile-for-profit system.”

          Inala reinvests any practice profits into patient care, but it was becoming difficult to provide affordable care when reliant on a $39 bulk-billing item.

          Ms Johnson said General Practice should be considered a specialist form of medical care, given the knowledge and training required. This could provide access to a wider range of Medicare-funded billing items.

          Ms Johnson pointed to the role GPs play in taking pressure off overcrowded hospitals. “Data shows where patients visit their GPs more, there were fewer hospital admissions… Comprehensive care works.” 

          MediRecords is used by general practitioners, specialists, multidisciplinary clinics and hospitals across Australia. The MediRecords electronic health records platform features embedded SNOMED CT-AU coding and is designed for interoperability using FHIR and APIs. MediRecords is currently developing additional functionality to support team case management and value-based care.

          Article originally published by Wild Health and written by Dr Leon Gettler on behalf of MediRecords.

          If you are interested in learning more about MediRecords’ functionality to support team case management and value-based care, book a demo below. 

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            FHIRing up the Australian Defence Force
             

            FHIRing up the Australian Defence Force

            Hear how FHIR is connecting the entire Defence health ecosystem with OntoServer at its heart!

             
            At the recent Inaugural Australasian CXO Healthcare Cloud Summit in Sydney, MediRecords CEO and Founder, Matthew Galetto, presented a case study on how FHIR is connecting the entire Defence health ecosystem. 
             
            View the video below! 
             
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              Taking the pulse on digital health
               

              Taking the pulse on
              digital health

              MediRecords attended a packed Digital Health Festival in an icy Melbourne on 31 May and 1 June. The conference was the largest face-to-face event since the pandemic and attracted international speakers and delegates from across Australia.

               

              A recurrent theme was that telehealth has been normalised during the pandemic and is now an everyday tool for doctors and specialists. But while digital and virtual care technology is widely used, too many systems still don’t share information and healthcare professionals are fed up with having to use multiple, disconnected products.

              Here are some snapshots from the festival:

              Australian Digital Health Agency CEO Amanda Cattermole said the agency remains committed to a connected healthcare system through which data passes, “seamlessly, safely and securely”. Ms Cattermole said a new National Digital Health Strategy is imminent and that the ADHA has three key roles:

              1. Creating a collaborative environment that accelerates adoption of digital technology, including stewarding and supporting state government initiatives.
              2. Building and providing ‘infrastructure glue’ that is FHIR enabled, web-based and includes a new health API gateway to national digital health systems, due by the end of 2022.
              3. Co-designing a governance framework, or the ‘guardrails’ for a national healthcare interoperability plan.

              ADHA projects under way also include:

              • a national digital children’s health record, replacing state-based systems
              • a framework for sharing population health data ethically and securely
              • a national digital imaging platform for diagnostic medical imaging, and
              • a My Health Record mobile app.
              Dr Paresh Dawda, Director and Principal at Prestantia Health and Next Practice in Canberra, illustrated the importance of user experience design and interoperable health data systems by talking about a typical work day. Dr Dawda spends an estimated eight minutes every morning logging into 16 different clinical systems. Cumulatively that’s more than 30 hours per year that he can’t spend on patient care and the cost to his business could be $9800 per clinician per year. While digital technology, “is often held up as the solution to clinician burnout, it can also be part of the problem”, he said. True interoperability would mean clinicians could use fewer systems to access the same amount of data, freeing time to dedicate to patient care.
               

              My Emergency Doctor founder and Medical Director Justin Bowra explained how virtual ED doctors help improve patient flow and reduce clinical risks at hospitals and urgent care centres. Dr Bowra said MED clinicians conduct case conferences via video calls, including reviewing the status of patients waiting in ambulances. The case conferences enable patient flow decisions that reduce ED wait times, such as advising that patients can go direct to theatre. The service also provides clinical decision support and mentoring to on-site doctors and an auditable recording of all interactions.

              Caligo Health Managing Director Dr Amandeep Hansra said the COVID-19 pandemic had catapulted digital health innovation forward by at least a decade, creating created consumers who are actively engaged in their care and demand access to and control of personal data. The pandemic had also created a mountain of data — 30% of global data comes from health — that could be the foundation for scalable analytics and AI-driven businesses. 

              e-Health Queensland Health Deputy Director General Damian Green walked festival goers through the Sunshine State’s digital strategy, emphasising the importance of human-centered design and delivering equitable healthcare access for First Nations peoples and diverse communities. Mr Green said clinicians were required to work with too many products and ‘system sustainability’ would necessitate fewer systems with the requisite data for better decision making. He said safety was at the heart of all digital investment decisions and told vendors, “if you can show you are going to improve outcomes, then talk to us.”

              Victorian Department of Health Chief Digital Officer Neville Board placed patient safety as the destination for the Garden State’s digital health roadmap. Mr Board said reducing risks to patients caused by paper-based processes was a major priority and showed how e-prescribing significantly reduces risks of medication errors. Victoria has also committed to a Health Information Exchange that enables interchange of information between all hospitals.

              Neville Board placed patient safety as the destination for the Garden State’s digital health roadmap. Mr Board said reducing risks to patients caused by paper-based processes was a major priority and showed how e-prescribing significantly reduces risks of medication errors. Victoria has also committed to a Health Information Exchange that enables interchange of information between all hospitals.

              Victorian Chief Digital Officer Neville Board highlights the risks of handwritten medication notes.

              Alcidion CEO Kate Quirke said procurement processes in Australia were a deterrent to innovation and that many Proof of Concept projects did not proceed to implementation because contractual requirements were too onerous.

              Former Deputy Chief Medical Officer Dr Nick Coatsworth said healthcare start-ups need to be thoroughbreds capable of going the distance, rather than flashy unicorns. And the secret to designing an enduring product? Make sure you’re solving problems for patients and their families.

              Dr Emma Rees, Founder and CEO of women’s healthcare platform Femma, said health care should not cease when a patient leaves the room and be suspended until a follow-up appointment. Dr Rees said “the future of healthcare is a hybrid model” where patients have clinically curated, individual management plans and on-demand access to education materials and nutritional, exercise, mindfulness and yoga programs.

              Image courtesy of ResApp

              Australian start-up ResApp has developed a digital diagnostic app for respiratory illnesses, available on mobile devices. The ResApp tool listens to a patient cough five times and then sends a report direct to a GP. ResApp CEO Dr Tony Keating said trials in India and the US had shown a high level of accuracy in diagnosing COVID-19. Using the app for initial diagnosis could make up to 80% of RAT and PCR testing unnecessary, bringing immediate benefits for patients, cost savings for governments and environmental benefits. 

              The Global Healthcare Lead for Zoom, Ron Emerson, said research by a leading US healthcare provider had shown that 70 per cent of patients attending at urgent care facilities could be safely seen by a virtual health care clinician, helping to relieve pressures on overcrowded hospitals. Zoom is now being used by prestigious US healthcare organisations, including the Mayo Clinic, Johns Hopkins and New York Presbyterian hospitals.

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

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

                Matthew Galetto MediRecords banner

                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. 

                Matthew Galetto MediRecords banner

                Matthew Galetto, CEO & Founder

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

                  Internet of Things

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

                  Internet of Things
                  Michelle O'Brien Profile Picture

                  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.

                  Michelle O'Brien Profile Picture

                  Michelle O'Brien, Head of Strategy

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                    MediRecords Product Update October 2020

                    MediRecords Product Update: October 2020

                    Medirecrods team member picture

                    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 by viewing our Password Policy article.

                     

                    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

                    Medirecrods team member picture

                    Maxwell Holmes, Product Manager

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