Empowered Patient Podcast

Anatoly Postilnik, VP of Global Healthcare Consulting at First Line Software, is building software solutions and bringing data management, data analytics, and systems analysis to healthcare organizations. Original EHR systems were implemented to replicate paper flow and siloed data collection. As they move from paper-based to digital data, these organizations need to integrate diverse databases to manage the supply of resources and demand for patient care. Payers and providers also face changes in procedures and behavior to drive down costs and improve efficiency.

Anatoly explains, "Clinician burnout is a really big topic. No matter what you start talking about, you end up talking about clinician burnout. Essentially yes, the demand and supply predictability factors into optimizing their workflow, simplifying their workflow, and eventually reducing provider burnout. But it also helps the organization to be more effective, so this is positive from multiple ends of not just people having better lives as practitioners. But providers practice better when they're in better institutions."

"We know one organization that has 250,000 types of reports, not just reports, 250,000 types of reports. Close to 500 network shares are being populated by these reports on a daily basis. The organization has a team of people who generate these reports on a daily basis, and the turnaround for generating this report is sometimes six months. Now, how many of these reports are duplicates, and how many of these reports are conflicting? And every time somebody generates a report, maybe there already is a report."

#FirstLineSoftware #HealthRecords #HealthData #DataIntegration #DataAnalytics #DIsasterResourceManagement #ClinicianBurnout #DataGovernance #EHR

firstlinesoftware.com

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Anatoly Postilnik, VP of Global Healthcare Consulting at First Line Software, is building software solutions and bringing data management, data analytics, and systems analysis to healthcare organizations. Original EHR systems were implemented to replicate paper flow and siloed data collection. As they move from paper-based to digital data, these organizations need to integrate diverse databases to manage the supply of resources and demand for patient care. Payers and providers also face changes in procedures and behavior to drive down costs and improve efficiency.

Anatoly explains, "Clinician burnout is a really big topic. No matter what you start talking about, you end up talking about clinician burnout. Essentially yes, the demand and supply predictability factors into optimizing their workflow, simplifying their workflow, and eventually reducing provider burnout. But it also helps the organization to be more effective, so this is positive from multiple ends of not just people having better lives as practitioners. But providers practice better when they're in better institutions."

"We know one organization that has 250,000 types of reports, not just reports, 250,000 types of reports. Close to 500 network shares are being populated by these reports on a daily basis. The organization has a team of people who generate these reports on a daily basis, and the turnaround for generating this report is sometimes six months. Now, how many of these reports are duplicates, and how many of these reports are conflicting? And every time somebody generates a report, maybe there already is a report."

#FirstLineSoftware #HealthRecords #HealthData #DataIntegration #DataAnalytics #DIsasterResourceManagement #ClinicianBurnout #DataGovernance #EHR

firstlinesoftware.com

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Lawrence Margolis is the CEO of PersonalRX, which is changing the model for how pharmacies provide prescriptions and over-the-counter drugs and advice about usage. With a personal care coordinator, PersonalRX provides each patient with a personalized experience that ensures prompt delivery of drugs, reminders to take those medications, and alerts to possible negative drug interactions.

Lawrence explains, "We send out a 30-day supply. We send that 30-day supply out ahead of time so that we never want anybody to worry 'where's my medicine?' If they do, then we failed our job, frankly. So we get it there a few days before they're going to need it."

"When we package medication, we package them in individual dose packs. Everybody gets packs in a roll that are marked breakfast, lunch, dinner, or time of day, 8:00 AM, 12:00 PM, 5:00 PM, bedtime. So when somebody is looking at their pack, if they see that breakfast is still there at noon, they clearly did not take their medication. So it keeps them on track a whole lot more. It's like those pill boxes that everybody has where it's Monday, Tuesday, Wednesday, or various times of the day."

"The difference with adherence is that you have to make sure people are packing them correctly. Most people don't. They typically make a mistake. I believe if you look behind anybody's dresser, you're going to see some pills behind their dresser or on the floor that they missed. I think adherence is an important factor and an advantage to having a medication dose pack. Reminding them to take them and that it's time to take their breakfast medication is a help. But in terms of adherence, knowing that you took the medication or seeing that you skipped it is a very important aspect."

#PersonalRX #AgingInPlace #Seniors #MedicationAdherence #Healthcare #PrescriptionDrugs #Pharmacies #Pharmacists #MedicationDosePack #DigitalPharmacy

personalrx.com

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Lawrence Margolis is the CEO of PersonalRX, which is changing the model for how pharmacies provide prescriptions and over-the-counter drugs and advice about usage. With a personal care coordinator, PersonalRX provides each patient with a personalized experience that ensures prompt delivery of drugs, reminders to take those medications, and alerts to possible negative drug interactions.

Lawrence explains, "We send out a 30-day supply. We send that 30-day supply out ahead of time so that we never want anybody to worry 'where's my medicine?' If they do, then we failed our job, frankly. So we get it there a few days before they're going to need it."

"When we package medication, we package them in individual dose packs. Everybody gets packs in a roll that are marked breakfast, lunch, dinner, or time of day, 8:00 AM, 12:00 PM, 5:00 PM, bedtime. So when somebody is looking at their pack, if they see that breakfast is still there at noon, they clearly did not take their medication. So it keeps them on track a whole lot more. It's like those pill boxes that everybody has where it's Monday, Tuesday, Wednesday, or various times of the day."

"The difference with adherence is that you have to make sure people are packing them correctly. Most people don't. They typically make a mistake. I believe if you look behind anybody's dresser, you're going to see some pills behind their dresser or on the floor that they missed. I think adherence is an important factor and an advantage to having a medication dose pack. Reminding them to take them and that it's time to take their breakfast medication is a help. But in terms of adherence, knowing that you took the medication or seeing that you skipped it is a very important aspect."

#PersonalRX #AgingInPlace #Seniors #MedicationAdherence #Healthcare #PrescriptionDrugs #Pharmacies #Pharmacists #MedicationDosePack #DigitalPharmacy

personalrx.com

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Chris Brickler, CEO and Co-Founder of MyndVR, is looking at VR to disrupt senior living care to promote wellness and engagement. MyndVR has designed lightweight immersive glasses to create a virtual reality experience for seniors, reimagining the traditional VR gaming experience. The MyndVR care tablet drives the glasses and connects to the MyndVR network allowing the senior and caregiver to access one of the largest private catalogs of senior-friendly immersive experiences. In addition to entertainment, the experience has been shown to significantly help achieve a patient's physical, occupational, and speech therapy goals.

Chris elaborates, "We've essentially reimagined virtual reality away from all of the hype around the gaming movement, and really leveraging the tools of virtual reality and gamifying different types of therapies as well. So we're going to be disrupting the way therapy is done with seniors, and that's very exciting."

"One example is that he was perfectly healthy from a cognitive point of view. She was suffering late-stage Alzheimer's. She didn't remember what his name was or what she had for breakfast that day."

"She was attentive enough to have a conversation with me. I asked them, "Where would you like to travel?" He said Paris was where they had their honeymoon and subsequent family vacations. I asked her, "Would you like to go to Paris with this VR headset?" And you hand it to her, and it is very comfortable and calming, and she feels it and then puts it on."

"I took her right to the Eiffel Tower, and literally within 15 seconds, she was completely present. She was talking about her family vacations, and she was talking about the people in her family. She was talking about her husband, her husband's name."

@Mynd_Health #DigitalHealth #DigitalTheraputics #SeniorLiving #SeniorCare #Aging #AgingAdults #CognitiveHealth #VR #VirtualRealtiy #VirtualRealtiyTherapy #MentalHealth, #CognitiveManagment #ImmersiveTherapy #VRhealth #VRtherapy #VRwellness, #VRforSeniors

MyndVR.com

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Chris Brickler, CEO and Co-Founder of MyndVR, is looking at VR to disrupt senior living care to promote wellness and engagement. MyndVR has designed lightweight immersive glasses to create a virtual reality experience for seniors, reimagining the traditional VR gaming experience. The MyndVR care tablet drives the glasses and connects to the MyndVR network allowing the senior and caregiver to access one of the largest private catalogs of senior-friendly immersive experiences. In addition to entertainment, the experience has been shown to significantly help achieve a patient's physical, occupational, and speech therapy goals.

Chris elaborates, "We've essentially reimagined virtual reality away from all of the hype around the gaming movement, and really leveraging the tools of virtual reality and gamifying different types of therapies as well. So we're going to be disrupting the way therapy is done with seniors, and that's very exciting."

"One example is that he was perfectly healthy from a cognitive point of view. She was suffering late-stage Alzheimer's. She didn't remember what his name was or what she had for breakfast that day."

"She was attentive enough to have a conversation with me. I asked them, "Where would you like to travel?" He said Paris was where they had their honeymoon and subsequent family vacations. I asked her, "Would you like to go to Paris with this VR headset?" And you hand it to her, and it is very comfortable and calming, and she feels it and then puts it on."

"I took her right to the Eiffel Tower, and literally within 15 seconds, she was completely present. She was talking about her family vacations, and she was talking about the people in her family. She was talking about her husband, her husband's name."

@Mynd_Health #DigitalHealth #DigitalTheraputics #SeniorLiving #SeniorCare #Aging #AgingAdults #CognitiveHealth #VR #VirtualRealtiy #VirtualRealtiyTherapy #MentalHealth, #CognitiveManagment #ImmersiveTherapy #VRhealth #VRtherapy #VRwellness, #VRforSeniors

MyndVR.com

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Charlie Noel is the Executive Director at Northwestern Health Sciences University's Institute for Integrative Care, which is working to transform healthcare from a disease-focused model to a holistic approach. The Institute provides practical tools to help healthcare organizations move to an integrative care model while encouraging multidisciplinary groups and community engagement to provide care for the whole person.

Charlie explains, "The traditional hierarchy structure of mainstream healthcare limits the input from some professionals. So that means we should also be bringing in some of these other disciplines and also building an environment where we embrace emerging mainstream and complementary healthcare to eliminate the silos in care delivery and enhance outcomes."

"The Institute is collaboratively working with organizations and communities to build systems where all people benefit from integrative care. We want to meet people, organizations, and systems where they're at and then be able to develop plans to help them move towards integrative care and look at it through this whole-person lens. And the way that we've broken it down is into three different domains."

"But even more important is how do we now reimagine healthcare curriculum to where we can also incorporate these different pieces? We have some integrative care competencies that we are interweaving through the curriculum so that whenever people graduate, they have a better understanding of what integrated care is."

@NWHealthU #IntegrativeCare #HealthcareLeaders #CIH #SDoH #HolisticCare #CommunityEngagement #WholePersonCare

nwhealth.edu

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Charlie Noel is the Executive Director at Northwestern Health Sciences University's Institute for Integrative Care, which is working to transform healthcare from a disease-focused model to a holistic approach. The Institute provides practical tools to help healthcare organizations move to an integrative care model while encouraging multidisciplinary groups and community engagement to provide care for the whole person.

Charlie explains, "The traditional hierarchy structure of mainstream healthcare limits the input from some professionals. So that means we should also be bringing in some of these other disciplines and also building an environment where we embrace emerging mainstream and complementary healthcare to eliminate the silos in care delivery and enhance outcomes."

"The Institute is collaboratively working with organizations and communities to build systems where all people benefit from integrative care. We want to meet people, organizations, and systems where they're at and then be able to develop plans to help them move towards integrative care and look at it through this whole-person lens. And the way that we've broken it down is into three different domains."

"But even more important is how do we now reimagine healthcare curriculum to where we can also incorporate these different pieces? We have some integrative care competencies that we are interweaving through the curriculum so that whenever people graduate, they have a better understanding of what integrated care is."

@NWHealthU #IntegrativeCare #HealthcareLeaders #CIH #SDoH #HolisticCare #CommunityEngagement #WholePersonCare

nwhealth.edu

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Dr. Calum Yacoubian, the Director of NLP Healthcare Strategy for IQVIA, is applying clinical natural language processing to take complex, unstructured healthcare data and turn it into structured and searchable information. In a value-based care environment, clinical NLP can augment manual work by nurses, clinical coders, and clinicians to identify relevant, often unstructured information at the right time for specific patients, and payers to undergo chart review for risk adjustment.

Calum explains, "Within healthcare, data and information are hugely fragmented. There was a HIMSS report in 2020 that said the average healthcare system in the U.S. has 15 disparate EMR systems it is pulling data from. Going back to your first question, the 360-degree view of a patient is about using as much data as available to understand patients and the populations they exist in. If it's difficult to access and make the most of the data. That's the first and probably one of the biggest barriers that we have in healthcare, this disparate data that exists in the ecosystem, and the multiple different formats that it exists in."

"In the healthcare setting, huge amounts of clinical information is in text form, either dictated and transcribed or typed directly by clinicians into the free text boxes. These have become the kind of dumping ground for much clinically relevant information in a clinical setting. When we think of that data, clinical NLP, which is specifically my focus, we are able to look into that data to understand the nuance of that information and to pull out information and data in a structured format in a way the provider or the nurse or the physician or one of the other allied health professionals intended when they were interviewing the patient and documenting it in the medical record."

@IQVIA_global #IQVIA #ClinicalNLP #NLP #NaturalLanguageProcessing #RiskAssessment #ArtificialIntelligence #AI #ML #MachineLearning #Healthcare #HealthcareData #ValueBasedCare #PrecisionMedicine #PopulationHealth #SDoH #RareDiseases

IQVIA.com

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Dr. Calum Yacoubian, the Director of NLP Healthcare Strategy for IQVIA, is applying clinical natural language processing to take complex, unstructured healthcare data and turn it into structured and searchable information. In a value-based care environment, clinical NLP can augment manual work by nurses, clinical coders, and clinicians to identify relevant, often unstructured information at the right time for specific patients, and payers to undergo chart review for risk adjustment.

Calum explains, "Within healthcare, data and information are hugely fragmented. There was a HIMSS report in 2020 that said the average healthcare system in the U.S. has 15 disparate EMR systems it is pulling data from. Going back to your first question, the 360-degree view of a patient is about using as much data as available to understand patients and the populations they exist in. If it's difficult to access and make the most of the data. That's the first and probably one of the biggest barriers that we have in healthcare, this disparate data that exists in the ecosystem, and the multiple different formats that it exists in."

"In the healthcare setting, huge amounts of clinical information is in text form, either dictated and transcribed or typed directly by clinicians into the free text boxes. These have become the kind of dumping ground for much clinically relevant information in a clinical setting. When we think of that data, clinical NLP, which is specifically my focus, we are able to look into that data to understand the nuance of that information and to pull out information and data in a structured format in a way the provider or the nurse or the physician or one of the other allied health professionals intended when they were interviewing the patient and documenting it in the medical record."

@IQVIA_global #IQVIA #ClinicalNLP #NLP #NaturalLanguageProcessing #RiskAssessment #ArtificialIntelligence #AI #ML #MachineLearning #Healthcare #HealthcareData #ValueBasedCare #PrecisionMedicine #PopulationHealth #SDoH #RareDiseases

IQVIA.com

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