Monday, June 10, 2013

Reminder: This Blog Has Moved!

In case you were wondering why you haven’t heard from us in a while, we’ve moved! Our blog is now available on the Amcom website at http://www.amcomsoftware.com/blog. We hope you’ll sign up at this new link to receive e-mail notifications or RSS feeds. 

We’re also mixing things up and the blog will include thoughts and experiences from various members of the Amcom team. Last week’s post was a reflection on the Minnesota HIMSS conference by Paige Hancock, one of our Business Solution Advisors. 

Enjoy our new format and subscribe today! 

Monday, May 13, 2013

Our Blog Is Moving!

Exciting news at Amcom this week – our new website is up and running! We’re a company focused on making communications more efficient for healthcare, emergency dispatch, government offices, and more, so we’ve updated our site to make searching for communication solutions more efficient, too. 

My Mobility in Healthcare blog is also transitioning to the new website at: http://www.amcomsoftware.com/blog, so check back weekly for my update on topics from big data and bring your own device to critical test results and alarm management.

 Please note that if you’re a subscriber to this blog you’ll need to re-subscribe once on the new page. Thanks for reading!

Tuesday, May 7, 2013

Down Under, Same Problem

I wrote last week about a study that identified diagnostic errors as the most common and costly of medical mistakes. The authors’ work was focused on malpractice claims made in the U.S., but this article is also getting attention on the other side of the globe. The Medical Journal of Australia spoke with Dr. Michael Smith, clinical director of the Australian Commission on Safety and Quality in Health Care, and he had this to say:

“About half of all diagnostic errors… are system errors — the lab result that goes missing, for example. A classic is the abnormal result that gets put into a patient’s file, but the GP isn’t informed, and if the patient doesn’t come back, the diagnosis is missed or delayed.”
“There are systems that can be put in place by medical practices to reduce those errors,” Dr. Smith said. “That’s the sort of work that’s starting to happen nationally.”

It’s actually happening internationally. In addition to the interest our Australian office has been hearing from customers, we’re already helping many hospitals manage their test results more efficiently, including Tuomey Healthcare in South Carolina, EMH Healthcare in Ohio, and Quinte Health Care in Ontario, Canada.

Tuesday, April 30, 2013

The Missing Link

A recent article grabbed my attention with the headline “Missed, wrong diagnoses most dangerous errors.” In their study examining 25 years of U.S. medical malpractice claims, the authors concluded diagnostic errors are the most common, costly, and dangerous of medical mistakes. What was not clear to me were how many of missed diagnoses were because of poor communication of incidental findings. We can’t help a pathologist interpret a biopsy or a radiologist read a scan, but we can help hospitals with the missing link to managing incidental findings. If you would like to see how, here’s a great video overview.

Wednesday, April 24, 2013

Improve Interoperability, Save $30 Billion

I recently read an analysis by West Health Institute which estimates the U.S. healthcare industry could save $30 billion per year by implementing better system interoperabilities. The paper cites waste from repeated exams, manual data entry, and several other examples. Increased length of stay alone is estimated to add $17.8 billion in unnecessary costs. I frequently hear from our customers that even simple communication changes can have a big impact on reducing length of stay. Here are just two examples:

Have a story you would like to share with us? Leave a comment below.

Tuesday, April 16, 2013

The Magic Pill Bottle

I’ve said before that there is no magic pill to patch healthcare’s communication woes, but I‘d never thought before about the pill bottle. Announced in March, a new breed of pill bottle, imbued with smartphone technology, will not only be able to transmit information about when and how often patients are taking their medication, but it will also prompt patients with lights, sounds, and even reminder text messages. And if the programmable reminders fail to work, the bottle can escalate notices to the patient’s provider or a loved one. 

Beyond improving patient health, this technology has large potential for hospitals working to reduce readmission rates and the overall healthcare system looking to coordinate care. A quote from Benjamin Franklin comes to mind: “An ounce of prevention is worth a pound of cure.” Patient care continues to evolve, creating larger roles for outpatient nursing care and primary care providers (PCPs), precisely where I think this technology has the potential to integrate with smartphone messaging and provide that ounce of prevention. Imagine a PCP receiving an alert on his/her smartphone for immediate follow-up if too much time lapses between medication doses, or a visiting nurse receiving a message if his/her patient fails to pass a weekly biometric goal. The opportunity for immediate professional involvement can help keep patients healthier and safer. 

What other magic mobile health tools do you see on the horizon?

Monday, April 8, 2013

Big Headaches From Big Data

When I hear ‘Big Data,’ I typically imagine the reams and reams of information out there about every medical interaction I’ve ever had: tests, notes from annual visits, shots, etc. What I don’t typically think of is the in-patient side of healthcare’s Big Data: alarms.

In a study at Johns Hopkins Hospital, staff measured an average of 350 alarms, per bed, per day. In the ICU that number was 771. No wonder nurses and physicians are overwhelmed with information! So what’s the solution? 

There is no single magic pill, of course, but one way to start is to use software that sorts and prioritizes alarms and sends them directly to caregivers on smartphones and other devices. That way an alarm meant for one person isn’t going to five or six people who don’t need to be distracted from what they’re doing. It’s also quieter for patients who aren’t hearing quite so many buzzes and beeps.

This recent PinnacleHealth case study may give you some inspiration. Do you have an Alarm Management Team? What is your facility doing to help minimize alarm fatigue?

Tuesday, April 2, 2013

Connecting the Care Dots


I recently read an article Can the benefits of hospitals acquiring practices be achieved by other means?, which has sparked a lively bit of conversation on the HIMSS LinkedIn page. The author writes that hospitals are acquiring private practices primarily to increase Accountable Care Organization (ACO) reimbursements.

Whatever the motivating factor, private practice acquisition alone does not solve the underlying issue: providing continuous, connected care for patients. The challenge is to fill in the communication gaps between the primary care provider (PCP) and specialist, the emergency room physician and admitting hospitalist, and the hospital back to the PCP. Here are just three of the opportunities I see that can make strides toward connecting the care dots for patients:

·         Give employees access to both your full staff directory and on-call schedule info on their mobile devices (smartphone, tablet, Wi-Fi phone, etc.)

·         Helps coordinate care across multiple hospital departments by facilitating communication among staff for patient admittance, transfers, and discharges

·         Provide a practice’s after-hours answering service using the hospital call center

·         Reduces the cost of external answering services and expedites communication with providers on call

·         Implement technology and policies to ensure follow-up of incidental findings discovered during radiology and lab tests

·         Enhances patient care and safety while decreasing liability from unexpected, non-critical findings potentially getting lost in the shuffle

Thursday, March 28, 2013

Embrace Mobility, Improve Patient Care

I frequently hear that managing all of the pagers, smartphones, tablets, Wi-Fi phones, and other devices that staff carry is a challenge in healthcare. I am excited that one of our customers is not just managing it, but is embracing the task and will be talking about it in an upcoming webinar. YoLanda Jones Spears from LifeBridge Health will discuss about how they mobilize their trauma team, coordinate critical codes and emergency response, and send key messages to the right people at the right time on their mobile devices. I’m looking forward to hearing their story, and I hope you will join us!

Tuesday, March 26, 2013

Useful Technology for Meaningful Change

At HIMSS in New Orleans earlier this month, the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health IT (ONC) hinted at pushing health information technology as a foundation for healthcare system payment and delivery reform. 

Critical test results management (CTRM) probably isn’t the first thing you thought of, or even the third, especially since the focus of the CMS and ONC is primarily on meaningful use and Electronic Health Record (EHR) adoption. However, a CTRM system can truly make an impact in hospital labs everywhere when it comes to care delivery. This technology can help you: 

  • Improve patient outcomes with fast notification of critical results 
  • Decrease length of stay (and increase patient satisfaction) with fast notification of negative results 
  • Improve documentation in the Laboratory Information System (LIS) 
    • Prevent wasted time and unusable specimens due to insufficient test instructions 
    • Save thousands of dollars in unbillable procedures because necessary information is missing from the LIS 
Saving money while simultaneously increasing efficiency is the epitome of positive change. What are some other, non-EHR related information technologies you can think of that have the potential to improve healthcare delivery?

Tuesday, March 19, 2013

What’s in Your Texting Solution?

Over the past few years, the explosion of smartphone and tablet use in healthcare has been accompanied by the fear of electronic personal health information (ePHI) vulnerability and potential HIPAA violations. The engine of capitalism has produced a multitude of encrypted texting options for healthcare to address the security risk, but not all solutions are created equal. Beyond simply encrypting messages, what about other important features? 

  1. Can physicians and others access on-call directories to quickly locate the right person or role? 
  2. Can staff text back and forth to any device in the directory (two-way pagers, WiFi phones, etc.)? 
  3. Are there message delivery confirmations to close the communications loop?
  4. Is there a full message log to support audits and provide proof in case of litigation? 
  5. Can you remotely wipe messages from a lost/stolen device? 
  6. Is the solution intuitive so users will be eager to adopt it? 

Providers strive to treat the whole patient, not just a symptom. Similarly, my team and I strive to give providers more than a plain bandage to treat their ePHI security. We treat the whole communication picture. 

If you are interested in a secure, HIPAA-compliant texting solution, or other treatment options, you can chat with one of our business solution advisors for more information!

Tuesday, March 12, 2013

The Cause for Alarm (Management)

The ECRI Institute published their annual list of top 10 technology recommendations for healthcare executives to keep an eye on. This year alarm integration ranks number three. 

The Joint Commission is also considering adding a new National Patient Safety Goal (NPSG) in 2014—alarm management. 

This increased focus on alarms from systems like ventilators, heart monitors, nurse call and more shouldn’t be a cause for alarm, however. Managing alerts and notifications can be greatly simplified with software to integrate input from multiple systems, prioritize what gets sent to whom, how, and when. Even better, should an alarm management NPSG come to pass, the same technology that processes the alarms and alerts should also be able provide a full audit trail to show who received alerts and when if the Joint Commission makes a visit! 

What solutions are being used at your facility to help address alarm management and prevent alarm fatigue?

Tuesday, March 5, 2013

Are Your Customers Satisfied?

I usually hear hospitals and healthcare providers talk about serving their patients, but occasionally I also hear the word customer. This distinction is an important one.

We are all patients at one time or another, but when we have choices about where to take our business, we are also customers. And how do businesses compete for customers? Quality, of course, and often price. But perhaps the best differentiator available to hospitals is customer service.

Certainly this includes a caller’s experience when he or she phones your contact center looking for information. But what about once that person has become a patient or observes your communications as a visitor? How long does it take for your staff to respond to a call light or nurse call request? How fast are test results relayed? Do all of the physicians and other caregivers seem to be up to speed on the important elements of the patient’s case? Details like these can have a big impact on patient satisfaction (and publically reported HCAHPS scores).

We work with many hospitals to find communication solutions that decrease response times and increase customer satisfaction. What about you? What initiatives at your facility are improving satisfaction for your patients, and ultimately, your customers?

Tuesday, February 26, 2013

Take a Test Drive at HIMSS

A coworker of mine recently embarked on a quest to find a new car. His old one was becoming expensive to repair and maintain, the safety features were outdated, and it was no longer fuel efficient. He spent a lot of time searching online and reading reviews, but the most informative and important part of the process was the test drive. A test drive is the best opportunity to experience features, see the technology in action, and make sure it fits. 

If you’re planning to attend HIMSS in New Orleans next week, I invite you to take a test drive of our critical messaging solutions in the Interoperability Showcase. We will be in other locations, too, so make an appointment or just stop in at one of the spots listed below. We’d love to meet you and offer an in-person experience to see if we fit! If you can’t make it, visit the Amcom HIMSS page online.

  • Amcom Booth #2373 
  • Cisco Booth #2329 
  • Intelligent Hospital Pavilion Booth #8711 
  • Interoperability Showcase 
  • Rauland-Borg Booth #2419 on Wednesday at 3:30 p.m. when we will present "Examining the Benefits: Syncing Hospital Systems with “One Sign-On” 
  • Sprint Booth #2226

Tuesday, February 19, 2013

The Ventilator Who Cried Wolf

Since their introduction in 2002, the Joint Commission’s annual National Patient Safety Goals (NPSGs) have included “Improve the effectiveness of communication among caregivers.” We recently published a new white paper on this topic, including a section on critical test results management (if you are interested, you can access the paper here). Now there is discussion about adding another communication-related NPSG: alarm management.

Alarm fatigue is a serious issue. We learned as children the importance of not crying “Wolf!” and raising false alarms¬—it dilutes the effectiveness of real emergencies. With all of the equipment used in hospital rooms today there are frequent beeps, alarms and alerts sounding. Some of our customers are already addressing this issue by using secure text messages to directly notify nurses and physicians when certain alarms or monitoring systems are triggered. 

What are some other ways to help reduce alarm fatigue? What is your institution doing to combat this issue? Are there any new initiatives on the horizon? I’d love to hear about your solutions, please feel free to share!

Thursday, February 7, 2013

A Day in the Lab

I have a friend who works in a hospital lab, and I once overheard her husband wish her a boring day at work. It struck me as odd until I thought about the deeper implications of what that meant – a ‘boring’ day for her would mean fewer STAT tests for potential emergencies, and fewer tests with critical results. 

It would be wonderful news for patients if all days in the lab were boring. But since a typical hospital lab processes thousands of tests per day, slow days are few and far between. The good news is that communications have advanced a lot in the past several years and critical results are being reported more quickly. This means faster care and potentially better outcomes, even when test results are critical and life changing for someone. So, for all of you who work in the lab, radiology, and the ED… I wish you a boring day. (And if it’s not so boring, I wish you smooth communications instead.) 

Learn more about reporting test results quickly.

Tuesday, January 29, 2013

mHealth: To Boldly Go Where No Phone Has Gone Before

While cast members from “Star Trek: The Next Generation” celebrated their 25th anniversary last year, the X Prize Foundation and Qualcomm announced a $10 million Tricorder X Prize, expected to be awarded in mid-2016. Even if you’re not a Sci-Fi fan who knows what a medical tricorder is, using a hand-held instrument to scan and instantly diagnose patients is a mainstream idea close to becoming a reality. 

Beyond even the capabilities of a Star Trek communicator, smartphones have revolutionized the way people interact with each other and consume everything from news to entertainment. Physicians are using the small mobile devices to receive alerts about patients, connect with other providers for consultations, even review test results. But we don’t have to wait until 2016 and the announcement of an X Prize winner to experience hand-held, mobile diagnostics. Smartphones are already poised to enter the physical healthcare space and launch themselves from communication devices and reference manuals into the orbit of diagnostic tools.

Need to check your blood pressure, glucose levels, or monitor your heart rhythm? With attachments, a specialized case, or even just an app with a complex algorithm, smartphones are becoming another tool in a provider’s bag of tricks. Smartphone devices and applications are also being developed that determine eye prescriptions, take images of a child’s inner ear for remote diagnosis of ear infections, and act as a microscope to analyze fluid samples for diseases such as malaria and tuberculosis. 

What’s the new frontier for mobile communication devices, and where will they go next?

Tuesday, January 22, 2013

Getting a Jump on 2013 Compliance

We’ve all played phone tag – arranging lunch with a friend, scheduling a dentist appointment, maybe organizing a surprise birthday party. Leaving successive messages for each other can be funny or mildly annoying in our personal lives, but if I were a patient in a hospital’s emergency department, I certainly wouldn’t want phone tag about my test results to delay my treatment. 

For the eleventh consecutive year, the Joint Commission’s #2 National Patient Safety Goal centers around communications. For the past five years, the goal has specifically included “report critical results of tests and diagnostic procedures on a timely basis.” It sounds simple, yet many institutions struggle with communications between the Lab and the ED, Radiology, ordering physicians….it can get pretty complicated to deliver results to the right person quickly. 

Aunt Minnie recently posted a solution story on their site about EMH Healthcare in Elyria, Ohio. EMH Healthcare is using our Critical Test Results Management (CTRM) solution to improve the workflow for both radiologists and ER physicians and provide a more efficient communication process. 

 "We were manually communicating our critical test results," said Michelle Dossa, Manager, Department of Imaging Services, EMH Healthcare. "Now, the ER doctors immediately see an alert on the EMR dashboard. We have also eliminated the need for radiology nurses to track reports and dictations, maintain a document log, and make calls to notify ER physicians," said Dossa. 

What a great way to start the New Year, with a goal for 2013 already checked off!

Tuesday, January 15, 2013

How Do I Get to the App Store?

A friend of mine is a photographer and he works with Photoshop nearly every day. Like many people, he’s very savvy with the functions he uses all the time. Tackling out-of-the-ordinary requests, however (Can you remove the maid of honor’s now ex-boyfriend from the photo?), requires a bit of a learning curve.

I’ve heard from several organizations that one of their biggest challenges to rolling out encrypted smartphone texting at their facility is device support. Users know some of their phone functions very well, but they aren’t familiar with other features. Even in a bring-your-own-device scenario, one of the common questions is (believe it or not): How do I get to the app store? If you’ve also wondered this, you are in good company with nurses, administrators, environmental services staff, and yes, physicians, too. 

On the desktop of your phone you will see one of the following icons (listed alphabetically). They represent the applications store for that device. Getting the process rolling only requires the tip of your finger – touch the icon on your phone and enter. Search features allow you to find applications by name or by function, just like browsing the Internet, and then you can touch them for more information or to download. Happy shopping! 

Android’s Play Store



Apple Mac App Store



BlackBerry App World



P.S. To find our secure texting app, search for ‘Amcom’ and you will find us: