Dr. Tom Giannulli, Chief Medical Information Officer at Kareo, was a recent guest on the TechnologyAdvice Expert Interview Series. The series, which is hosted by TechnologyAdvice’s Josh Bland, explores a variety of business and technology landscapes through conversations with industry leaders.
In this episode, we discuss Mobile EHR, the Apple Watch, and HeadsUp medicine.
Below are Giannulli’s four biggest takeaways from the conversation.
1. The mobile experience has changed the way doctors and practices look at medical software.
With the consumerization of software and the healthcare space, providers can actually use the technology directly with a high level of success. We’ve developed a set of apps on the iPad that illustrate this point.
The doctors can review patient information on a couple of screens, using a couple of simple gestures, and then start adding information using either voice or point-and-click with their fingertips. They add information about the patient’s medications, complaints, and care paths using a menu system, which is intuitive and based on the subject matter the doctor is focused on. Using a knowledge-based, proven point-and-click system, we’re able to add a lot of content with very little effort, and it makes it simple and easy to use for the doctors. We call this practice “Heads Up” medicine, where you really focus on the patient and not so much on the technology.
2. New technology in healthcare is a catch-22.
Technology has been a big challenge from both sides: patients and doctors.
Patients will complain that doctors who are looking at the computer are not really listening, not getting a lot of eye contact. Eye contact is important to build that relationship and build trust.
Physicians complain because they don’t want to be data entry clerks, they want to relate to the patients. But they have a time crunch, they need to get the patient’s data entered before they walk out the door, and they have about 15 minutes to do so — as well as listen to the patient and talk to the patient.
So it’s been a bit of a conflict. To manage that more efficiently, we created an EHR software to allow them to enter this data and review data very quickly, and not have to worry about doing a lot of keystrokes. What’s happened as a result of that is patients have much higher satisfaction with the provider after an encounter.
3. The iPad is the number one device used while in front of patients in a clinic but iPhone use is on the rise.
We do have a high growth of the use of our iPhone app as well, in that we see a lot more doctors hitting our product outside the clinic and while they’re in hospitals taking rounds, or at home or in between offices. That use has grown significantly over the past 12 months and we’ve been adding new features to our iPhone app to give them more capabilities through the iPhone. So, it’s been an improvement across all mobile platforms in the last year.
4. The Kareo Apple Watch application was built during a hackathon.
Our philosophy there was to do something to notify the provider of where they are in their schedule flow and escalate the notifications if they’re running late. This allows them to signal to the watch that they’re going to be running five minutes late in response, so the front office can get that message and reschedule and re-set expectations for patients.
We’ve all been through the experience where we feel like we’re waiting forever, and no one’s giving us any feedback on when we’ll be seen.
Primarily, the root cause of that is the doctor is stuck in a room somewhere and he or she has no way to get out and just tell you, “Hey, I’m running late.” Through this app, we gently nudge him or her and let the patient know where he or she stands. We’ve found that helps doctors keep better track of appointments and have a higher on-time showing within their encounters than beforehand.
This podcast was created and published by TechnologyAdvice. Interview conducted by Josh Bland.