In this new series, we are featuring some of the thousands of vendors who will be participating in the HIMSS15 conference and trade show. Through it, we hope to offer readers a closer look at some of the solution providers who will either be in attendance – with a booth showcasing and displaying key products and offerings – or that will have a presence of some kind at the show – key executives in attendance or presenting, for example.
Even as HIMSS Media has said that its employees will be making more of an effort this year to cover the tradeshow floor and its vendors and events, hopefully this series will give you a bit more useful information about the companies that help make this event, and the industry as a whole, so exciting.
The Usability People
The Usability People provide user experience (UX) consultation and usability testing services to clients in the US and across the globe. We have helped “mom-and-pop” shops and Internet startups, healthcare software (EHR) vendors, enterprise organizations, universities and government agencies. We have more than 25 years of experience providing user experience consultation, usability testing and interface design services to businesses of all shapes and sizes. The Usability People have the experience, knowledge and passion for UX to help your website, mobile web or phone app delight users.
Elevator Pitch
We like to tell people that we are cognitive ergonomists. That is that we take and apply the theories of psychology, specifically cognitive psychology, to the design and development of more usable software systems. We do this by helping development organizations better understand their users, and their users thinking. We work with software developers to design and test their systems to better match the workflow and mental models of those use the software every day.
Market Opportunity
EHR vendors that are seeking meaningful use Stage 2 certification are required to have a user-centered design process and to provide a report of a summative usability evaluation. We work with EHR vendors to help them understand their users, to design better software and provide the summative tests required for meaningful use Stage 2 certification.
Services and Products Offered
Safety-enhanced design (aka Usability) testing for meaningful use Stage 2 certification
User experience design, workflow, information architecture and wireframes for healthcare applications.
We conduct and report summative usability evaluations using the NISTIR 7742 Customized Common Industry Format Template for EHR usability testing suitable for presentation as the safety-enhanced design criteria portion of MU Stage 2 certification.
Problems Solved
Usability issues with EHRs and user-centered design consultation.
Value Proposition
Usability and user centered design typically has a 10 to 100 times return on investment. The savings typically are realized in reduced development costs, reduced training and documentation costs and reduced support costs. Usability in healthcare can also save a life.
PipelineRx is a telepharmacy company offering remote and SaaS pharmacy services to rural hospitals, as well as larger integrated delivery networks (IDNs). For smaller hospitals, PipelineRx offers 24/7 staffing during nights and weekends, verifying medication orders remotely to promote patient safety. The SaaS technology platform allows larger IDNs to essentially create their own telepharmacy, using one of their own pharmacists to staff additional locations.
CEO Brian Roberts has spent most of his career focused on healthcare services and staffing. Prior to co-founding PipelineRx, he was the president of Canopy Healthcare until it was acquired in late 2008. Canopy Healthcare was the leading allied healthcare staffing firm on the West Coast. Prior to Canopy Healthcare, Roberts was the EVP of business development at CHG Healthcare Services, a $600 million leader in diversified healthcare staffing which supplied physicians, pharmacists, nurses, and allied healthcare professionals to hospitals nationwide.
Here, Roberts discusses his firm and its capabilities, technology developments he’s seeing, telemedicine challenges and trends we’ll see in the coming year.
Tell me more about yourself and what inspired you to found PipelineRx?
I spent the first half of my career as a venture capitalist investing in early stage healthcare services and healthcare IT companies. I spent the second half of my career building companies from the ground up as an entrepreneur. I love the operations and technologies that are critical for building a sustainable business model. After building two successful medical staffing companies, I figured out that we could “staff” hospitals using remote pharmacists that work from home. The labor arbitrage of enabling one pharmacist to work on multiple hospitals drove on average a three to one return for hospitals. This all was enabled by creating a technology that allowed interchange between PipelineRX and hospital pharmacy information systems and EHRs.
We now have an amazing management team bringing more than 100 years of experience in building pharmacy technology companies.
Tell me more about your desire to lead a telepharmacy company? Who uses this service? How is it growing and how has it changed?
Leading PipelineRx is exhilarating each and every day. Overcoming challenges are what makes it interesting and trying to apply cloud based technology to a service that must be completed (pharmacy verification services).
Hospitals of all sizes use the service. From the small side, critical access hospitals with 25 beds use the service for long stretches, say 6 p.m. to – 6 a.m. and 24 hours on the weekends. Our service allows them to save significant costs yet have world class medical coverage of their hospital. We can also fill in if an employee pharmacist calls in sick or if there is a big snow storm and the employee pharmacist can’t make it to work. We also work with larger hospitals and hospital systems that are looking to optimize their staffing levels. While pharmacies traditionally were staffed like a firehouse with ample coverage, PipelineRx allows the hospital to staff to the median levels and then use our staff for peak or overflow. It’s been an amazing journey to see hospital administrators and C-suite’s understand that we assist in moving traditional fixed costs to variable costs through our unique service.
Here’s what we know. In the Anthem hack, it is estimated that approximately 80 million records were stolen. The Anthem hackers stole information of both employees and customers, which included names, address, emails, birth dates, medication history, employment details, family relatives and more. But while most hackers steal financial data for spending sprees – these hackers had next-step intentions with the stolen data serving as the basis for phishing emails with attachments for the purposes of installing malware using their official email accounts, gathering even more personal information, and then it was propagated across entire networks. So now what?
Know the facts. According to Privacy Rights Clearinghouse, up until Anthem, since 2006, about 6.6 million records have been exposed from 79 medical-related breaches of hacking or malware type. Last year, Community Health Systems Inc. announced a large data breach of its health system compromising data for 4.5 million patients and now Anthem at the 80 million mark. Attackers like targeting EHRs because the records are highly profitable compared to other forms of information. For example, each credit card data is valued about $1 in the black market. However, according to various sources, a partial or complete EHR can generate $50 to $100 on the black market. The high price is because of the healthcare data includes personal identity information and sometimes carries credit card information along with insurance and personal health information. So, while financial information can be tracked and secured following a breach — the healthcare information cannot be as easily tracked and resolved.
Current mandates. Every EHR provider should safeguard data and information with HIPAA-complaint communication protocols, 128-bit encryption and public key authentication. As per the HIPAA norms of strong grade encryption and authentication, providers should meet all the regulatory requirements enabling security and confidentiality. Scheduled backups of the data are essential to keeping records and information from being lost or destroyed.
Chris Strammiello, vice president of marketing and product strategy, Nuance.
Patient admissions and discharge processes implemented at many hospitals today are rife with vulnerabilities and potential HIPAA violations. One of the greatest challenges hospitals face is how they can successfully deliver on dual requirements to make the information in a patient’s electronic health record (EHR) more accessible while at the same time making it more secure, especially because of their reliance on paper, analog fax machines and unmonitored multi-function devices (MFDs).
Every time a document or form is copied, scanned, printed, faxed or emailed — on either an analog fax machine, digital MFD or mobile phone or tablet — a patient’s protected health information (PHI) can be accidentally exposed or intentionally compromised. In light of this, federal standards have now defined digital MFDs as workstations, where PHI must be protected with administrative, physical and technical safeguards that authenticate users, control access to workflows, maintain an audit trail of all activity and encrypt data at rest and in motion.
Healthcare organizations need to add a layer of security and control to electronic and paper-based patient admissions and discharge processes to help minimize the manual work and decisions that invite human error, automatically mitigate the risk of non-compliance and avoid the fines, reputation damage and other costs of HIPAA violations and privacy breaches.
As hospitals are rapidly approaching an FY 2015 deadline for meaningful use, they must demonstrate their “meaningful use” of certified EHR technology, including the ability to protect patients’ health information, or face reduced Medicare payments. The recent HIMSS Analytics survey found that despite the vast majority of hospitals reporting progress toward Stage 2 EHR, barely half of them — just 54 percent — were yet capable of protecting electronic health information, a required Core Objective in Stage 1.
Acting under provisions of HITECH, the Department of Health and Human Services Office of Civil Rights issued new rules in 2013 that enhance patients’ privacy protections, expand individuals’ rights to their health information and strengthen the government’s ability to enforce the law. One new development from these rules is that a security risk assessment tool prepared by the Office of the National Coordinator for Health Information Technology (ONC) mentions copiers 15 times as being workstations where PHI must be protected with administrative, physical and technical safeguards that authenticate users, control access to workflows, encrypt data handled on the device and maintain an audit trail of all activity.
Hospitals also need to conduct a risk assessment to identify threats and vulnerabilities (including copiers), implement and train workers in data loss protection (DLP) technology and procedures, and establish security incident reporting.
RightPatient is a division of M2SYS Technology, an ISO 9001:2008 certified company and biometric technology solution provider. M2SYS has more than a decade of biometric technology experience, with more than 300 million enrolled users in more than 100 countries.
Elevator pitch
RightPatient is the industry’s most advanced biometric patient identification, patient engagement, personalized healthcare and healthcare intelligence platform to reduce costs and liability, improve quality of care, monitor population health and enhance the patient experience. With features for wearable and biosensor integration, health games, medication alerts, proactive health management and predictive analytics, the platform also integrates with major electronic health record (EHR) systems such as Epic, Siemens, Cerner, McKesson, Meditech, IBM and many others. RightPatient is already deployed across hospitals and health systems that collectively maintain the health data of over 10 million patients.
Product/service description
RightPatient is the industry’s most advanced patient identification, patient engagement, personalized healthcare, and healthcare intelligence platform to reduce costs and liability, improve the quality of care, monitor population health, and enhance the patient experience. Our healthcare ecosystem unifies clinical knowledge through data aggregation, deep learning, and predictive analytics to personalize medicine, improve outcomes, and reduce re-admissions.
Founders’ story
Mizan Rahman
Our founder and CEO Mizan Rahman immigrated to the U.S. in the late 1990s seeking to turn some of his ideas, education, and experience into tangible products that solved problems for different verticals. He has successfully shepherded two companies from startup to a multi-million dollar companies that were eventually bought out.
Mizan now oversees the strategic and operational interests of the company worldwide combining his software engineering experience and entrepreneurial leadership with comprehensive international market intelligence to solve customer problems through identity solution ingenuity. He has successfully shepherded the growth of M2SYS as a global force in identity management, pioneering the development and launch of M2SYS’ Bio-Plugin biometric middleware and Hybrid Biometric Platform – both of which were recognized by Frost and Sullivan with prestigious awards for their design innovation.
Mizan continues to be recognized for his innovation and leadership in the field of biometric identification technology, most recently as recipient of “Technology Innovator of the Year” by InfoWorld. He is a frequent speaker in many US and international conferences, symposiums and universities such as the International Biometric Conference and MIT.
Guest post by Ken Perez, vice president of healthcare policy, Omnicell.
Ken Perez
We’ve often seen the U.S. federal government announce its intent to drive major changes in the way the healthcare system is run, only to have the private sector respond in a tepid or negative manner.
That was not the case at a January 26 Department of Health and Human Services meeting, at which HHS Secretary Sylvia M. Burwell announced concrete goals and an aggressive timeline for moving Medicare payments from fee for service to fee for value. Nearly two dozen leaders representing consumers, insurers, providers and business leaders were in attendance and clearly supportive of the vision cast by Burwell. Notably, high-ranking representatives from the American Academy of Family Physicians, the American Medical Association, the American Hospital Association, and America’s Health Insurance Plans (AHIP) were among the participants.
The announcement was a landmark one. For the first time in the history of the Medicare program, HHS has communicated quantified goals for pushing a significantly greater share of Medicare payments through alternative payment models, such as accountable care organizations (ACOs) and bundled payments. Such payments will rise from 20 percent ($72.4 billion) of Medicare payments in 2014 to 30 percent ($113 billion) in 2016 and 50 percent ($213 billion) in 2018—a compound annual growth rate of 31 percent over the five-year period.
Ever wonder what it takes to slay the dragon; to bring down the giants? What do the health IT disruptors take into consideration as they develop their strategies for conquering the worlds in which they live?
How are your peers – the ones you glance at from the corner of your eye and watch as they nip at your heels but fail to recognize in public – working to change health IT and make a play to dominate competitors that haven’t re-invented their firms?
Since I wanted to know the answers to these kinds of questions, I put out a call. I asked health It leaders to tell me their points of attack, why those attacks work, how they determined they’re playing the best plan for success and how the dragons they are slaying are reacting.
Here are the responses I received, in no particular order, area or specialty. Once you’ve read their stories, share yours. Which dragon are you slaying; which giant are you downing?
David Caldeira
Dave Caldeira, senior vice president of product and solution marketing, Kofax For any disrupting technology to be successful, it’s important to demonstrate actionable benefits for IT, healthcare workers and most importantly, the patient. Kofax is improving healthcare IT in four key areas:
Increasing efficiencies — from health, patient and finance documents to accounts payable, accounting and legal
Improve and speed the move to electronic health records to meet “meaningful use” requirements
Enable better outcomes by sharing real-time electronic information between heath practioners and patients
Reduce operation and healthcare costs
The six dominant players Kofax sees in this marketplace are Cerner, McKesson, Epic, Allscripts, IOD and Ricoh. We’ve found that the best way to influence the healthcare IT decision maker is to align ourselves with the dominant players they are comfortable using. For example, Kofax is tightly aligned with Cerner for medical records. Ricoh is a reselling partner that has a dedicated team that we work with. And IOD is a business process outsourcer that also uses Kofax solutions.
For Cerner and IOD to use Kofax solutions is a huge endorsement to how Kofax is making healthcare smarter with information capture mobile capabilities and advanced analytics. Would we consider ourselves a disruptor? Yes, but we do it in partnership with the dominant players.
When purchasing an EHR from a large vendor, customers receive all the modules from this vendor, both the good modules as well as the bad ones. Choosing such a system is always a compromise as no single system can satisfy all user requirements.
Is this something that can be improved? Health Samurai believes that monolithic architectures will eventually give their place to platforms and app stores just as in other industries. Apps in the app store have to be united, communicate and understand each other. Only using of a common standard can enable these storage and data-exchange capabilities.
Health IT has a long way ahead, but the transition has already begun.
International standards organization, Health Level Seven (HL7), has drafted a new interoperability standard called FHIR (Fast Healthcare Interoperability Resources). The standard is open source and was designed using the modern successful IT practices. It leverages web technologies and is focused on implementers. It has a growing community and the potential to take interoperability to a whole new level.
While the frequency and severity of cyberattacks against organizations are on the rise, a majority of information technology (IT) leaders do not feel confident in their leaderships’ ability to leverage intelligence that can predict a cyber vulnerability and effectively combat threats, according to a new survey commissioned by Lockheed Martin.
A majority of survey respondents noted an increase in the severity (75 percent) and frequency (68 percent) of cyberattacks, but feared that they don’t have the budget (64 percent) or the expert personnel (65 percent) to address the threats.
“This survey illuminates areas of concern about cyber readiness across government and critical infrastructure industries,” said Guy Delp, director of cybersecurity and advanced analytics for Lockheed Martin. “The results highlight that the challenges in this domain are universal across both industry and government, and therefore our response needs to be equally holistic. The adoption of Intelligence-Driven Defense techniques is critical to ensuring that not only IT officers, but also chief executives, boards of directors and customers have confidence in the security of their information.”
Other key findings include:
Many organizations are relying on intuition, rather than intelligence, to assess their security levels: Business and government respondents who felt that they were not presently being targeted for attack relied on their intuition (35 percent) or logical deduction (33 percent) rather than data or intelligence (32 percent) to justify their beliefs.
Whether malicious or negligent, insiders continue to be among the greatest perceived cyber threats: Thirty-six percent of respondents said that negligent insiders were the most significant network vulnerability facing their organization, and more than half (53 percent) ranked malicious insiders in their top four threats.
The most serious risks do not receive the most budget: The top two factors impacting an organization’s cybersecurity posture – employee cyber awareness and supply chain security – receive only four and 15 percent of cybersecurity budgets, respectively. Top budget items, such as mobile and cloud security, are both perceived to be lower threat levels.
The Usability People provide user experience (UX) consultation and usability testing services to clients in the US and across the globe. We have helped “mom-and-pop” shops and Internet startups, healthcare software (EHR) vendors, enterprise organizations, universities and government agencies. We have more than 25 years of experience providing user experience consultation, usability testing and interface design services to businesses of all shapes and sizes. The Usability People have the experience, knowledge and passion for UX to help your website, mobile web or phone app delight users.
