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Robert Lancer
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Chief Technology Officer at Collaborizm
 · New YorkU.S.
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Approval from IT

Getting approval from IT for a new tech in a hospital will be challenging, what have they said is the requirements for new apps?

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Luis Salazar

Great explanation of his initial pilot testing strategy. #critical

Ranjan Dailata

Shared key knowledge for developing tech in the healthcare sector.

Robert Lancer

Agree. Nice advice here.

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Ranjan Dailata
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Application Architect/Lead Developer
 · ChicagoU.S.
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Luis Salazar So you are planning to build a system that takes all the patient info like medications, procedures, allergies, immunization etc. all whole set of patient medical history. It’s like building another EMR or PHR system which is not good. Atleast in the USA, the Hospitals always go with the HIPPA compliant, meaningful use and certified products. Just because the existing EMR’s or EHR’s lets someone in a difficult situation doesn’t mean we can build a brand new system which essentially does the same and adds more features.

Here’s what you can do, there’s already an interfacing mechanisms exist in the hospital systems. We have to go with the standards and technologies that exist today and what the hospital are using. That’s being said, we can develop an interface or an adapter to fetch the patient health information. There are ways to go and we all have to follow the rules. Working in a Healthcare IT Development, I understand and been through these challenges.

In Summary, we cannot build a silo systems and then break your head in sharing the health info. There’s a standard way that every healthcare industry follows so that allows one to develop and share things in an interoperable fashion.

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Shared key knowledge for developing tech in the healthcare sector.

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Robert Lancer
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Chief Technology Officer at Collaborizm
 · New YorkU.S.
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Luis Salazar check out https://developer.android.com/training/design-navigation/wireframing.html - but even that is probably too extensive. Mainly can you make crude drawings of what you would want the app to look like and show the different screens and experiences for different contexts of users? If you can start with that using whatever your comfortable with MS Paint, Google Drawings, Pen and Paper, even Google “wire framing tools” and try out some of the ones online that’s all that’s needed to start.

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Luis Salazar
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Registered Nurse (Project Leader)
 · New YorkU.S.
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Ranjan Dailata I understand where you are coming from but one thing I am definitely not trying to do is to create a new EMR. It is the exact problem that I am trying NOT to solve.

The problem we are trying to solve is updating everyone involved in the process of surgery where the patient is and giving them a forum to discuss things that need to be completed for the patient before they go in for surgery and letting family know updates about the patient. The name of the game in Peri-Op is to get the patient in on time and knowing where the patient is can help facilitate that. This doesn’t require the entire patient medical library. This would be more similar to a bed-board related function.

The minimum to make this work would be the Patient identifiers, the type of surgery they are going for, the surgeon, the operating room, and maybe allergies. I don’t want to touch the existing systems used for keeping the medical information, at least not yet. Each one of the systems that they use already exist within a silo. Having the ability to retrieve this info would be helpful after the interface of communication could be established and made very user friendly for everyone involved. I imagine this would be sort of like a premium version of the app I want to offer that could solicit all of this info.

I am trying to avoid touching the existing EMRs for the precise reason you are mentioning because finding a way to get all of that data would be a big undertaking unless there is someway to create something that would easily extract this info. This is all based on my hospital and several other hospitals I know in NYC and some ambi centers that have some very archaic ways of tracking there patients through the process. My hospital still literally uses a list they print out every day that they have to manually enter into an excel sheet. It is a clip board that everyone has to look at when they walk into the pre-op area.

Does this help to clear up what I am trying and not trying to do?

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Luis Salazar
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Registered Nurse (Project Leader)
 · New YorkU.S.
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Robert LancerYes for sure. I will come up with some preliminary designs for what I have in mind and them to you by hopefully early next week.

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Ranjan Dailata
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Application Architect/Lead Developer
 · ChicagoU.S.
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Luis Salazar Thanks for the explanation. It makes sense. It’s a whole different world. I also read about the EMR/EHR’s inability to handle the Peri operative procedures.

Couple of articles might help all of us in understanding. Of Course you are the main domain specialist 😃

https://www.psqh.com/analysis/2-interoperability-in-the-perioperative-suite-promise-and-reality/
https://code.cerner.com/app/surgical-valet

At high level, I understand the need where you are going.

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Luis Salazar
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Registered Nurse (Project Leader)
 · New YorkU.S.
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Ranjan Dailata Really loved the article because it seemed to touch upon all the problems within the surgical suite. Any other similar articles please send my way.

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