| | January 20219CIOReviewcompleting/sending forms; ordering equipment, supplies, prescriptions and more · Streamlined operations. The fully interoperable solution has processed 288,863 medical records and referred 82,523 patients electronically since the 2015 launch; 97 percent of electronic referrals are handled and responded to within 15 minutes or less.· Saved $2.2 million on hardware by replacing PCs and software with the iPhone6+ for physicians, nurses, chaplains and social workers.· Lowered equipment cost-per-caregiver to $43 from $71.25 while maintaining a theft/loss rate of less than 1 percent (vs. 8 percent projection).· Reduced per-referral costs by 15 percent, for $908,000 total savings in 2016.· Reduced inbound and outbound calls to VITAS referral centers: 21 percent fewer inbound calls (665,973 in 2014 to 529,026 in 2016) and 40 percent fewer outbound calls (918,00 to 554,00) The hospice influence on healthcare reformit's apparent to me that the hospice and post-acute care professions are the proving grounds for healthcare innovation, thanks to our ability to embrace and fine-tune technology solutions that deliver significant cost-effective and clinically effective results by shifting care--even for end-stage and chronic-disease patients--out of the hospital, into the home and directly to the bedside. What else have I learned?·Results are less about the technology and more about what it enables: I've been impressed by our clinicians' appreciation of their VITAS-assigned smartphones and tablets. Not only does the iPhone's small form factor easily accommodate lab coat pockets and bags/purses, it also reduces the spread of infection because the devices do not move from room-to-room as shared workstations. Our clinicians are grateful for the extra minutes they can spend one-on-one with patients and their families--not filling out paperwork and forms.· Hire the right people and turn them loose: The biggest challenge is attracting the right talent, the programmers and developers I refer to as the "steely-eyed geeks." They're bright, innovative individuals with extreme technical skills who have the tenacity to get the job done in an environment that cultivates and supports innovation. With the hospice profession's unique focus on quality of life at the end of life, our technologists love the fact that they are creating better healthcare experiences for our patients and families at one of the most difficult times of anyone's life. If your best and brightest technical minds are not working on the big problems, you'll never solve the IT challenges that keep you up at night. Our toughest challenge was creating fast, secure and privacy-compliant real-time data transfers from our EMR to the mobile device. Once our technical architects solved the problem, we successfully developed a multi-factor data interface that was fully survivable on cellular or Wi-Fi. Adding e-prescribing functionality took about 120 days of integration with a nationwide rollout completed over two months.· Tech partnerships are key: AT&T's 4-G network has worked remarkably well in all 44 VITAS locations around the country, and we expect even better results from 5-G. Success is not only about how well you work with your partners, but also how well those partners work with each other. The partnership between AT&T, VMware and Apple has been instrumental. Their willingness to deploy engineering talent, and their commitment to the integration of their solutions with one another, made a seamless clinical experience possible. MobiChord and Wandera were also deployed into the mobile ecosystem to configure, monitor bandwidth and usage, and prevent outages. What's next? The VITAS mobile app, which in early 2018 experienced 101 percent growth compared to the same period last year based on downloads and open rates, will soon allow healthcare professionals to refer their patients to VITAS directly from any smartphone. Our goal by late 2018: drastic reduction (and eventual elimination) of paper records and forms.Those of us who work in this profession understand that hospice is more than a medical specialty. It is our mission and our passion, a calling of sorts: a unique profession that attracts healthcare professionals who are committed to compassionate care and quality of life. In that regard, hospice can serve as an incubator for success for the rest of the healthcare industry.
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