"Finding PokitDok Helped Me Find Myself"

By Natalie Cann,

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As you may have heard, Lisa Maki was inspired to found PokitDok after spending a frustrating six months navigating the road to treatment for a karate-related spinal injury. Her patient experience was met with poor communication and a very inefficient process and she knew there had to be a better way. Four years later, the result is PokitDok’s breakthrough API platform, which improves efficiency and connections across healthcare's fragmented data silos, streamlining the complex business of health and ultimately, bringing a better, more interconnected experience to patients.

Recently, one such patient, Robin, an office manager for a industrial materials distributor in the San Francisco Bay Area, shared a very personal story with us in which we were proud to play a helpful part. Robin’s husband was tragically paralyzed after falling from a second-story burning window while working as a San Francisco firefighter three years ago, and then passed away last year as a result of that injury. Robin shared her emotional story with our customer success team, and relayed how PokitDok helped her find the support she needed to move forward through her loss.

Robin’s Story:

"...It has been very difficult to cope. My husband and I never had children, losing him was losing everything.

I fell into a deep depression and I needed help. I searched for Psychologists and Family Therapists in the Bay Area for months, then I found a PokitDok url for *Dr. Samson. He is located a few miles from my office and his hourly rate was within my budget- I saved over $50 per session.

Finding PokitDok helped me find myself.

The PokitDok staff was amazing and is a valuable resource for patients like myself. Nichole, the Provider Account Manager at PokitDok took care of my request within minutes. She was very personable and made me feel comfortable, I highly recommend PokitDok, it is an incredible company with a loving and very talented staff - I have researched many providers and companies, I found the best of both."

At PokitDok, our ultimate goal is to make the healthcare experience better for everyone, through our platform and relationships with healthcare businesses such as Doctor On Demand and Evidation Health. Our breakthrough technology connects the fragmented data and systems in health - allowing data to flow and unlock cost savings.  That data has the power to prevent accidents and even save lives, by providing interconnectivity and interoperability.

It is customers like Robin that push us to work harder and innovate every day, and we thank her for sharing her story and appreciate the ability to impact and change people’s lives, one customer at a time.

Read more about Robin's cost saving experience on Main Street.

*name has been changed for privacy

 

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  Tags: Consumer, Enterprise

Event Recap: Dig South, ATA, and Collision Conference

By John Riney,

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Finally got a bit of time to catch my breath and recap the last couple events. PokitDok's spring conference season has been a bit of a killer.

First off was Dig South 2015 right here in Charleston, SC. I'm an engineer and a life-long Charlestonian, so any effort to elevate the tech scene here in the Holy City is good news to me. Now, admittedly, Dig South isn't mainly tech focused - my take was that it was very heavily focused on marketing, design, and startup funding, but I think it's a good idea to make an appearance at the major events in town.

PD Data Scientist Dr. Denise Gosnell participated in a panel entitled "Healthy Choices: New Options in Consumer-Centric Healthcare Platforms and Apps". She described her vision for the future of digital healthcare, as well as ways that data science techniques will lead to new insights and user experiences.

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Then it was off to Los Angeles for the American Telemedicine Association's 2015 conference. At first glance, we seemed to be an odd fit, among the booths selling video carts, diagnostic equipment, and various telemed apps. We actually make a lot of sense in telemedicine, though - from doing eligibility checks to filing claims at the end of the visit (in the increasing number of states that offer reimbursement for telemedicine visits), companies like Doctor On Demand and HealthiestYou demonstrate that we have a lot to offer in the telemed space. Not to mention, we have a very cool booth:

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Note for future conferences: if you get the cheaper lead tracking device (basically a scanner for noting who stops by your booth by scanning their badge), what you get is a rather silly looking device, tethered to five feet of curly cable, that emits a long scroll on thermal receipt paper. At least our booth was popular!

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While we were hard at work in the City of Angels, the rest of the team was peddling all things PokitDok in the City of Sin. Adam Grant, our SVP of Customer Success and Natalie Cann, our VP of Marketing, made a splash with investors and prospects in the START section of the Collision Conference in Las Vegas. Eight thousand entrepreneurs, tech luminaries and investors convened for what was pegged as "A Grand Conclave of Tech's High Priests" by the New York times. Our fearless leader and CEO, Lisa Maki and SVP of Business Development, David George stood by for important meetings and 'collisions' with the A crowd.

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All told, it was a pretty exhausting few weeks for the team, but well worth it!

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  Tags: Dev, Enterprise, Provider

Evidation Health Selects PokitDok to Help Accelerate Clinical Studies in Digital Health

By Natalie Cann,

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Today PokitDok announced a partnership with Evidation Health, a company launched by GE Ventures and Stanford Health Care. Evidation Health partners across the healthcare ecosystem to measure the impact of digital health solutions on clinical and economic outcomes.

This partnership will allow Evidation to virtually, securely, and efficiently identify eligible participants in clinical studies and to seamlessly access data from nearly 300 insurers including UnitedHealth, WellPoint, Aetna, Cigna, Humana and Kaiser, as well as Medicare and Medicaid. Using patient-consented claims data, Evidation will also be able to connect digital interventions with the resulting health outcomes.

Read the story on Yahoo Finance, MedCity News or see the complete press release HERE.

 

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  Tags: Dev, Enterprise, Provider

Telehealth - The Future is Now Part 2

By Nicole Fletcher,

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Many assume that ‘telehealth’- a term that has recently made its way into trending teletech vernacular - is new. In fact though, telemedicine, or the practice of medicine through telecommunications, has been around since 1960 when NASA sent men to space for the first time. This technology is making its way to mainstream medicine is the result of decades of hard work, along with skyrocketing healthcare costs. It’s also proof that soon enough, we’ll look at virtual doctor appointments with the same sense of normalcy that we do mobile check deposits. In part one of this post, we noted some of the many benefits to telehealth solutions along with some of the challenges faced when integrating them into the existing healthcare system.

In this post, we’ll discuss a few measures being taken to make room for this not-so-new, but system changing technology, along with some insight as to what we do at PokitDok to streamline telehealth into existing systems.

 

To address multiple state medical licensing:

As we previously explained, in order for telehealth docs to treat patients, they need to be licensed in the patient’s state of residence. The Federation of State Medical Boards adopted a model policy late last year to guide the process for state medical boards to implement and regulate telehealth, making strides toward a system evolution.

To address preventative health, patient engagement and employer cost savings:

Companies are thinking outside the box to find ways to get patients the healthcare they need. To name one example, Smart Care Doc sold systems to several Walmart stores, where patients can consult with a telehealth physician in-store. The Walmart office is staffed with a nurse and the private room has instruments to check patients’ blood pressure, pulse, weight, and even do a simple EKG. By bringing telehealth to a frequently visited store, people are encouraged to evolve their definition of a doctor visit in a digestible and gradual way. It also shows people, in a place they often frequent, how accessible telemedicine can be- and encourages them to be proactive with their health and that of their loved ones.

To address widespread trust/adoption:

When the government gets on board with a policy, it sets a precedent. As of January 2015, Medicaid covers telehealth services in 43 states and the District of Columbia, thereby giving it its seal of approval. Hopefully the other states will put their policies into place for both CMS and private insurers to cover these services.

 

How we support the evolution:

PokitDok is a cloud-based API platform designed to make healthcare transactions more efficient. Telehealth platforms can build on our technology, allowing the management of online healthcare transactions from eligibility checks and cross-EMR scheduling, to provider referrals and claims submissions.

What that means is that by integrating our technology, telehealth solutions can check patient eligibility in real time (stay tuned for a demo of our new widget) and schedule appointments across multiple EMRs. In the event that telehealth is not the appropriate medium for treatment, our provider search API can find a doctor within a health system or a specified zip code range. In the telehealth model as it stands, patients are mostly paying out of pocket. As time passes, telehealth partners are increasingly integrating with employers and health plans to offer telehealth as a covered benefit. In either case, our claims API (X12) automatically submits a patient claim, instead of the patient having to manually submit it him or herself. Even if the visit is not covered by insurance, a ‘shadow’ claim could be submitted (depending on the patient’s place of presence), thereby counting against the deductible on their high deductible health plan.

 

To sum it all up:

The telehealth field is changing rapidly, with acceptance growing from both patients and providers. Continued technological advances in hardware and software are making these visits easier, and it’s not hard to imagine the day in the near future when it will be just as routine to connect to a doctor online as it is to go to an office. Similarly, a StartUp Health report showed that investors poured $6.5 billion into digital health last year alone, a 125% increase from 2013. This support shows the dedication, needs and potential gains to be made by integrating technology into the health ecosystem as it stands.

See you next year at ATA and remember, “Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it's the only thing that ever has.” - Margaret Mead.

 

 

 

The opinions expressed in this blog are of the authors and not of PokitDok's. The posts on this blog are for information only, and are not intended to substitute for a doctor-patient or other healthcare professional-patient relationship nor do they constitute medical or healthcare advice.

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Telehealth – The Future Is Now

By Nicole Fletcher,

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In America we spend one third of every dollar on healthcare; that’s dangerously close to $4 trillion. Telehealth is one part - and a big one at that - of the future of healthcare to reduce costs, increase preventative care and improve patient engagement. Telehealth is expected to grow by $5 billion in the next 5 years. It is the only viable solution to date that could alleviate the costs associated with the 70% of doctor appointments and 40% of ER visits that could be handled via telephone. The redefinition of healthcare as we know it marks an entirely new era of doctor-patient relations; one inspiring medical possibilities we’ve yet to fathom. We’re on our way to the American Telehealth Association Annual Meeting next week in Los Angeles and, in honor of the event, we thought we’d take a moment to highlight the latest developments - along with the proclamation that telehealth isn’t a future medical advancement - it’s happening now.

From patient engagement and doctor time-management, to claims processing and provider reimbursement, there are inevitable and necessary process evolutions integral to a positive telehealth experience. In this post, we’ll discuss the existing benefits, the challenges facing widespread adoption, and what exciting possibilities the future of telemed holds.

 

The Benefits:

Telehealth is more time efficient and therefore, less expensive.

Telehealth visits free up doctors’ time to focus on more urgent patient needs. A majority of medical needs can be assessed and referred via telemed, giving docs in the emergency room the resources and bandwidth they need to address the most severe cases. For normal visits, instead of running from room to room, quickly reviewing patient information on the fly, telehealth docs are provided relevant patient information prior to the call, thereby reducing appointment time of 30-60 minutes, to less than 10. This drastic time and overhead savings (office rent, staff, and often even malpractice insurance) allows doctors to do more, with less.

 

Telehealth increases patient engagement.

Knowing where and with whom to schedule an appointment, getting there, and scheduling followups, referral appointments, etc. is a labor intensive and frustrating process, thereby discouraging patients from putting their health first. Efficient, transparent and cost effective telehealth visits keep patients engaged, satisfied and encouraged to incorporate preventative health measures into their busy lives.

 

Telehealth - Insurance Partnerships reach more people.

Telehealth companies like Doctors on Demand (who uses PokitDok to submit insurance claims) are partnering with insurance companies and health systems to provide additional ways to offer medical care to their subscribers. This opens a direct and trusted line of communication from telehealth companies to insurance network members, increasing awareness, education and adoption of the service.

 

Telehealth supports the democratization of healthcare.

Widespread telehealth adoption eliminates location as a barrier to accessing specific, quality healthcare. That means that if there is a specialist across the country - or the world for that matter- who is an expert in the condition you have, it is now possible to access that physician virtually. This opens up an entirely new realm of targeted doctor-patient relationship opportunities, giving docs the ability to have anyone with an internet connection as a patient, and vice versa. Further, it provides, perhaps for the first time, a viable, cost effective solution for ‘medical deserts’ in rural areas.

 

Medicare now covers remote chronic care management.

A new CPT code has been added - 99490 - to offer greater reimbursement for physicians, “developing and implementing a care plan for a patient with at least two chronic conditions that are expected to last at least 12 months or until the death of the patient; or that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline,” according to the Center for Medicare and Medicaid Services. This code was introduced along with seven other procedure codes for wellness, psychotherapy and longer office visits. 25% of the nation’s adult population has multiple chronic conditions, the care of which accounts for 66% of the nation’s overall healthcare spending. If the appointments needed to treat these could be conducted via telehealth solutions, both the cost of patient and doctor time, along with office overhead would be dramatically reduced.

 

Telehealth saves employers money.

Perhaps surprisingly, absenteeism, due to doctor appointments, is a major financial burden to employers. From the time spent scheduling a consult, regular appointment and follow-up, and travel to and from those, employers stand to lose hours of paid productivity. Similarly, when employee ailments progress, overutilization of the emergency room becomes a time and cost intensive issue (especially if the employers are self insured). Telehealth solutions offer proactive options to all of these burdens. Employees are not out of the office for hours on end and they can address health needs proactively, thereby saving time, sick days and advanced health issues in the future.

 

The Challenges:

Reimbursement

Only 25 of 50 states allow for telehealth reimbursement today. Eleven reimburse for telehealth consultations, but do not permit prescriptions to be written as a result of those visits. With time, increased patient demand, and improved telehealth service to insurance connectivity (which is of course, one of our solutions), this process, and likely, future legislation, will be refined to address market demand.

 

Licensing

While in theory, telehealth services give patients access to docs nationwide, in order to be seen by those providers, they need to be licensed in their patient’s state of residence. This process takes approximately 90 days to complete and while not difficult, it is relatively time consuming and a potential deterrent to doctors thinking about getting into the telemed space.

 

Trust

Like mobile banking was to the financial industry, redefining the public’s definition of a doctor’s appointment is no easy task. With time and authority buy-in to guide the way, people will trust that these doctors have just as much authority and knowledge to give them the best care possible, in less time, for less money.

Stay tuned for part two of this telehealth series where we’ll get into what is being done to address some of the challenges above, along with a deeper dive into our telehealth solutions.

 

The opinions expressed in this blog are of the authors and not of PokitDok's. The posts on this blog are for information only, and are not intended to substitute for a doctor-patient or other healthcare professional-patient relationship nor do they constitute medical or healthcare advice.

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  Tags: Consumer, Dev, Enterprise, Provider

The Unintended Side-Effects Of Health Reform: Increased Consumer Responsibility And Decreased Provider Revenues

By Lisa Maki,

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It has been over 5 years since the President signed the Patient Protection and Affordable Care Act (ACA) into law providing healthcare reform from meaningful use to extended Medicaid and more. Probably one of the most controversial mandates of the ACA was universal health insurance coverage which has been in effect for over a year. Now in year two of universal coverage, it is safe to say there have been a number of surprising and unintended outcomes, both positive and negative.

Overall, healthcare reform has supported an on-going industry trend to shift the cost of care to the consumer. This can be observed in the increase of consumers and employees enrolling in High Deductible Health Plans (HDHPs) which increases the individual’s expected out of pocket costs for basic care. At PokitDok, we find that this trend can be positive by placing purchasing power into the hands of the healthcare consumer, just like any other industry, which naturally leads to improvements in the consumer experience. However, the ACA has also resulted in unintended side-effects for consumers and healthcare providers including out-of-pocket costs consumers can’t afford and lower reimbursement revenues for healthcare providers who serve an increasing number of patients who have not met their deductible.

The reduction in reimbursement revenues for healthcare systems and providers is a particularly complex problem. Current revenue cycle and practice management systems, often integrated with the provider’s electronic medical record solution, still bill for each patient’s encounter as if it will be covered by insurance. However, with the increase in popularity of HDHPs (65% of employers are predicted to offer at least one by 2017), a majority of consumers may not satisfy their deductible until the end of the benefit year resulting in the bulk of their basic care being paid for out of pocket. For providers this means a significant amount of what was, under the pre-ACA system, reimbursed by a patient’s benefit plan, must now be billed directly to the patient. Couple this with the number of patients now receiving care prior to satisfying their deductible and healthcare providers are seeing as much as 20% of their accounts receivable going to collections due to their patients’ inability to pay.

In response, healthcare systems and providers are seeking “health-enabled” ecommerce tools that will help them capture payment from HDHP members at the time of booking an appointment or service as well as identify patients at financial risk before those patients have the procedure, not afterward when it’s too late. At PokitDok, we support solutions to address both the consumer’s financial need and the healthcare provider revenue cycle two ways:

  1. Health system e-commerce and scheduling solutions that include real-time eligibility and pre-adjudication to identify and collect appropriate payment--co-pay, partial or full payment including past due amounts--prior to the appointment
  2. Our newly released Health Credit Outcome (HCO) service that identifies not just a patient’s ability to pay, but also the provider’s ability to obtain payment, either from the patient or their insurer. HCO can include connections to potential sources of financial aid as a benefit to both the patient and the health provider.

At PokitDok, we provide a platform of cloud-based web services to meet the challenge of a changing healthcare market from solutions that reduce operational cost to support for new business models that deliver both increased patient value and margin improvement. Our customers include 24-hr imaging services with price elasticity based on the time-of-day to health systems testing discounted, same day cash payments without impact to current EMR or payer infrastructure and processes.

This broad overview offers just a few of the complexities of patient and provider financial responsibility in the post-ACA healthcare market and how PokitDok views and addresses them.

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  Tags: Dev, Enterprise, Provider

A Deeper Dive into the 278 Transaction: A Referral & Authorization Request

By Faride Beaubien,

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We have previously walked through what goes on behind eligibility and benefit requests or 270/271 transactions, when a patient visits his or her primary care physician (PCP). We will now discuss the 278 transaction: a referral and authorization request.

This transaction set is generally used as a ‘next step’ following an appointment with a physician. The doctor will submit a 278 (via a practice management system) to the member’s insurance company to notify them of the following:

  • Scheduled inpatient or specialty care
  • Patient arrival or discharge from a facility
  • Health services information sent to service providers
  • Changes to previously sent information

For instance, if a patient is experiencing eye pain, he or she would first consult a PCP- who will then determine if that patient needed specialty care outside their scope. They would then request a referral to an ophthalmologist. This referral doesn’t just happen on a piece of paper; it is an electronic request… and response! The doctor, or the doctor’s office as the case may be, is asking a health insurance company to authorize the patient to receive specialty care. Since specialty care is generally more costly than preventative care, the health insurance company reviews the patients medical history and benefit summary to determine if the specialty care is indeed required or necessary.

In addition, if that patient then goes on to require eye surgery, the ophthalmologist will submit another 278 (this time, a request) to not only authorize the procedure/specialty care, but also to notify them of date of surgery, facility and any other pertinent information. In response to the physician request, the health insurance company will return a 278 with an authorization or referral number. This number is then included in the claim submitted by the physician to the health insurance company for payment.

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These transactions link consumers, providers, and health insurance companies; allowing PokitDok to create the most comprehensive and transparent view of these interactions. The 278 transaction also helps reduce administrative costs through automation, thereby enabling provider offices to be more productive and increase data accuracy. As we move towards a more efficient electronic data interchange (EDI) system with the help of PokitDok’s X12 APIs, we’ll continue to leave phone calls, faxes and paper referrals in the past in favor of a more efficient, streamlined healthcare process.

 

The opinions expressed in this blog are of the authors and not of PokitDok's. The posts on this blog are for information only, and are not intended to substitute for a doctor-patient or other healthcare professional-patient relationship nor do they constitute medical or healthcare advice.

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How EHRs are Influencing the Cost and Utilization of Care

By Nicole Fletcher,

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In this day of managing our lives on smart phones, tablets and online cloud storage, the idea of electronic health records (EHRs) just makes sense.

The government has been nudging physicians and medical facilities to get on board with the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009, which calls for full scale use of EHRs by the end of this year. By providing financial incentives via its meaningful use program through 2014, doctors could make money (of course countered by what they spent on the software) by implementing EHR systems. Starting this year, physicians treating Medicare patients will actually be financially penalized if they do not integrate with an EHR system.

How then do electronic medical records affect patients? For the most part, it’s positive.

Influencing the cost and utilization of care

While the cost charged to patients for care probably won’t go down as a direct result of electronic medical records, patients may pay less because they’re undergoing fewer tests. If lab and diagnostic radiology results are available through a shared system, providers will be able to find the results they need without ordering duplicate exams. That’s also more convenient for patients, who don’t need to take time for additional testing or added exposure to radiation or needle sticks.

Patients may feel the pinch with duplicate exams if they are using multiple care providers who aren’t part of the same physician network, since it’s harder to coordinate care without shared records. While this was standard operating procedure in the past, it’s less so now. Patients in today’s world want a seamless healthcare experience.

Increasing patient safety and quality of care

The goal of healthcare systems is to increase patient safety and quality of care. Electronic medical records can help accomplish this goal in a number of ways.

Decreasing Error: Illegible writing is a major cause of medical errors. Typed documentation that comes with EMR implementation means that others reading the records can quickly and easily understand the patient’s status and current treatment.

Automating Reminders:
EHR systems have built-in reminders to inform physicians if they haven’t reviewed lab or pathology reports, or if a patient has not shown up for a follow-up visit. This allows for increased administrative efficiency and a decreased chance that health findings will be delayed due to a lack of patient follow-up. Patients fail to show up for appointments 5-50% of the time, according to a New York Times article, due to a wide variety of factors.

Double Checking Dosage: When medications are prescribed, the EHR software checks on behalf of the physician for potentially harmful drug interactions and confirms that the dosage prescribed is in range.

Decision Support: A feature of electronic health records, decision support guides doctors through a number of processes for certain medical conditions to ensure they're considering all treatment options available. These might include clinical guidelines, reference information related to the patient's condition, or any number of other factors.

Patient Accessibility: By signing up for a patient portal account, patients can personally access their medical records and results more quickly, giving them the opportunity to potentially catch an issue that might otherwise have fallen through the cracks. For example, if a pathology report suggests further follow-up due to an incidental finding, the patient can take action and ask the doctor about it, even if the doctor hasn’t brought it up to the patient.

Electronic Prescriptions: E-prescribing is not only convenient for patients (the filled prescription is waiting when you arrive), but since it’s typed, there’s less chance for medical error. In fact, a study published in the Journal of General Internal Medicine found that by e-prescribing medications in community-based practices, error rates decreased sevenfold over paper prescriptions. Using e-prescriptions can also decrease fraudulent use of paper prescription pads.

The downside to EHRs

On the doctors’ side, not everyone is happy about the use of EHR systems. First, they aren’t cheap. According to a 2013 Medical Economics survey, 77% of the largest practices said they spent upwards of $200,000 on their software systems. These offices said that electronic records haven’t made their practices more efficient, but rather, the expense of acquiring, implementing and maintaining the system, plus training staff, has increased the provider burden. In addition, doctors are lowering their personal efficiency as they take extra time to input patient information into the online record, instead of their former method of jotting down notes on a paper chart.

Similarly, some doctors in the Medical Economics survey didn’t feel that patient care and physician/hospital coordination had seen the higher quality results they expected by this point. As with any major system change, this shift in business model is a work-in-progress that requires ongoing investment and assessment to yield long term return for everyone. It will be interesting to watch the EHR space - and the players in it (GE recently announced at HiMSS that they will no longer be pursuing the business) as they continue to grow and evolve with time. Undeniably, EHRs are an inevitable staple in the future of health; it’s really just a matter of building the foundation (which is where we come in) to make massive cost saving and increased efficiency possible.

 

The opinions expressed in this blog are of the authors and not of PokitDok's. The posts on this blog are for information only, and are not intended to substitute for a doctor-patient or other healthcare professional-patient relationship nor do they constitute medical or healthcare advice.

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Online Recommendation Systems: Getting Personal with Gremthon - Part 2

By Denise Gosnell, PhD,

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In Part One of the Recommendation System Blog series, we looked at the underpinnings of an online retailer’s recommendation system using a graph database in addition to an online recommendation system of movie titles. Our visualizations however, only introduced three actors into the system; how might the problem change if we had thousands or millions of other data points to consider? And how does this system have the potential to connect you with better healthcare? In this post, we will explore how to use graph traversals and ranking algorithms to provide more complex product, or in our case healthcare provider recommendations.

Let us revisit a similar example as before, but this time, let’s look at recommendations from a healthcare system standpoint.

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Rank by Most Views: GroupCount()

In this example, we want to rank providers by how many people who are similar to you, viewed the same provider you are viewing. One of the most basic ways to quickly calculate a recommendation of providers within this type of system is to do a quick group count on the set of providers who were viewed by people like you (we’ll get to how we can do that later).

In the image above, we take a set of people (shown on the left as vertices of a graph) and look at the entire set of doctors they have viewed. In this system, GroupCount() sorts the providers according to who was viewed the most. “Dr. E” is the highest recommended provider as he was viewed by 5 separate people in the system, while “Dr. B” is the least recommended provider as he was viewed by only one.

At PokitDok, we use Gremthon, a Python implementation of gremlin, to perform graph traversals. Gremthon was created by PokitDok’s Engineer #1, Brian Corbin; you can check out Gremthon on GitHub: https://github.com/pokitdok/gremlin-python

The Gremthon traversal to apply a group count on the providers viewed by consumers who also viewed a certain doctor would be:

What about this notion of finding people “like you”?

While there is a whole field of mathematics which examines different ways to rank the above list, let us look at applying filters for improved personal recommendations. First, the input set into this ranking system, shown in the animated gif at the top of this page, was selected according to the one doctor that you viewed and all other consumers who also viewed that doctor. If you’re willing and opt in, we can easily provide a much more personalized recommendation with a few more pieces of information, like your gender and age. Then, once you view a doctor, we can provide a more personal recommendation which ranks the doctors according to those viewed by people with similar age and gender:

With Gremthon, the graph traversal which provides recommendations from people who are either 5 years older or younger than you would be:

We can also apply filters in other areas of this traversal. For example we can apply a filter to only recommend providers that match in specialty with the provider you first viewed. When we, as patients, look for personalized health recommendations, we prefer to visit doctors who have been seen by people we know. Right now, the only way to do this is to ask around or post to social media for recommendations from friends and family. With this technology however, PokitDok, like the movie recommendation system from our last post, has the ability to recommend doctors to you based on the doctors your social media friends have previously visited (if they’re willing of course). The recommendation now looks like this:

Now, because we are HIPAA compliant, we’ll never tell you which friends went to which doctor (and we won’t know either). What we can do is give you provider recommendations based on the doctors visited by your online friend group at large. Now, you can hold off on that Facebook post for a general practitioner for that rash of yours…and instead find a recommendation based on your trusted digital network of ‘people like you’. We can give you the personalized recommendation you need... and save you some embarrassment.

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  Tags: Dev, Enterprise

PokitDok Introduces Health Credit Outcome Product to Improve Health Lending

By Nicole Fletcher,

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hco_graphic
Today at the 2015 HiMSS Conference in Chicago, we announced the release of our newest product - PokitDok's Health Credit Outcome (HCO). We envision this revolutionary tool as playing an integral role in the journey toward more affordable healthcare. Designed by our expert team of data scientists, the HCO product is a mathematically driven, probabilistic risk model that uses patient health data, claims and financial history to determine the financial 'lendability' of a patient. This new product addition has the potential to improve financial outcomes for lending institutions, payment solutions, health systems and medical practitioners, freeing up resources to support payment options for care.

How does it work, you ask? With the patient’s consent and the product's output, organizations can make informed lending options available to help finance expensive, non-acute procedures that often fall below the deductible threshold. Examples of such procedures may include: orthopedic surgery, imagery, or cosmetic treatments.

To learn more about the Health Credit Outcome, read the full press release and feel free to contact us with any questions.

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  Tags: Consumer, Dev, Provider