Mobile Heartbeat today announced major advances in enterprise-level clinical communications with Version 10 of MH-CURE (Clinical Urgent REsponse), its secure clinical smartphone application. MH-CURE provides unified communications ? multiple capabilities such as texting, Voice over WiFi, paging, broadcasting and communications system integration in a single application. The result is that clinicians can now use one device/one application for all their communications and collaboration needs.
Archive for month: May, 2016
In January of 2015, The Joint Commission invited HCA and Mobile Heartbeat to present our successes and results with HCA’s iMobile project. We co-presented with leadership from HCA on deploying smartphones equipped with clinical communication and collaboration software to HCA’s clinicians. The audience was Ana Pujols McKee, MD, the Chief Medical Officer and Executive Vice President at the Joint Commission, along with 10 members of her team.
At the end of our results presentation, the Q&A session centered around the text transmission of orders between clinicians. We talked through security (physical device and data), audit trails and user verification.
Last week, in the Joint Commission’s monthly publication, Joint Commission Perspectives®, an article entitled Update: Texting Orders included much of what we discussed in that meeting. This important update revised the Joint Commission’s position on the texting of orders with the conditions that both technology and standard operating procedure guidelines are followed.
Although information and communication security is the responsibility of the hospital and individual providers, I will focus on the technology requirements listed in the Joint Commission’s update and walk through each line item and how our MH-CURE software meets and exceeds these requirements.
Via The Joint Commission:
Health care organizations may allow orders to be transmitted through text messaging provided that a secure text messaging platform is implemented that includes the following:
– Secure sign-on process
– Encrypted messaging
– Delivery and read receipts
– Date and time stamp
– Customized message retention time frames
– Specified contact list for individuals authorized to receive and record orders
These requirements are driven by two major tenets:
- The hospital has put in place a policy related to the security of health information
- The hospital protects against unauthorized access, use, and disclosure of health information
The first requirement, “Secure sign-on process”, means that there must be a way of ensuring that only authorized users can get access to the secure text messaging platform. At Mobile Heartbeat, we believe that we are well ahead of the industry on this requirement. Our patent-pending QuickLaunch sign-on process is the gold standard for secure sign-on. Via its “tap and go” capability, and two-factor authentication, QuickLaunch adds the same level of physical security to our secure text messaging platform as the hospital uses to protect access to sensitive areas within the facility. For even more security, QuickLaunch uses the hospital’s Active Directory capability to ensure that potential users are credentialed before they gain access to the software.
Next up is “Encrypted Messaging”. Since the first release of our software in 2011, our text platform has been built using the most highly regarded security standards for encrypting messages. We also regularly test our message security using “hackers for hire” to ensure compliance.
For “Delivery and read receipts”, MH-CURE offers:
- Detailed message statuses such as: Delivered, Read, Sending, Waiting Delivery, and Failed to Send.
- Color-coded messages for a better user experience that indicate the status of a message so users can quickly identify successful, sending or failed messages.
- “Tap to Retry” functionality.
Meeting the “Date and time stamp“ requirement is also inherent in MH-CURE. We provide a date and time stamp for all messages and an audit trail from the sender to the server to the recipient. This information is easily accessible to hospital administrators in our admin console with customized reporting.
The need to include “Customized message retention time frames” may have come directly from our discussion with The Joint Commission. We were adamant about allowing each hospital to set (and change) its message retention policy. As a software developer, our aim is to support hospital policy and not to set it. We demonstrated to The Joint Commission how customized message retention timeframes could be set within our hospital admin console and we are delighted to see that this is now a requirement.
The final requirement, “Specified contact list for individuals authorized to receive and record orders,” falls under the guidelines of knowing exactly who you are sending each text to. Are they a fellow clinician or are they a sales clerk in the hospital’s gift shop?
Here is where the MH-CURE Dynamic Care Team really shines. For each patient under their care, a clinician can see the list of other clinicians who are currently on the care team of that patient and their status. Before sending a text message containing patient information (such as an order), the clinician sees a contact list for that specific patient that is kept up-to-date in real time.
The Dynamic Care Team is a core technology for Mobile Heartbeat and we would challenge you to ask the question, “All hospital software should be patient-centric, that is a given,but what makes the software patient-specific for each and every patient?”
Needless to say, we were excited to see this update on the secure texting of orders published by The Joint Commission last week. We encourage each and every hospital to adhere to their requirements.
Recently, I watched my daughter head off to an interview for medical school. I realized that in four short years, she was on the path to becoming a member of the next generation of physicians – the future clinical software users – and a potential user of our MH-CURE software. It dawned on me that I had better find out what she might want in a clinical software product. To add further credibility to her views, she is the chief medical scribe at a top 10 nationally ranked hospital and has experienced first-hand their transition to Epic EMR. As a scribe who takes copious clinical documentation notes, charting in Epic continuously during her shift for each patient visit, she likely interacts with the EMR more often than any other clinician during a given shift. She also represents Gen Y, a generation whose smartphone is comparable to a hiker’s ever-present Swiss Army knife that can handle just about every need.
So the open question I posed to my daughter was: When you become a doctor, how do you want software to help you?
Her answers are below:
- I would like the software to show me seamless integration of information sorted by the technology itself. For instance, if a patient’s data has already been entered into some areas of the software, I would like to see the information relevant to my current task, such as having medical/family/social history, medications, and allergies pre-populated into an organized format in one place. Having information that has already been stored in a database appear automatically and readily accessible when and where you need it increases efficiency and helps ensure that no details are missed in the larger picture. The tricky part of this, I think, is displaying the information in a way that is readily available without being intrusive or interfering with the current task. I would also like the technology to alert me of significant findings, such as abnormal vital signs and medication interactions.
- I would love to be able to use my smartphone in a safe, protected, and HIPAA-compliant way to see data in real-time, such as how vital signs progress or change or to be able to pull up an imaging study in order to show it to a patient and discuss the findings. I can use my laptop to take clinical notes, but having the same software in the same format that is easy to navigate on my smartphone would allow me to better track information. I could then also easily access information at any time, since my smartphone is already always close by me.
- I really want to see more user-friendly, intuitive software. Software that has a fast learning curve and comes naturally takes the frustration out of adjusting to new technology. I think that software should have no more than one, simple way of doing each task to simplify a system that already must be quite complex to cover all of our needs.
So, there you have it. Fast forward four years and I may be presenting MH-CURE to my daughter. I can only hope that she responds, “Dad, I’m glad that, for once, you listened to me.”