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Healthcare Improvement Scotland

We believe that every person in Scotland should receive the best healthcare possible every time you come into contact with your health service. We are the national healthcare improvement organisation for Scotland and part of NHSScotland. We work with staff who provide care in hospitals, GP practices, clinics, NHS boards and with patients, carers, communities and the public.

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Health Technology

Exploring EHR Trends: A Path to Healthcare Transformation

Article | September 12, 2023

Explore the evolution of healthcare by diving deep into these EHR trends, as they pave the way for the future of EHR. Embrace cutting-edge solutions to enhance patient care and optimize operations. 1. Introduction 2. Significance of EHR Trends 3. Top 10 EHR Trends Shaping the Healthcare Industry 3.1 EHR Interoperability 3.2 Patient-reported Outcome 3.3 Patient Portals 3.4 Generative AI 3.5 Cloud-based EHR 3.6 Voice-enabled EHRs 3.7 Predictive Analytics 3.8 Robotic Process Automation 3.9 Telehealth-EHR Integration 3.10 Blockchain for EHR Data Integrity 4. Future Scope 1. Introduction Electronic health records (EHRs) have transformed the medical industry by revolutionizing how medical information is recorded, accessed, and utilized. This article focuses on the EHR trends and innovations that have reshaped the healthcare field, paving the way for a more efficient and patient-centric future.From enhanced interoperability to cutting-edge technologies, professionals can unravel the key trends propelling future of EHR toward a new era of healthcare delivery. 2. Significance of EHR Trends The importance of EHR software technology trends is highlighted by their transformative influence on the healthcare sector. This transformation was further expedited by the impact of the COVID-19 pandemic, which played a critical role in the increased adoption of telehealth services. As the pandemic necessitated alternatives to in-person visits, the demand for efficient and remote medical services surged, propelling telehealth to the forefront. Yet, looking beyond pandemic responses, the ongoing adoption of EHR trends in healthcare can significantly reshape how healthcare functions. Embracing these EHR trends enhances efficiency, facilitates personalized care, improves data exchange, drives data-driven insights, and empowers patient engagement. Irrespective of global events, it remains essential for healthcare facilities to stay abreast of these trends to remain adaptable and deliver optimized care, ultimately benefiting both providers and patients. 3. Top 10 EHR Trends Shaping the Healthcare Industry Recognizing significant industry trends becomes crucial in a field that is constantly subject to technological advancement and global change. From adopting advanced technologies to prioritizing sustainability and customer-centric approaches, these EHR trends hold the power to bring about significant transformations across the healthcare sector. 3.1 EHR Interoperability EMRs face a notable limitation in their ability to integrate with other systems, whereas EHRs offer robust interoperability, enabling seamless data exchange among healthcare facilities. As the demand for interoperability grows, the distinction between EMRs and EHRs becomes increasingly blurred, with vendors referring to products as EMRs that closely resemble what was initially known as EHRs. In response to this trend, developers and IT specialists continually update EHR systems to comply with interoperability policies, making EHRs more appealing for organizations seeking comprehensive and connected healthcare records. 3.2 Patient-reported Outcome Patient-reported outcome or PRO EHR integration involves incorporating patient-reported outcome measures into electronic health record systems. PROs gather information directly from patient records about their health status, symptoms, and quality of life. These insights provide valuable subjective data for healthcare providers. For orthopedic patients at the clinic, completing surveys on their smartphones via a mobile link is easy. Clinicians can access patient responses during or after appointments to offer tailored care recommendations based on survey readings. Access to patient-reported outcome data empowers clinicians to deliver patient-centered care, fostering greater patient involvement in their treatment journey. 3.3 Patient Portals Patient portals in EHRs are pivotal in modern healthcare practices as the industry embraces digital transformation. Patient portals within EHR systems are crucial to empowering individuals and facilitating communication between patients and healthcare professionals. These portals enable patients to access their personal health information securely. Patients can schedule appointments, ask questions, and even have virtual consultations, making healthcare more accessible and patient-centered. With improved communication and engagement, patient portals bridge the gap between individuals and healthcare professionals. 3.4 Generative AI Integrating generative AI tools with Electronic Health Record systems holds immense promise for advancing healthcare industry. Generative AI can significantly enhance EHR software precision and overall technology, resulting in streamlined daily workflows and enabling healthcare providers to prioritize patient care. By utilizing patterns and structures from existing data to create new content resembling the training data, generative AI brings valuable improvements to EHR systems. These benefits include efficiently filling in missing data, enhancing clinical decision support, automating documentation and coding processes, and ensuring billing accuracy, thereby alleviating the burden on healthcare providers. 3.5 Cloud-based EHR Cloud computing is gaining traction as medical organizations explore the benefits of outsourcing administrative and clinical services, including medical billing, reporting, lab integration, and more. With the increasing adoption of EHR systems, the advantages of easy access to patient data have become crucial. As the patient population continues to grow, the complexity of data rises, demanding solutions that ensure secure storage and accessibility. Embracing cloud-based infrastructure becomes imperative in this scenario, granting healthcare professionals the flexibility to access data using tablets or smartphones safely. This integration empowers clinicians to enhance their productivity in the clinical environment, laying the groundwork for long-term success by offering mobility solutions that cater to evolving healthcare demands. 3.6 Voice-enabled EHRs Integrating voice recognition technology with EHR systems is a significant advancement for clinicians. By allowing hands-free input of information and patient data, voice recognition technology reduces inaccuracies and speeds up information recording. Additionally, with the support of AI, EHRs equipped with voice recognition can assist doctors in recognizing historical patient trends and making accurate diagnoses. As companies strive to incorporate AI into EHRs through voice-enabled technology, physicians can effortlessly access patient data and inquire about specific health parameters, such as the last recorded iron levels from a blood test. This streamlined approach improves efficiency and enhances the overall healthcare experience and decision-making process. 3.7 Predictive Analytics Predictive analytics applications have become a significant driving force within the healthcare industry, yielding profound impacts on diverse areas, including cancer treatments and emergency staffing optimization. As the field continues to evolve, the adoption of predictive analytics technology is expected to expand further. Specialized healthcare app development services utilize AI-powered analytic methods, such as statistics, data mining, and modeling, in conjunction with AI capabilities to offer clinical outcome predictions based on real-time device data and electronic health records. This integration aims to elevate the patient experience and improve care delivery, equipping healthcare professionals with valuable insights to make more informed and proactive care decisions. 3.8 Robotic Process Automation Robotic Process Automation (RPA) is driving the expansion of the automated data capture market for electronic health records worldwide, owing to its ability to enhance workflows and ensure increased accuracy. By automating data capture through robot-based processes, RPA eliminates the need for manual data entry, leading to improved precision. In the healthcare industry, RPA serves as an effective technique to address EHR flaws without requiring a complete system redesign, permitting the utilization of digital labor to preserve efficient processes while resolving underlying issues. By employing system algorithms and programs, RPAs efficiently automate tasks typically carried out by human resources, accelerating the digitization of medical facilities and promptly addressing imperfections. 3.9 Telehealth-EHR Integration Integrating EHR systems with telehealth platforms revolutionizes healthcare by facilitating remote care and streamlining clinical workflows. This alliance will enable medical organizations to deliver high-quality patient care from a distance while ensuring the swift and secure transfer of patient information between systems and interfaces. The combined power of telehealth and EMR systems enhances virtual care activities, automates data entries, and synchronizes insurance information in a single window, thus optimizing efficiency and productivity for healthcare providers and their staff. Moreover, this integration strengthens patient-physician engagement and fosters seamless collaboration among healthcare teams. 3.10 Blockchain for EHR Data Integrity While blockchain technology gained prominence through its association with cryptocurrency, its application in healthcare is steadily gaining momentum. By utilizing cryptography, blockchain ensures the utmost security and integrity of EHR data, limiting access to authorized individuals only. In healthcare, blockchain brings value, from validating clinical trials and verifying claim results to monitoring medicine distribution, authenticating prescriptions, and combating insurance fraud. Additionally, smart contracts leverage blockchain to automate actions based on predetermined outcomes, reducing the need for extensive human involvement. Although the adoption of blockchain in healthcare technology is still in its early stages, several EHR systems have already incorporated it to enhance security, scalability, and confidentiality measures. 4. Future Scope The convergence of IoT devices and big data technology is set to revolutionize the healthcare experience, offering unprecedented digitization and patient engagement. The disruptions brought on by the COVID-19 pandemic have underscored the need for healthcare institutions to adapt and embrace technological advancements. Careful selection of the right EHR system is crucial for healthcare organizations, and a structured approach that involves key stakeholders, requirements definition, vendor evaluation, and implementation planning is essential for successful EHR implementations. The ultimate goal remains to enhance patient care, streamline workflows, and achieve operational efficiencies. While EHRs have already made significant strides in the industry, the future of electronic health records holds even more excellent benefits and technological impact, with healthcare mobile app developers playing a vital role in the value-based healthcare model and preparing for EHR optimization.

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Digital Healthcare

Artificial Intelligence in Healthcare: Applications and Threats

Article | November 29, 2023

Remember Big Hero 6's beloved Baymax? The lead character’s personal pudgy robotic healthcare companion was much loved and adored by the audience. We might not have wondered back then but the fascinating machine had actually been powered with Artificial Intelligence, programmed to scan a human body for any illnesses or injury while also examining the environment, offering treatment and even catering to the emotional requirements of the patient.

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Health Technology, Digital Healthcare

9 Ways UVC Light Tech Can Safeguard Staff & Patron Health

Article | August 21, 2023

As COVID-19 rages on, warning sirens have sounded of late amid a flurry of headlines surrounding Ultraviolet-C (UVC) light device safety issues. Rightfully so, as the current pandemic has ushered in a veritable “wild west” of UVC gadget deployments with subpar consumer safeguards, instructions or guidance. So important are the concerns amid this rapidly proliferating product sphere, the FDA recently issued a consumer advisory regarding UVC light technology that’s applicable for industrial, business, travel and residential use. Once largely a germicidal method leveraged in hospital, industrial and other commercial settings for its extreme efficacy, today’s breed of UVC technologies are small, portable and inexpensive enough to be making their way into businesses of every type across the globe—and even traverse with individuals while they’re out and about. This, as generalist retailers like Amazon and Walmart have joined the fray in their attempts to divert market share from the more specialized, expert-driven, safety-focused UVC purveyors. While germ-killing UVC technologies do proffer tremendous advantages and results for users—serving as a potent tool for easily and effectively eradicating harmful viruses, bacteria, pathogens and microorganisms—there are a number of considerations a business (or employee) should heed before procuring and using such a powerful device. This includes, but is certainly not limited to, why; when; where; and how it will be used—variables that impact safety and risk concerns related to UVC wavelength, dose and duration of radiation exposure. Shopping in this category can be equally overwhelming. One need only Google “UVC lamps,” which delivers nearly 100,000 results, to realize how bloated this category has become. Amid the chaos, I did happen upon a highly targeted, category-dedicated source wholly dedicated to UVC technologies: CureUV.com. This company draws on over 20-years of expertise in the design, development and provision of technologically advanced UV products and solutions. Today, they are a premier provider of germicidal UVC light solutions for commercial, industrial, portable, residential and even water applications. While its form factor catalog is copious, below are a few of CureUV’s more popular UVC devices starting under $90 that proffer chemical-free disinfection, which can help ensure your spaces remain free of illness-causing microbial contaminants like viruses, bacteria, mold and other fungi: Rechargeable Handheld UV Sanitizer Wand With Digital Timer Here's a highly portable way to eliminate germs and have a cleaner environment no matter where you may be. This powerful UVC illumination system, which retails around $89, eradicates up to 99.9 percent of viruses, bacteria, germs, mold, dust mite eggs and flea eggs on surfaces. This non-chemical option adds an extra layer of safety to you with no hazardous residue. It contains a 6-inch UVC lightbulb allowing for a wider coverage of area as well as accelerating sanitation in the process. A built in timer inside the device allows you to keep track of desired dosage creating precise sanitation sessions-- anywhere from 5 to 60 minutes to indefinite. Its silent operation allows for a noise free solution for sanitation, and sleek and cordless and lightweight design is perfect for travel however near or far--daily around town or those hotel visits. Sanitize how you want in your desired target area or on your personal items keeping them germ free. An internal rechargeable battery saves money on replaceable battery purchases as compared to various other handheld wands on the market. GermAwayUV 18-Watt Handheld UVC Surface Sanitizer This device offers reliable and highly portable sanitizing performance at an entry-level price. Indeed, at under $120, this is an affordable, dual-bulb, handheld UV sanitizer that still maintains power levels similar to more industrial UV surface sanitizers. This lightweight and ergonomically designed 18-watt UVC sanitizer will give you much peace of mind. It has a 6-foot cord adequate for most applications, but the sanitizer will run easily with virtually any simple power extension. Its two 9-watt UVC sanitizer bulbs are guaranteed to produce UV light in the 253.7 nanometer (nm) wavelength, which has been consistently proven to eliminate all illness-causing microorganisms. It's the perfect tool to disinfect high use and traffic areas, as well as locations where bacteria and viruses congregate like bathrooms, door handles, seating areas and cooking/dining spaces. It'll prevent the spread of harmful bacteria and microorganisms, or simply add an extra layer of cleanliness and protection to your cleaning procedures. It comes bundled with protective amber UV safety glasses. Deluxe GermAwayUV 95-Watt UVC Surface Sanitizer with Cage With a 95-watt bulb, this chemical-free, tabletop UV room and surface sanitizer is the strongest of its kind. It will result in effective room sanitation by killing up to 99.9 percent of bacteria, viruses, mold spores, yeasts, C. diff, odors and other harmful microorganisms. With a simple touch of a button you'll be able to leave the room while the entire space is cleaned and disinfected in a matter of minutes. The device has five time settings: 10, 20, 30 and 60 minutes; and hold for indefinite run time. After the selected dosage time has elapsed, the device will automatically shut off. You can use it regularly to ensure a consistently clean room. Heavy Duty Dual Bulb 72-Watt HVAC UV Air Purifier Suitable for use anywhere, including schools, offices, work-floors and medical rooms to sanitize air and environmental surfaces, this device is effective in small and large rooms/buildings alike, up to 2,400 square feet. With a powerful 72-watt bulb and a standard electrical unit, you can insert this premium UVC bulb into any HVAC system as an easy add on to sanitize the air in the system. Typical air purifier units and HVAC systems are definitely useful, designed to filter and ventilate air well. But even the finest filters can’t stop atomic sized bacteria and viruses. This device is therefore a great extra add on because it really does target and stop bacteria and viruses from circulating. It sanitizes and disinfects air passing through the HVAC system. Its 72-watt bulb emits UVC light of 254nm and is the most powerful bulb. Most devices are typically only effective in small rooms, but with this level of wattage you can use this device in large rooms and building types. At its wavelength, the emitted light is able to penetrate and kill the DNA of atomic sized organisms that create problems for humans. UVC emission also acts to eliminate mold spores, yeast and fungi. So, inserting this unit device into your existing HVAC system ensures that not only will the air that moves through your building be ventilated, it will also be irradiated and disinfected as it passes over the bulb. Instead of just filtered air in your system, you’ll end up with sanitized, healthy air. Add on (retrofit) features like this one are great because you can just insert them into an already installed and operating HVAC system with minimal additional running costs. This device is easy to install and is capable of DIY application. Other available HVAC retrofit air sanitation and purification solutions include a coil scrubber or 36-watt HVAC UVC air purifier. GermAwayUV High Occupancy Wall Mountable 150-Watt Air Purifier and Sanitizer This is a safe and efficient way to sanitize and disinfect the air in high traffic occupied areas. Simply mount the sanitizer on the wall as you would hang a TV or mount a standalone AC system and let the system do its magic. The air purifier will use its powerful, yet quiet, fan to continually cycle all of the air in the room through the system. Once the air does so, it will be met by a quintuple filtration and sanitation system that culminates in a full 150-watt UVC germicidal irradiation. Put this system in a busy hallway, a crowded restaurant, a veterinary clinic with high traffic, a busy office, etc… and it will eliminate bacteria, viruses and harmful pollutants as quickly as possible without exposing anybody to any UVC rays. It proffers optimum perf

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Future of Healthcare

What’s the Best Post-COVID-19 Anesthesia Business Model -Hospital-Based or ASCs?

Article | February 19, 2022

Anesthesia groups face major challenges in the aftermath of the pandemic: Financially strapped hospitals are increasingly unwilling or unable to pay anesthesia subsidies, and a shortage of qualified anesthesiologists and CRNAs is making recruitment extraordinarily competitive. The good news is that anesthesia opportunities are plentiful in the ambulatory surgery center (ASC) market. As more inpatient procedures migrate to ASCs, anesthesia practices can help meet demand by working with hospitals and ASCs. A dual-contracting approach can help increase revenue, reduce operational risk, enhance recruiting leverage, and present opportunities for equity investments in ASC ventures. Expanding ASC Case Mix Multiple factors are driving increased ASC volume.Consumers have long been attracted to the convenience andfast turnaround timesASCs offer, and as the pandemic began to take hold and patients worried about becoming infected in hospitals, theirpopularityincreased. But even before the pandemic hit, theuse of ASCs was growing,with the number of centers increasing 7.1% annually since 2016.1No doubt this was in part driven by Medicare restricting fewer surgeries to the inpatient only (IPO) setting. This year alone, Medicare is adding 11 orthopedic procedures to the ASC-approved list, including total knee arthroscopy (TKA) and total hip arthroscopy (THA).2Commercial payersare alsofuelingASC volume by promotingthis venue as a lower-cost option to members.Lastly, with more than 90% of ASCs at least partially owned by physicians,providers themselvesare driving moreprocedures to this setting. Hospitals Become ASC Buyers For years, hospitals viewed ASCs as direct competition and discouraged or even prohibited inpatient anesthesia practices from contracting with them. But that dynamic is changing as more hospitals become buyers or majority investors. According to a recent survey, the percentage of hospitals and health systems planning to increase their investments in ASCs rose from 44% in 2019 to 67% in 2020, with 75% of 200-plus-bed hospitals already owning more than one ASC.3Hospitals view these investments as a way to enhance physician relationships and increase surgical capacity. The Benefits of Practice Diversification For anesthesia practices that elect to contract with both hospitals and ASCs, a key benefit is improved profitability, since average ASC case reimbursements are higher than average hospital cases due to better payer mix and more efficient room turnover. Groups that work with multiple organizations also reduce their institutional or operational risk by limiting their exposure to potential financial problems associated with a single contracted entity. Practices likewise gain an edge when it comes to recruiting in today’s highly competitive anesthesiologist and CRNA market. One of the chief benefits of ASC involvement is being in a position to offer a better work-life balance by spreading call responsibilities across a larger physician call pool. The math is simple: If a hospital group has seven physicians, each must provide call coverage once a week. But if the group also contracts with five ASCs and brings on five additional doctors to staff the facilities, individual call responsibilities are reduced to once every 12 days. The importance of mitigating call duties to improve the work-life balance for both experienced clinicians and new hires can’t be overstated, particularly as hospitals work to streamline OR throughput by increasing the number of surgical procedures. Groups can also explore a range of creative compensation approaches, including essentially selling call opportunities to newly hired or recent graduate anesthesiologists as additional avenues to attract qualified clinicians while easing the burden on senior anesthesiologists. Equity Opportunities Among the most intriguing aspects of ASC involvement is the potential for becoming an equity stakeholder in the business. Surgeons traditionally have been the primary drivers in creating ASCs, but new opportunities exist for anesthesiology groups, particularly if their hospital is buying an existing ASC or developing a new ASC venture and looking to diversify the ownership group. The idea of anesthesia ownership isn’t as crazy as it might sound. Like surgeons, anesthesiologists are integral to the success of an ASC, and like surgeons, they get there early and stay late. It’s no secret that joint ownership can greatly improve relations between the practice and the hospital, since both are now working toward the same objectives. Groups can also make more money. I met with a surgical group not long ago with a 49% ownership stake in a hospital. That equity generated an additional $80,000 per year for each physician partner. How much you can make, of course, depends on your specialty, your level of ownership, and the volume of business. But you’ll never know until you try. Outside Expertise The pandemic has unleashed numerous changes throughout healthcare, and where the dust will eventually settle isn’t entirely clear. But what is certain is that for organizations to remain viable, they’ll need to be flexible and look hard at nontraditional business opportunities. Contracting with both hospitals and ASCs represents one such approach for anesthesia groups. If you’re interested in exploring this and other business possibilities but don’t know where to start, Change Healthcare can help. Our team of expert anesthesia practice-management consultants have an average of 18 years’ experience in the specialty. We can be engaged on a per-project basis or we can provide our consultant services as part of our turnkey anesthesia-billing solution. Our anesthesia revenue cycle management services can be deployed either on our own proprietary anesthesia-billing platform or on your hospital billing system. Either way, we’ll provide seamless, end-to-end service.

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Spotlight

Healthcare Improvement Scotland

We believe that every person in Scotland should receive the best healthcare possible every time you come into contact with your health service. We are the national healthcare improvement organisation for Scotland and part of NHSScotland. We work with staff who provide care in hospitals, GP practices, clinics, NHS boards and with patients, carers, communities and the public.

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