4 ms·

The iPad will see you now: drchrono EHR on the iPad

52 points by Skeletor 16y ago

zaatar 16y ago
Is there an iOS application for patients? It would be awesome for me to walk into my doctor's office and be able to pull up an app. to have a data-driven discussion ...
- Cushman 16y ago
  That could be huge. When you have a conversation with your doctor about anything, they're dropping a ton of information on you, usually just in summary. If they could give you access to complete information in real time, it could save a lot of time, while also increasing accuracy later. Think of it as a curated WebMD or such, where you only see information your physician has marked as relevant to your particular diagnosis.
- ben1040 16y ago
  My internist's hospital group uses Epic, and while I'm sure it cost a pretty penny to license the feature, you can download an iOS app to view your test results, request appointments, send a secure message to the doc, etc. I could really see a downmarket version of this as valuable for the type of physician who isn't associated with a huge hospital group and can't afford and doesn't need anything like what you'd get from Epic, Cerner, or the like.
aksbhat 16y ago
Cant you use it on Xoom considering it has a Web interface.
logjam 16y ago
Before even experimenting with this for patient data, I'd be interested in answers to at least the following basic questions: - what logging and auditing is in place for telling a physician (who is ultimately responsible to his/her patients for their data) who accessed and/or changed data? - are routine logs provided to users? - how are backups done, and where do backups of data live? - who, if anyone, at "drchrono" and/or any server farms used has access to my patient's data and/or backups? - what is the retention policy for data? How do I get rid of data if needed (drilled all the way down through backups)? - regardless of any verbiage about "never sharing data with a third party", what policy does "drchrono" have around dealing with subpoenas for patient information? - what special precautions, if any, are in place for additional privacy around mental health and drug dependence issues? The mashable advertisement indicates "All the data storage is HIPAA-compliant, as well." Is it? I'm a little confused by the following (difficult to parse) fragment on the website: "The environment at drchrono currently encompasses the highest level of security as well as the Health Insurance Portability and Accountability Act of 1996 (HIPAA) security tenets that of the proposed regulations." Perhaps someone from drchrono could let a potential user know if they actually claim "HIPAA compliance", and if so, reassure the user with details of how "compliance" was determined (ie via audit? - and who exactly is the "team of security experts" advertised?) Less marketing-speak, more facts would be helpful.
- Skeletor 16y ago
  I'd love to talk with you offline about drchrono to go through all of your issues in detail. You can email support@drchrono.com to get a 1-1 conversation. For security and data issues the government Meaningful Use guidelines have very specific security and encryption standards we follow and are getting certified by a 3rd party government approved lab. drchrono is a professional service for doctors and we only generate revenue by having doctors pay us for premium services (e-prescribing, medical billing, clinical realtime speech to text.) So we never sell any data (even anonymized data) to any 3rd party like some other companies do.
  - aaronblohowiak 16y ago
    Why only 1-1 ? All of these questions seem reasonable and should be answered in your public materials.
    - Skeletor 16y ago
      All of these questions are answered in our privacy policy public pages. I could just tell people to RTFM, but doctors and potential customers often appreciate conversations that can address their specific concerns.
      - aaronblohowiak 16y ago
        Oh, great! Mentioning that they are in TFM while inviting a conversation would have been useful for us on-lookers. In general, I think that responding to a public request for information with an invitation to communicate privately raises concerns unless it also includes notice that the information is already available publicly (or soon will be made so.)
  - aksbhat 16y ago
    Do you imply that services that sell anonymyzed patient data are unprofessional? Medicine has progressed because of sharing of information, and I dont see any harm in anonymyzed information being shared, as long as its a fair and open market.
ramynassar 16y ago
Are there other platforms that this will work on? Also can you elaborate a little on HIPPA compliance measures that are being taken?
comex 16y ago
The app's UI really needs some work-- lots of rounded rect buttons and text fields (i.e. lazy use of Interface Builder), bad alignment, all caps text, nonstandard icons and labels, UITabBar on the top rather than the bottom, etc. This may seem trivial-- it has all the features, even if the corners are rough-- but having a good UI makes a big difference to the experience.
- hongover 16y ago
  The UI has already been completely redesigned. The new version of the Drchrono EHR will be out within a week and it will look nothing like what you see now.
squidsoup 16y ago
One fairly significant problem I see with an EHR running in iOS is that, unless I'm mistaken, the sandboxing effectively makes it impossible for 3rd party developers to extract patient data from the EHR. This limits the potential for additional services like realtime clinical decision support.
- Skeletor 16y ago
  drchrono runs on the iPad and on the cloud backend of drchrono.com. So drchrono can and does integrate with other vendors and systems to share data and take actions. For instance we transmit billing data to insurance companies and order electronic prescriptions over the Surescripts network.

52 points by Skeletor 16y ago

Is there an iOS application for patients? It would be awesome for me to walk into my doctor's office and be able to pull up an app. to have a data-driven discussion ...

Cushman 16y ago
That could be huge. When you have a conversation with your doctor about anything, they're dropping a ton of information on you, usually just in summary. If they could give you access to complete information in real time, it could save a lot of time, while also increasing accuracy later. Think of it as a curated WebMD or such, where you only see information your physician has marked as relevant to your particular diagnosis.
ben1040 16y ago
My internist's hospital group uses Epic, and while I'm sure it cost a pretty penny to license the feature, you can download an iOS app to view your test results, request appointments, send a secure message to the doc, etc. I could really see a downmarket version of this as valuable for the type of physician who isn't associated with a huge hospital group and can't afford and doesn't need anything like what you'd get from Epic, Cerner, or the like.

aksbhat 16y ago

Cant you use it on Xoom considering it has a Web interface.

logjam 16y ago

Before even experimenting with this for patient data, I'd be interested in answers to at least the following basic questions: - what logging and auditing is in place for telling a physician (who is ultimately responsible to his/her patients for their data) who accessed and/or changed data? - are routine logs provided to users? - how are backups done, and where do backups of data live? - who, if anyone, at "drchrono" and/or any server farms used has access to my patient's data and/or backups? - what is the retention policy for data? How do I get rid of data if needed (drilled all the way down through backups)? - regardless of any verbiage about "never sharing data with a third party", what policy does "drchrono" have around dealing with subpoenas for patient information? - what special precautions, if any, are in place for additional privacy around mental health and drug dependence issues? The mashable advertisement indicates "All the data storage is HIPAA-compliant, as well." Is it? I'm a little confused by the following (difficult to parse) fragment on the website: "The environment at drchrono currently encompasses the highest level of security as well as the Health Insurance Portability and Accountability Act of 1996 (HIPAA) security tenets that of the proposed regulations." Perhaps someone from drchrono could let a potential user know if they actually claim "HIPAA compliance", and if so, reassure the user with details of how "compliance" was determined (ie via audit? - and who exactly is the "team of security experts" advertised?) Less marketing-speak, more facts would be helpful.

Skeletor 16y ago
I'd love to talk with you offline about drchrono to go through all of your issues in detail. You can email support@drchrono.com to get a 1-1 conversation. For security and data issues the government Meaningful Use guidelines have very specific security and encryption standards we follow and are getting certified by a 3rd party government approved lab. drchrono is a professional service for doctors and we only generate revenue by having doctors pay us for premium services (e-prescribing, medical billing, clinical realtime speech to text.) So we never sell any data (even anonymized data) to any 3rd party like some other companies do.
- aaronblohowiak 16y ago
  Why only 1-1 ? All of these questions seem reasonable and should be answered in your public materials.
  - Skeletor 16y ago
    All of these questions are answered in our privacy policy public pages. I could just tell people to RTFM, but doctors and potential customers often appreciate conversations that can address their specific concerns.
    - aaronblohowiak 16y ago
      Oh, great! Mentioning that they are in TFM while inviting a conversation would have been useful for us on-lookers. In general, I think that responding to a public request for information with an invitation to communicate privately raises concerns unless it also includes notice that the information is already available publicly (or soon will be made so.)
- aksbhat 16y ago
  Do you imply that services that sell anonymyzed patient data are unprofessional? Medicine has progressed because of sharing of information, and I dont see any harm in anonymyzed information being shared, as long as its a fair and open market.

ramynassar 16y ago

Are there other platforms that this will work on? Also can you elaborate a little on HIPPA compliance measures that are being taken?

comex 16y ago

The app's UI really needs some work-- lots of rounded rect buttons and text fields (i.e. lazy use of Interface Builder), bad alignment, all caps text, nonstandard icons and labels, UITabBar on the top rather than the bottom, etc. This may seem trivial-- it has all the features, even if the corners are rough-- but having a good UI makes a big difference to the experience.

hongover 16y ago
The UI has already been completely redesigned. The new version of the Drchrono EHR will be out within a week and it will look nothing like what you see now.

squidsoup 16y ago

One fairly significant problem I see with an EHR running in iOS is that, unless I'm mistaken, the sandboxing effectively makes it impossible for 3rd party developers to extract patient data from the EHR. This limits the potential for additional services like realtime clinical decision support.

Skeletor 16y ago
drchrono runs on the iPad and on the cloud backend of drchrono.com. So drchrono can and does integrate with other vendors and systems to share data and take actions. For instance we transmit billing data to insurance companies and order electronic prescriptions over the Surescripts network.