Technology solutions for healthcare professionals Dr Rob Pearlman rob@medapps.com.au
What MedApps does Mission How Help every health professional feel Productivity solutions that solve capable, confident and efficient in the low hanging fruit of hospital their work. inefficiencies
My Problem • Junior Doctors are secretaries • Job complicated by constant movement (5x year) • Different policies, procedures and protocols for each site • How to order tests • Who to call • Where to go • Staff Orientation often poorly done • Costs 7000*5*1400 = $49,000,000 per year
Broader problem • Social • 1 in 4 Doctors have considered suicide • 1 in 10 in the last 12 months • Doctors under 30 are 12x more likely to be experiencing severe psychological stress • Healthcare spending now at 10% GDP in Australia • Productivity growth in Healthcare = 0% from 2000 – 2018 • Health is only sector of economy not to experience productivity increases from IT! • Ageing population = we must become more efficient
Guiding Principles! • Progress, not perfect! • Perfect is the enemy of good! • Pareto Principle: 80:20 • Supports continuous delivery • Implementations (1 month from go to woah) • Design • Development
Solution – Resident Guide • Modern Hospital Handbook • Each minute in Resident Guide saves 5 minutes of clinician’s time • Went live in Jan 2015 • $4m in efficiencies delivered 2015-2017
Guiding Principles! • Progress, not perfect! • Perfect is the enemy of good! • Pareto Principle: 80:20 • Supports continuous delivery • Implementations (1 month from go to woah) • Design • Development
The first 2 years • Orientation guides • ROVER and Rotation Information • Hospital-specific policies and procedures • Imaging & consult guidelines • Rostering information • Phone directory
Lessons • Important Problems aren’t always sexy • Small shifts in behaviour can have big effects • ‘After moving to Melbourne to start my new position I realised how lucky I was on the Central Coast. I had no easy-access information for my role and the 120 page unit handbook stayed in PDF buried in my inbox. It took me 3 months to learn the ropes of the place ’ - Trauma Registrar at a Tertiary Hospital in Melbourne • If you solve a problem well enough, you can convince services to pay for it
2017 – Team formation • Stronger governance at implementation • Enhancements • Notifications • Better metrics • Stronger security model
Lessons • Building a team is difficult! • Being sustainable is also difficult • Enterprise pricing requires an enterprise product • Our users are our biggest advocates • Reinforces the necessity of closely coupling design, development, feedback • Design Thinking • An excellent method for maintaining the coupling between users, utility, design, development
Refreshed Platform - today
Improving the working lives of clinicians: 3 pillars Orientation and Onboarding Rapid and personalized onboarding and delivery of resources to training and locum staff before they arrive. Helping clinicians be job ready on day one. Engagement and Change Management Wellbeing Direct access, two-way communication Who is caring for our carers? Resident and wiki-like functions make engaging Guide provides access to information with clinicians smoother than ever. resources and services that support our doctors when times are tough personally or professionally.
Progress: 2016 - 2018 JAN 1 – DEC 31 2016 JAN 1 – DEC 31 2017 JAN 1 – JULY 31 2018 4 - 6 sites 15 sites 16-21+ sites 592 1,298 2,500 Registered Registered Registered Users Users Users 37,118 138,502 162,145 Screen Views Screen Views Screen Views 6,669 22,464 28,253 Sessions Sessions Sessions 362 1,360 1,600 Hours in-app Hours in-app Hours in-app
Engagement from sites Strong engagement throughout training cohorts Sites No. Interns Registered Users Adoption Central Coast LHD 2 65 280 430% St George Network 2 77 410 532% Wagga & Orange 2 20 103 515% Hunter New England LHD 8 125 548 434% Toowoomba 1 39 126 323% Northern NSW LHD 1 14 76 542%
Takeaway thoughts • The growing tech health ecosystem is a virtuous cycle • CancerAid, MedTasker, Lysn, Perx • There are untold problems in healthcare waiting for the right solution! • Clinicians must be part of these solutions • It’s a really exciting time to be part of the ecosystem!
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