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In this episode of This Week in Health Tech, Vik and Jimmy welcome guest speaker Nikolas Badminton (www.nikolasbadminton.com) to talk about future of healthcare tech. Nik is a world-renowned futurist, researcher, and media celebrity. He leads the team Exponential Minds, an expert advisory firm that helps organizations, trillion-dollar companies, progressive governments, and Hollywood shift their mindset from “what is” to “WHAT IF...” The result is empowered employees, new innovative products and incredible growth that leads to more revenues and a more resilient future. He has worked with amazing clients, including United Nations, NASA, UK Home Office, Government of Canada, United Way, Google, Microsoft, Rolls Royce, DISCOVER, HSBC, Heineken, Procter & Gamble, AT&T, Young Professionals Organization (YPO), Ellen MacArthur Foundation, IDEO, Singularity University, and hundreds more.
In this episode, we talk about the future of healthcare tech including open data access, patient monitoring, EHR records, informed decisions, robotic surgery, and more. It is also interesting when Nik and Vik disagree on couple items on patients will be monitored in future.

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Vik and Jimmy focus on digital health and end-to-end monitoring of applications in this episode of This Week in Health Tech.
Vik talks about strategy for digital transformation: managing digital apps, integrating digital apps, and supporting digital apps on an ongoing basis.
Vik also mentions that healthcare organizations have requested not only automated monitoring but also 24/7 support to go along with the monitoring subscription. Jimmy inquires about the 24/7 support and if it is actually supported by human support staff. Vik confirms that support is actual trained application and integration support team. But the support team is kept updated proactively about any issues using automated end-to-end monitoring.
The automated monitoring is not true AI, but it is still using algorithms that are tweaked constantly by the monitoring team to enhance the solution and trigger notifications for issues without relying on users.
Jimmy asks what would stop an organization from getting this end to end monitoring solution? Is it budget, processes, etc? Vik answers that all CIOs he has discussed this solution agree that it would really help the organization and keep IT helpdesk informed of issues proactively. But the main obstacle from purchasing this is budget and justifying such a new solution versus the more traditional projects that are on the books. Even though it is quite evident that the solution has huge ROI benefits by not relying on clinical professionals having to deal w/ issues. However most organization do not keep track of how much time clinicians spend on dealing w/ issues, so the actual calculation of ROI is based on estimates. This is where it becomes a bit of a struggle for CIOs to justify purchasing this solution to the healthcare CFO.
Again, healthcare will adopt automated applications monitoring just like security and infrastructure monitoring, but it may take some time as it always done in healthcare.
Linkedin: Vik Patel
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Twitter: @TWIHT1
Tido Inc.: https://www.tidoinc.com/
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The Trusted Tech Partner for Healthcare. We use technology to deliver better outcomes.
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In this episode of This Week in Health Tech, Vik and Jimmy discuss healthcare systems monitoring and integration.
In today's healthcare, we are still dependant on users to identify and report system issues. This is a big patient safety issue.
Vik explains the issue in detail using an example. Patient arrives in emergency department, and based on the patient state, physician orders few different tests. In this case, physician orders lab, cardiology, and radiology tests. Lab and Cardio tests are processed successfully, and are visible to the users in those respective departments. PACS system however is experiencing some issue, and even though the order messages were received successfully through the interface, the orders still did not show up in the PACS system. So after close to an hour, the emergency department calls up radiology to find out the status of the tests and when the procedure will be done. This is when PACS admin or user realizes that there might be an issue and they will contact IT department or open a task using online task reporting system. This is when the IT help desk contact integration analyst to look into the issue, but this example show the reliance on manual intervention to find system issues is very risky and could lead to adverse patient events.
This is where end to end systems monitoring comes into place. If the health system did have end to end systems monitoring in place, the active monitoring would have detected the exact location of the fault and cut down time to find and diagnose system issues. Plus it prevents reliance on users to report issue.
With digital transformation number of systems and applications will continue to increase, and CIOs-CMIOS should really consider active monitoring to improve patient safety and prevent unscheduled downtimes. It is about being active instead of being reactive when dealing w/ system issues.
Also, with Tido's Systems end to end monitoring, it does not stop at flagging and diagnosing the issue, but there is also well defined notifications mechanism to alert the appropriate staff members of a system issue.
Jimmy asks the question, why health systems have not considered this until now? Vik explains that EHR and more electronic systems have been implemented everywhere only in the last 10-15 years. Plus applications have matured and reliance on electronic systems in health systems has increased and it will continue to increase. So it is the right timing now to implement active end to end systems monitoring.
Vik then explains the end to end systems monitoring architecture and software: how it works with interface engine and EHR and downstream systems.
There is also significant ROI from using automated end to end systems monitoring. All the time saved by staff members not spending their time dealing with system issues and instead of focusing on patient care is huge savings for a health system. Plus it improves patient outcomes.
Tido has a deal for 6 months free end to end systems monitoring for health systems. Claim this deal by visiting tidoinc.com: https://tidoinc.com/contact-tido-inc/ and include E2E in your message. Tido's solution uses Microsoft Azure cloud for end to end systems monitoring.
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In this episode of This Week in Health Tech we welcome our very own and close friend Wayne Che to talk about Health System and Mobile Apps - Management, Resources, Build vs Buy, Testing, Infrastructure, Security, Privacy, and more!
This episode aligns well with the new digital product offering of Tido Inc. for the management of mobile and web apps for health systems. Wayne Che works in multiple roles, primarily as CTO of Sowingo Inc., and has tons of experience with the implementation of mobile apps.
We get right into mobile development by starting the discussion on build vs buy.
Vik comments that health systems main focus is improving patient outcomes and it does not make sense to assemble a development team in-house. Wayne agrees that you gain speed of execution and plus allows you to focus on the primary job of using IT for providing better care of patients.
Jimmy asks what to look for in the development shop and Wayne thinks that you need to have a partner that understands requirements and helps to define requirements. Also, the shop should not only have development skills but it is also more important to have management skills to keep the app updated and continuously test to provide the best user experience.
Vik comments that Tido Inc. launched a new digital package to help health systems manage apps and includes custom development of apps. It also includes test automation and maintenance. Wayne indicates that testing and maintenance is a key component otherwise with iOS or android updates app may stop working.
Vik and Jimmy then dive into test automation and the importance of testing on actual real devices. This is where real device testing comes into play. Both Vik and Wayne recommend the selenium framework with real device cloud providers like Sauce Labs or BrowserStack.
Testing helps provide the best user experience and it is so crucial for patients who may be already going through a lot and a frustrating app experience just adds to negative patient satisfaction.
The group then discusses infrastructure for apps. There are many cloud providers and what is the best approach for health systems.
Wayne comments that cloud providers do several things well including staying compliant with HIPAA and PHIPA. Vik comments that using the cloud has another benefit which is to reduce traffic from mobile devices directly into the health system network.
The group then talks about using APIs for data sharing for mobile apps. Also with ONC's Cures Act, it is required that there are no more data silos, but most health systems should go beyond Cures Act for bidirectional data flow securely.
Wayne comments that this is where health systems should look into hiring the expertise for API development and management and ensure security.
Jimmy asks the question of why this urgency of APIs and mobile development now? Wayne and Vik respond that not only Cures Act but from providing the best user experience, health systems have to provide APIs and app support.
Group then talks about the hybrid approach for mobile app development where you have some expertise in-house, maybe a product owner or architect but use an outside development company.
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James Wellman, VP and CIO of Nathan Littauer Hospital & Nursing Home, and Vik Patel, COO of Tido, as they explore advancing data integration, operational efficiency, and patient care. Learn what happens when a healthcare IT partnership transcends traditional vendor relationships to become a true team extension, and discover how trust-based partnerships drive success in healthcare IT. Don't miss this engaging solution showcase.

This transcription is provided by artificial intelligence. We believe in technology but understand that even the smartest robots can sometimes get speech recognition wrong.

[: 00:00:00

Are you and your team attending VIVE or HIMSS and looking for next level efficiency? Book a meeting today and qualify for six months of our MIDR solution. Check the show notes in the description to access this limited offer

with our managed integration solution, not just waiting there for someone to assign it.

We actually know what's upcoming based on what we have already seen all the way from assessment and what new systems are being implemented.

Welcome to This Week Health. My name is Bill Russell. I'm a former CIO for a 16 hospital system and creator of This Week Health, where we are dedicated to transforming healthcare, one connection at a time.

Now, onto our interview

Vik Patel and James Wellman. [: 00:01:00

Vik Patel COO of Teedo Inc. Teedo is a comprehensive healthcare IT solution provider specializing in modernizing healthcare environments. Securing interface infrastructures and enabling real time data connectivity. We're here today to tell some amazing stories about the work you two have done. Welcome to the show.

Thanks Sarah. Great to be here.

Absolutely. I'm going to start with the obvious. And can you both share how your initial meeting at HIMSS sparked the idea for collaboration and what made you decide to explore the Teedo product suite together?

Well, you know, I can kind of start us out there. Vik reached out to me prior to HIMSS.

We connected through LinkedIn. And we started talking found we had some common things from our past

because he was explaining to [: 00:02:00

I was telling him what we needed. But we met in person at HIMSS with his team and kind of started forging a relationship there. So, it's about relationships. So that was a really important component for

Yeah, and that was exciting meeting in person and I say that because you know, I have been following James on LinkedIn for a while and

We've been talking through the messaging and and I was like, hey, let's meet finally last year.

And so that was nice like I said, we both went to University of Kentucky We both lived in Lexington, Kentucky for a long time and which by the way I mean this year in Vegas March Madness should be a lot more fun You know, Kentucky's doing really well for all the basketball fans out there.

Well, last time I checked, y'all were ranked 8th nationally, so I guess it's okay to say go Wildcats.

We have hope and hope, too. Love it.

nership began is rare today. [: 00:03:00

I

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