Monthly Archives: December 2011

EHRs need to ‘grow up’

The following paragraph is taken directly from the above article.

“Due to the new intricacies of organizational connections between different providers, standardization of workflows on existing EHRs won’t really be possible,” Shah says. “Most EHRs are not up to the task of handling the complexities of newly shared accountability and what I call ‘patient team’ business models, so we need EHRs to become more social, more collaborative, and far more integrated than they are now, EHRs need to grow up from the adolescence of basic electronic typewriters and chart storage systems to mature real-time care coordination and collaboration platforms.”

IMHO, very soon the line between EHRS & PHR will blur. If ‘Patient Team’ business model is to be believed, patient is mainly responsible for putting together that team. Patient will select primary care physician and specialists. In fact this is what happens today in real life. Patient will enquire and do research before selecting a given physician.

In our software, when patient logs into patient portal (PHR), he/she can search for physicians and select them to be their care givers. I know, it is not as simple as that. At this point we are trying to emulate the pattern which happens in real life. I will write more about this topic when time permits.

Before I sign off, let me mention the following in the context of cancer treatment:

The ‘patient team’ is becoming important in the context of cancer treatment. If you are following all the developments related to oncology medical homes, you will understand why. In our software we are utilizing this team concept so that patient can easily and effectively communicate with the team. While doing so leave the clear trail of this communication. This trail of communication is important as billing aspects come into play. I must admit, it is not clear to me yet.






Mobile solutions are transforming our lives in an unprecedented manner. Old and young people are embracing smart phones and mobile solutions. Palisha ( has one of the world’s advanced chemo management and administration software. The only other company (which we know of) which offers advanced chemo administration related solutions is INTRINSIQ ( It was recently acquired by AmerisourceBergen for $35M.

We are bringing the power of our cancer treatment solution to mobile devices also.


We have provider and patient versions of our mobile solutions. Also, our solutions utilize social networking aspects in a very creative manner. The above screen shot taken from our solution shows how one of your loved ones is keeping a tab on your cancer treatment. In this particular scenario, user is logged into patient application.

If you are interested in our company and/or solutions, please contact me at

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I still remember this incident which took place in my life. I was in my first year of engineering. My appendicitis had to be removed. After my surgery ‘something’ happened and I lost control of my right hand for almost two years. It was attributed to some nerve damage. I would not have managed it without my family’s support and help.

Coming to back to cancer, knowing the fact you are diagnosed with cancer itself can be very difficult. In this situation you definitely need to build a team of family and friends who can provide physical and physiological support.

This pattern of family members helping during these kind of situations occurs in our lives everyday. Yet, most of the healthcare software we see today offer little help in making this happen. Our team at Palisha realized this pattern that repeats in our lives every day. We did incorporate this social aspects in our software.


Cancer patient can add their friends and family members. The above screen shot is taken from our software. This feature in our software is not just about showing pretty pictures. Once patient adds these individuals, they can look at your records. They will have an opportunity to help you to follow the regimen. We offer this functionality on mobile devices also. This helps to make sure that your loved ones make it to chemo appointments and/or taking oral medications.


If you already do not know what I mean by ‘Mango’ here, it is the code name for Microsoft’s latest mobile platform ‘windows phone 7.x’. We develop applications for both Apple (iOS) and Mango (Windows Phone 7.x). I wish Microsoft released this platform couple of years ago. Microsoft provides unprecedented power to mobile developers with their platform.

It takes very good developers to put out stunning iPhone (iOS) applications. With all the nice things available in Mango (especially Silverlight), even average developers can produce cool applications in fraction of the time it takes on iOS. With iOS, you cannot make applications look cool without involving decent designers. Where as Silverlight on Mango, provides so many options to visualize your information.

Until very recently most of the windows applications were written using Visual Basic, not because it was one of the great languages, but there were millions of Visual Basic programmers. History might repeat again on their mobile platform. There are millions of .NET developers. They do NOT have to learn anything new to start cranking out Mobile applications on Mango. Where as iOS needs to have MAC machine, Knowledge of XCODE (Objective C). Many people find that to be a steep learning curve.

Just like Apple closed their hardware architecture and let Bill Gates beat them with Open (Intel) hardware architecture in the PC market, Mango might help them comeback in the Mobile Market.

CONCLUSION: Mango is delicious!