Category Archives: Cancer

PATIENT PORTAL–PHARMACY SELECTION

You can empower  patient to do certain things. This helps us to keep information accurate and lesson the burden on medical practices. One such piece of information which can be tracked by patient is their pharmacy. We provide a user friendly way to pick their pharmacy.

 

In our patient portal, patients can search for pharmacies based on city,state and zip. They just click on the markers on the map to select a given pharmacy.

 

pharmacies on map

More information about cancer platform is available at www.piiker.com

AGENT (DRUG) BILLING INFORMATION MANAGEMENT

Agent (drug) billing is reasonably complex. When you administer drugs to patient, your have to submit a claim. This claim should have appropriate HCPCS code information.

If you have a system which provides all this information, you can have a more efficient billing process. Our oncology content management system covers both clinical and financial aspects.

 

The following screen shot shows how you manage agent information in our oncology content management system.

agent list

 

Every drug has different billing unit formation and determines what HCPCS code should be reported in your claim. If you have this information easily accessible. The following screen shot shows how you can capture detailed billing information and used in your billing process. Note that, Aloxi billing information is taken from internet for demonstration purposes only.

In addition to this description information, our system helps to manage the mapping of appropriate HCPCS code to help creating a very powerful super bills. This super bill will cover drugs and associated CPT codes used for chemotherapy administration.

aloxi agent billing information

 

With a powerful content management systems like ours, you can accomplish many things more efficiently.

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CANER PATIENT–SIDE EFFECTS

Cancer patients under chemotherapy and radiotherapy experience many side effects. How does your software (EMR and Patient Portal) helps the providers and patients to capture side effect and its grade.

There are many ways by which you can enhance the UX (user experience). What I like about our side effect capturing piece is how we show grade information. Severity of all the side effects is graded using a number 1 through 5. If you just show a number, it means very little to the end user. Also, these grades mean different things based on what kind of side effect we are talking about.

patient-side-effect

 

Why did we go to this extent?

Patient engagement and patient navigation is very important in the cancer world. If you let patients record this information (via oncology specific patient portal), you can take appropriate actions based on the grade. It is important to guide the patient to select an appropriate grade. This helps the navigation team to act accordingly.

Every bit of extra attention you pay while building software helps. In this particular case, just by helping patients to select an appropriate grade, you can take timely action (if needed) so that patient does not end up going to ER.

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CHEMOTHERAPY SCHEDULING IN EMR

 

The topic of patient scheduling in EMR is anything but new. However, patient scheduling in oncology specific EMR software needs some special considerations. When patient cannot make it for a given CxDx, should we consider shifting rest of the CnDn?

 

The following imaginary patient “Jane Doe” is on ACT regimen and her chemotherapy treatments are scheduled as follows.

chemo-schedule

If she cannot make it for C1D2 on scheduled date, there must be a easy option to shift rest of the treatment schedule accordingly. I was not sure what needs to be done. Finally decided to provide the option of automatic shifting of treatment days in our EMR software.

From what I understand, it is important to keep track of planned chemo admin date and actual administered date. Adherence to the planned dates has an impact on the efficacy of the chemotherapy treatment.

Cancer treatment workflow differs from other specialties in many ways. It needs a oncology specific solution. Scheduling is just one of those special cases.

CANCER STAGE AND POINT OF CARE

All this clinical information has been there forever. But, very few tools have made it available to the clinician at the point of care in a easy and friendly fashion.

Process and evidence based approach helps in providing best and consistent care.

 

As we all know, every cancer has different stages. Treatment options differ based on the stage of cancer. One of the decisions by the clinicians at the point of care involves what kind of workups are needed. Some clinicians may remember all these things in their head. But, having a process and evidence based approach helps in providing  best and consistent care. As you can see from the following screen shots, a given practice can easily establish their process of what workups are recommended for a given cancer/stage. Our platform (content management and decision support tools) has a wonderful way of accomplishing these goals.

Every cancer type has its own definitions for TNM. It is hard for clinicians to remember all that. Our tools provide that information in a most user friendly manner.

stage-group TNM at point of care

 

When a clinician has to make a decision on workups, just by a click of button you can access this information.

stage-group workups at point of care

 

Our goal is to produce one of the best oncology platform to help everyone involved.

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REGIMEN SELECTION AT THE POINT OF CARE

When oncologists have to pick a suitable regimen at the point of care, it is important to have access to as much information as possible. There are three major solutions (including our ‘Pandith’ in Piiker platform) in the oncology industry. Eviti and Clear Value Plus (McKesson) are the other two solutions.

 

Clear Value Plus

This is a product offered by McKesson. You can find more information about this product at McKesson’s Clear Value Plus

Eviti

Eviti is now part of NantHealth. This tool helps physicians to pick a suitable regimen at the point of care. More information about this product can be found here.

Pandith (Piiker Cancer Platform)

This is a new kid in the block. This is part of our Piiker platform. This software aims to provide unprecedented information while making the regimen selection at the point of care. You can search for regimens based on various clinical criteria.

Pandith-1

Just by expanding a row (by clicking the gray arrow), provider will have access to very useful clinical information which will aid in the decision making process. In this screen shot, you can see that all the side effects caused by this regimen are easily available to the provider. Beauty of the solution is how information is made available in a most user friendly manner.

pandith-2

You can search for regimens based on various clinical aspects. The following screen shot shows a scenario where you can drill down to ICD codes of a given cancer type (in this case, user has selected breast cancer)

pandith-icd-search

 

Comparing regimens side by side. The following screen shot will demonstrate the kind of user experience we are providing while working with such a complex set of information. In this screen shot you can see that, provider has selected two regimens and wants to compare various details of the regimen.

pandith-checkbox selection

 

pandith - compare

Our solution has many advantages. It is nicely integrated with pieces of the puzzle to provide a complete solution while not compromising the UX (user experience).

Our goal is to provide the best possible tools help providers and patients in the cancer treatment process. As you can tell from these screen shots, we pay attention to every small details to make that difference.

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CANCER, PIIKER & TELEMEDICINE

Telemedicine value proposition in undeniable. We wanted to take advantage of this technology to help everyone involved in the cancer care. Our Piiker cancer platform supports telemedicine from ground up. While making appointments, there is an option to specify weather you want a face-to-face or telemedicine session.

There are many reasons why sometimes cancer patients cannot make it to physician’s office. Even if they do, there is lot of pain, inconvenience and cost involved. I thought, telemedicine in this scenario is very useful for everyone involved. In this blog I will briefly describe how our platform supports telemedicine from ground up.

Patient has to communicate with various treatment team members.

Drawing1

In our oncology specific EMR, we have option to start the telemedicine session (if that appointment was setup to be a remote session). The following screen shot shows how that interface looks in our EMR. Appropriate resource from the provider’s office will start the telemedicine session.

start teleconference

Patient can login into our oncology specific patient portal from their location and join this telemedicine session. The following screen shot shows how it is done in our patient portal. In this particular scenario, patient ‘Jane Doe’ is signed into her patient portal. She can look at list of her appointments and has an option to join the telemedicine session.

Join teleconference

As I mentioned in my earlier blogs, we have the concept of creating virtual office for counselors and nutritionists in our platform. Even counselors and nutritionists can interact with patients remotely using our telemedicine support in our platform.

The following screen shot shows scheduling feature with in counselor’s virtual office. You can see that, there is an option to setup either a face-to-face or telemedicine sessions.

counselling appt 01

 

Piiker platform offers everything you need in the cancer treatment process in one place. Every piece of the puzzle is nicely integrated to provide best experience and value. We want to make a very positive impact in the world of cancer treatment.

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Cancer, Patient portal & Counseling

Counseling plays an important role in cancer patient’s treatment process. We wanted to provide an option for patients to look for counselors through their patient portal. Also, providers can refer to patients to counselors through our oncology specific EMR.

When bundled payments become the norm, the integrated solutions (like our Piiker) will bring a distinct advantage.

 

When I mention, ‘comprehensive’ cancer solution, I really mean it. My vision is to include everything that is important for cancer patients and providers (counselors and nutritionists are also part of this) in this platform. It is easier said than done. As you can see from my blogs here and at Piiker, we have tackled this in a most elegant fashion. Even though we could have created a cockpit like interface (with lot of buttons, dials and what not), we have kept user experience clean and simple.

Counselors can setup their virtual office in our platform. They can manage their employees,calendars and other related information in this virtual office.  Their notes will directly gets captured in this system and available to all the providers who are in charge of managing this patient. Patient-counselor scheduling activities takes place with in our platform. Same list of counselors is available in our EMR. Providers can easily refer patients to one of them using a friendly interface within the EMR.  I will write more on this virtual office later. It deserves its own blog post.

When patients login to this oncology specific patient portal, there is an option for them to search for counselors in couple of different ways. The following screen shots shows our interface in patient portal. In this case, patient wants to look at their location on a map.

 

counselling-01

 

Patient can zoom in to look at the street level information like this

counselling-02

When users click on those markers on the map, they can see more details about this particular counseling organization. The displayed information includes their contact information, what kind of services they offer etc..

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CAD/CAM AND OUR REGIMEN DESIGNER

 

Logic will get you from A to B. Imagination will take you everywhere.

Albert Einstein

 

Back in the early 1980’s, if you did any “design” or “drafting” work, you were most likely working on a physical drawing board and tracing your ideas out on Vellum, Paper, or Mylar sheets using various kinds of mechanical pencil materials or maybe a Rapidograph ink applicator.  Maybe you used templates and lettering guides, or shape tracers or flexible curves.In the mid-1980’s came the first real significant influx of computerized design technologies.They were collectively termed “CAD” for Computer Aided Design.  If they were connected to manufacturing machinery, they were called “CAD/CAM” for CAD + “Computer Aided Manufacturing”. They were magical for their time. These technologies changed the landscape of designing and manufacturing.

Let us talk about oncology. Cancer is one of the major diseases of our times. Regimen used to treat this disease are very complex in nature. For some unknown reasons, there is no easy way to “design” a chemotherapy regimen (protocol). Four years ago, I told myself, “this has to change”. Here we are, after four years (so many ups and downs) we have one of the world’s finest regimen designer. We want to make a difference in the world of cancer treatment. We want to provide better tools to fight this disease.

What started as a small creative imagination four years ago is becoming a reality.

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FOUR LONG YEARS TO BETA….

“I’m convinced that about half of what separates successful entrepreneurs from the non-successful ones is pure perseverance.” – Steve Jobs

 

I was working for a fortune 25 company, had a decent position/responsibilities. It was closer to home. More than four years ago, decided to quit to pursue a product idea. Idea was to create a very comprehensive cancer solution. It was very clear in my head, I wanted this solution to cover “Design to Delivery”. I wanted to start from “regimen design” and provide everything needed to “deliver chemotherapy”. Also, more than 50% of the cancer cases involves combination therapies. Most of the existing tools treat chemo, radiation and surgery as three different silos.

I executed the plan very well & fairly quickly. Demonstrated the solution to few players in the industry. Everybody who looked at liked the idea/product but nothing happened. I had many excuses to simply abandon the idea and take up a fulltime position somewhere. But, I strongly believed in the vision and what this product could do in the cancer treatment process.

After more than four long years, I am seeing some light at the end of the tunnel. One of the well know oncologists has seen the value in this vision/product. We have identified few clearly defined use cases.

It was not an easy journey. Perseverance is a virtue. Tried so many things in between, but never took my eye off the final target.This product WILL go into beta soon. I want to make an impact in the cancer treatment space and I am not too far from it….