Whether a healthcare organization is attesting to Stage 1 or Stage 2 of meaningful use this year, the process may not be entirely intuitive for physicians and other clinicians responsible for documenting patient care. At Massachusetts General Hospital (MGH),physicians have a little bit of help from the hospital’s Queriable Patient Information Dossier (QPID), a clinical analytics engine developed at the hospital that provides actionable insights drawn from patient information stored in EHRs and data repositories, making meaningful use attestation just a little bit easier for harried clinicians.
“You can imagine that with all the components of meaningful use that our physicians are responsible for, they are begging the hospital leadership to help them get the data that they need to put into the chart and do it in a way that doesn’t require them to take their energies away from seeing the patient,” says Dr. David Ting, Associate Medical Director for Information Systems at the MGH Physicians Organization.
EMR & EHR, August 21, 2014
Guest blog post, Mike Zalis, MD
Remember the “World Wide Web” before search engines? Less than two decades ago, you had to know exactly what you were looking for and where it was located in order to access information. There was no Google—no search engine that would find the needle in the haystack for you. Curated directories of URLs were a start, but very quickly failed to keep up with the explosion in growth of the Web. Now our expectation is that we will be led down the path of discovery by simply entering what’s on our mind into a search box. Ill-formed, half-baked questions quickly crystalize into a line of intelligent inquiry. Technology assists us by bringing the experience of others right to our screens.
Like the Internet, EHRs are a much-needed Web of information whose time has come. For a long time, experts preached the need to migrate from a paper-based documentation systems – aka old school charts—to electronic records. Hats off to the innovators and the federal government who’ve made this migration a reality. We’ve officially arrived: the age of electronic records is here. A recent report in Health Affairs showed that 58.9% of hospital have now adopted either a basic or comprehensive EHR—this is a four-fold increase since 2010 and the number of adoptions is still growing. So, EHRs are here to stay. Now, we’re now left to answer the question of what’s next? How can we make this data usable in a timely, efficient way?
Mike Zalis, QPID Health’s co-founder and chief medical officer, was asked to contribute a guest blog post on the broad theme of “Digital Health” in the EMR & EHR online forum. The forum covers issues related to EHR selection, implementation and Meaningful Use. According to Dr. Zalis:
To me, Digital Health means making every clinician the smartest in the room. It’s filtering the right information—organized fluidly according to the clinical concepts and complex guidelines that organize best practice—to empower clinicians to best serve our patients. Further, when Digital Health matures, the technology won’t make us think less—it allows us to think more, by thinking alongside us. For the foreseeable future, human experience, intuition and judgment will remain pillars of excellent clinical practice. Digital tools that permit us to exercise those uniquely human capabilities more effectively and efficiently are key to delivering a financially sustainable, high quality care at scale.
Mike’s sentiment that technology can provide welcome support for clinicians is echoed by David Ting of Mass General Hospital (MGH). In an interview published in HealthITAnalytics, Dr. Ting described the roll-out of QPID-powered predictive analytics and decision support at MGH:
Initially, the leadership was very excited about this, but we were a little nervous about how our surgeons would respond. Would they think that now a robot is telling them what is appropriate to do? As it turns out the surgeons love it….
Surgeons, even the world-renowned surgeons, do not want to operate on a patient who’s going to die on the table. The last thing they want is to do harm to a patient or do something inappropriately….
It turns out that our surgeons are relieved that they have that kind of backup at their side, so rather than feeling insulted that the computer is kind of guiding their decisions, if anything, this is kind of the decision support that the surgeons are very, very interested in.
Massachusetts General Hospital (MGH) has a reputation as one of the top epicenters for healthcare in the nation, bolstered in no small part by its deeply integrated and robust clinical analytics programs. Spearheaded by MGH radiologist Dr. Michael Zalis and software architect Mitch Harris, PhD, the Queriable Patient Interface Dossier (QPID) began in 2007 as a way to pull pertinent information from the EHR, but quickly evolved into a fully-fledged clinical intelligence platform based on machine learning that provides predictive analytics, patient risk scores, and key data insights to make clinical decisions more efficient and effective.
Dr. David Ting, Associate Medical Director for Information Systems at the Massachusetts General Physicians Organization, sat down with HealthITAnalytics to explain how MGH leverages their vast pools of patient data through the QPID engine to deliver important details about patients at the point of care.
Company strengthens its leadership team with healthcare industry veteran
Boston – August 15, 2014 – QPID Health, the leader in clinical intelligence software that enables healthcare providers to get the most from their investment in electronic health records, HIEs or any data warehouse, today announced that David Burke has joined the company as Chief Financial Officer. Mr. Burke brings deep experience in healthcare, finance, operations, and corporate strategy and will play an influential role as QPID Health continues its rapid expansion in hospital, provider, and other healthcare markets.
Prior to joining QPID Health Mr. Burke served as Chief Operating Officer and CFO of GNS Healthcare, whose big data analytics platform empowers the development of targeted drugs and clinical interventions. While at GNS, Burke and his colleagues helped the firm raise $15 million in strategic equity, develop core operational and financial competencies, and expand into new products and markets. Previously Mr. Burke served as CFO of patient-reported-outcomes leader QualityMetric, where he helped the company enhance execution and accelerate growth leading to its successful acquisition by Ingenix (now OptumInsight). Earlier in his career Mr. Burke served as CFO or senior financial manager of companies serving medical device, product development, senior housing, technology, and other industries. Mr. Burke is a graduate of Harvard College and holds an MBA from Columbia University Graduate School of Business.
QPID addresses the data overload and lack of usability of EHRs, which make doctors, nurses and other clinicians less productive and can obscure critical patient health factors. QPID automatically extracts the essential patient narrative from structured and unstructured data scattered throughout the patient record. Pertinent patient data is packaged and delivered directly to clinicians, ensuring that decisions are made with the best available information. QPID Health raised $12.3m in Series B funding in May to meet the market demand for its solutions. QPID supported 5000 active clinical users in Q1 2014, up from 4000 at the end of 2013, its first year of commercial operation.
“David brings a wealth of executive skill, financial savvy and industry knowledge to this position,” said Mike Doyle, QPID Health Chief Executive Officer. “He has the acumen needed to understand the challenges of healthcare providers who are dealing with changes in the economics of healthcare as well as government mandates, and how information technology like QPID can help address those issues. David supports our mission to drive more efficient and improved care, which is the foundation of our corporate culture and goals.”
“I’m very pleased to be joining QPID Health as CFO,” says Mr. Burke. “The size and sophistication of the global EHR market is exploding and hospitals, health systems and clinicians are under mounting pressure to deliver informed, effective care to their patients. QPID’s proven technology revolutionizes the rapid discovery and visualization of rich, actionable clinical insights to support efficient healthcare delivery and improved patient outcomes.”
About QPID Health
QPID Health’s clinical intelligence software automatically delivers relevant patient information from electronic health records and other data sources into clinical and administrative workflows. With QPID, clinicians are more productive, patients benefit from decisions based on their complete health information, and hospitals gain cost efficiencies. The QPID solution was developed at Massachusetts General Hospital and usage spread virally throughout the Partners HealthCare system and its 9 hospitals. QPID Health launched in late 2012 to bring the power of QPID to health systems nationwide. Investors include Matrix Partners, Cardinal Partners, New Leaf Venture Partners, Massachusetts General Physicians Organization and Partners Innovation Fund. Visit www.dev.qpidhealth.com for more information.