By Heather Stith
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The spread of COVID-19 forced everyone to reset their Summer 2020 expectations. I spoke with hc1’s five summer interns and Talent Acquisition Manager Keegan Jiles about the lessons they learned from this unusual internship season.

The biggest difference this year for the interns, and the rest of the hc1 staff, is that we all were (and still are) working from home instead of the office. Although the hc1 culture was evident in the banter during Google Meet department meetings and in Slack channel memes and photos, the usual in-office hc1 camaraderie was a casualty of COVID-19. Comparing last year’s experience to this year’s, returning intern Jake Baker missed things like hanging out working with others in the hc1 warehouse or talking about non-work stuff while grabbing lunch from food trucks in the office park. Product marketing intern Bonnie Bostic noted, “I wasn’t able to develop relationships with as many hc1 employees as I may have had the situation been normal.” 

TechPoint Xtern Daniel Knopf, who worked from his home in New York instead of living in downtown Indianapolis for the summer, said that although there were not many opportunities to make personal connections, he felt the learning experience was similar to how it would have been otherwise.  First-time intern Alissa Honingford agreed with Daniel’s assessment, “For me, it was still a great learning experience.”

Key to that learning experience was the fact that each intern had their own hc1 mentor/manager who met with them daily to discuss progress.  Keegan felt it was important for the interns to know they could come to him or the mentors with concerns and questions and for the mentors to have regular one-on-one meetings with the interns for feedback. 

At the beginning of the summer, Alissa was “introduced to a bunch of things I’d never heard of before.” By the end of July, she was able to apply her new knowledge with minimal input from her mentor to build a user interface to simplify hc1’s development work with Amazon EventBridge rules. Jake also focused on front-end work, building a user interface for work hc1 is doing with the FHIR electronic health record standard. “I’d never really worked with UIs before, but I really enjoyed it. And it’s meant to replace a tool that I had to work a lot with last year, that I did not like using, so I kind of saw a direct application for it, which was nice.” Bonnie’s favorite project was a graphic displaying the problems that hc1 customers face that will be used in future product marketing efforts.

Daniel and Ryan Klinedinst, also an Xtern,  both expanded existing skills. Daniel was able to see a code project through from start to finish plus do parallelization, which he had never done before. Ryan was productive right away, completing several small projects for the software engineering team before moving on to the data engineering team to work on a lab test matching model. He found that project to be the biggest challenge and also the most interesting concept to work on. All of the technology interns commented that going through the process of putting code into production was a valuable learning experience.

I asked the interns what else they learned or found surprising about the professional environment as opposed to an academic one. “A lot of meetings—that surprised me,” Daniel said with a smile. “How everything ties in, how all the teams work together, was something I found pretty interesting,” Ryan said. Bonnie discovered that work, can actually be incredibly motivating and inspiring. I found myself wanting to complete each new project.”

What did this year’s crop of interns take away from their 2020 summer experience? “I personally had no idea that there was an Indiana tech scene at all before the Xtern program,” Daniel said. “I’d never considered coming anywhere in the Midwest to do technology, but I say that now with the Xtern program and all, it’s definitely something that’s on my radar.” Alissa said, “This summer will help me choose classes that I’m actually interested in, rather than kind of going random. I can actually understand what I’m trying to choose and where I want to go with them.” For Ryan, who has a dual-track major in software engineering and machine intelligence, “Getting both experiences during the internship with the dev team and the data team was definitely super helpful for me. Before this, I was more leaning toward data science-type careers, and I think this definitely solidified, more or less, my interest in that.” 

“The point of an internship is so you can get a dope job, right?” Keegan said. Before the interns’ last day, he helped them write recruiter-ready resumes. “You’ve got to be able to help me read between the lines. Talk about your technologies. Don’t be so humble about it. You cannot assume that I [as the recruiter] know what you’re trying to say. So here’s how you take everything you did this summer and make it sexy,” he said. “That’s something that’s unique with hc1 is really setting them up for success after they finish their internship.” Keegan’s goal for every hc1 intern was “You’ve got to know what you did, and you’ve got to know what people care about that you did.” 

To learn more about hc1 opportunities, visit our Careers page.

By Lauren VanDenBoom
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April 16, 2019

One of the side effects of healthcare being a relevant topic of discussion around the world is people becoming more aware of what they are receiving from the healthcare industry. Combine that level of attention with the increasing level of complexity in healthcare, and you create pressure to make every patient interaction worthwhile.

The result is that over the past few years, there has been an increased focus around providing “high-value care” to patients whenever possible. But aren’t all healthcare interactions high value? Let’s take a moment and understand a little more.

Improving Patient Outcomes with High-Value Care

There are a few different definitions for the term “high-value care,” and they all touch on different aspects of the main point. The American College of Physicians sees high-value care as efforts that “improve health, avoid harms, and eliminate wasteful practices.” According to the Institute of Health, high-value care is defined as “the best care for the patient, with the optimal result for the circumstances, delivered at the right price.”

There are a few other definitions floating around, but they all share that common theme. What connects them is the ability for physicians and care providers to know what the right practice is for each patient so they can provide the best possible care. If physicians had access to information that empowered them to make the right call after a single visit with a patient, they’d use it every time, wouldn’t they? This type of access means the patient gets the right treatment as soon as possible, which is what everyone wants at the end of the day.

That was a hypothetical example of course, but health systems around the world are getting better at utilizing data to make better clinical decisions for their patients. Platforms such as hc1 are paving the way in accessing previously underutilized data such as patient lab tests to better equip physicians and health systems with information to improve patient outcomes across the board.

Reducing Medical Spend Through High-Value Care

You can read two meanings into the word “value” in “high-value care.” The first meaning is to make sure any medical interactions that patients have are worthwhile and helpful with whatever medical issue they may be having. The second side of the coin is to make sure that the monetary value of healthcare reflects the quality of the service provided. It’s an important piece of the larger picture.

Of course, this means that hospitals and health systems should strive to keep the costs of their procedures as low as possible, but it also means, as the American College of Physicians called it, “eliminating wasteful practices.” There are clear areas for improvement in areas like overtesting and overprescribing. If physicians can lower the number of tests and prescriptions it takes to improve the patient’s outcome, the patient will not only be better faster, but the amount they’ll have to pay through their own wallet or through insurance is reduced.

The area of overtesting is one where health systems can use a lot of help, given the complexities and amount of information that physicians have to keep up with on a daily basis. After McLaren Health brought on hc1 to better utilize their lab results, they saw a 43% drop in lipid panels ordered and a reduction in CKMB exceptions from 132 to 0. In addition to reducing overtesting on patients, cutting the costs of these unnecessary tests across a health system also contributes to lower healthcare costs in the long run.

No matter which way you look at it, high-value care means always keeping the patient in mind when making decisions. Whether you’re reducing the amount of time spent in the waiting room or the amount of money spent for the appointment, high-value care starts with making sure that the right patient gets the right test and the right prescription. To learn more about how hc1 can help you achieve that same mission, request a demo of our software today.

By Lauren VanDenBoom
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October 18, 2019

When selecting from the thousands of laboratory tests available, healthcare providers need the best support possible to choose appropriate testing that will give the most guidance for a patient’s care. Laboratory stewardship and utilization programs can reduce unnecessary and inappropriate testing, as well as significantly lower costs and improve patient satisfaction and safety.

Successful programs rely on interventions that educate and guide providers while eliminating waste. Guidelines by the National Committee for Lab Stewardship separate possible interventions into three categories based on strength: gentle, medium, or strong. Gentle are those that primarily educate, medium typically guide, and strong are direct measures to eliminate waste.

Here are some of the interventions the committee recommends:

Educate

  • Provide regular updates on lab capabilities, appropriate use of new diagnostic tests, testing algorithms and tests approaching obsolescence.
  • Deliver information in a variety of ways to suit varied learning styles and habits, such as posters, newsletters, presentations and video.

Guide

  • Use testing cascades, algorithms, and best practice recommendations to implement standardized workflow processes that guide providers toward the most appropriate testing for the patient and reduce the number of inappropriate test orders.
  • Use automatic alerts when testing may be unnecessarily duplicative.
  • Provide feedback to healthcare providers regarding their ordering patterns.

Eliminate Waste

  • Establish a laboratory formulary that provides a concise list of appropriate testing and does not include obsolete or antiquated tests.
  • Identify tests requiring a consultation before ordering, such as complex genetic tests.
  • Provide applicable collection instructions alongside test orders to ensure specimen integrity.

Enlisting the help of an experienced data partner can significantly shorten the amount of time needed to implement interventions, as well as increase their effectiveness. Products like hc1’s Test Utilization™ help transform laboratory data into actionable insights. Test Utilization provides a real-time dashboard of standardized and organized lab data from across the entire health system, including in-hospital, outpatient and reference lab data. With all of the data in an easy-to-use dashboard, identifying room for improvement in test utilization becomes simple.

The savings that can be realized by implementing an effective utilization program can more than makeup for the expense of putting the appropriate resources and team in place to do so. Estimates project that healthcare systems could reduce costs of up to $5 billion per year if they were just to eliminate redundant tests.

Learn more about establishing a laboratory utilization committee or request a demo of hc1 Test Utilization™.

By Lauren VanDenBoom
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August 30, 2019

Opioid take-back days and safe disposal sites are becoming common sights in many communities, but why? Why is having an extra bottle of pills on the shelf such a big deal? Why is keeping medication on the kitchen counter or in easy reach such an issue?

  • Every 10 minutes a child visits the emergency room for medication poisoning.
  • Three in five teens say prescription pain medication is easy to get from their parents’ medicine cabinet.
  • 5 million people age 12 and older misused opioids in the last year.

Whether there are children or teens in the home or not, opioids in plain sight or in a convenient location like a kitchen or medicine cabinet can be quickly and quietly stolen by visitors, housekeepers, home repairers and even family or friends. As a rule, medications should always be stored and disposed of safely. Healthcare providers should coach patients on safe storage and disposal habits when first prescribing medication and at least once a year as a reminder for patients who regularly take medication.

Some key dos and don’ts:

  • Do keep controlled medications in a secure, discreet location in the home. A locked container is preferable. Store the key or combination separately.
  • Do keep medication out of plain sight and out of reach of visitors, children, pets, friends and family.
  • Don’t tell anyone (including family members) not directly involved in care that controlled medications are in the home. Even when picking up medications at the pharmacy, keep conversations about controlled medications private.
  • Do be discreet in taking medication, especially when doing so when others are nearby or in a public location, such as a restaurant.
  • Do dispose of expired or no longer used medication safely. Many retail pharmacies and police departments have convenient facilities for safe disposal. To find a location, Google “Drug Disposal Location Near Me” or visit the National Association of Boards of Pharmacy Drug Disposal Locator.

More information for patients and healthcare providers: