Streamlining Clinical Operations via Integration
US customer
Our client, a U.S. healthcare provider, operated with a fragmented digital ecosystem where critical patient data was siloed across multiple, disconnected platforms for e-prescribing, billing, and lab management.
1. Requirement
1.1. Purpose
The main goal is to integrate multiple disparate third-party systems for e-prescribing, billing, and labs into one cohesive platform. This provides a single source of truth, empowering clinicians to manage patient information effectively and enhance the quality of care.
1.2. Detail Requirement
Integration with DrFirst
- Integrate DrFirst's API based on their guidelines and integration portal.
- Support solution definition and UI/UX design for successful API integration.
- Test with DrFirst's auditor and obtain certification for integration.
- Enable providers to add, update, and remove patients' health records, diagnoses (ICD-10), medications, and allergies.
- Allow providers to view patients' health records on DrFirst and perform E-Prescribing.
- Implement search functionalities for medication problems, allergies, and medications using DrFirst's FirstDataBank.
- Manage provider roles and DrFirst's RcopiaID for specific system features access.
- Provide notification count for prescribing information.
Integration with Kareo
- Integrate with Kareo's API using their integration document and SOAP API.
- Enable providers to create and update billing information that matches appointments for each patient's health plan and submit it to Kareo.
- Manage patient's health plan, billing, and information from both Kareo and the system.
Integration with Lab Order
- Manage patient's lab orders, request reports, and retrieve report status from the CHC Lab Order portal.
- Integrate bidirectional data synchronization between the system and CHC Lab.
- Enable providers to create and update patient's lab requests and report information.
- Support viewing reports in multiple document formats such as PDF, Excel, Word, HTML, etc.
- Provide tracking capabilities for reports from specific lab order facilities and retrieve the latest report status.
Integration with Valant
- Manage patient's health and demographic information.
- Manage patient IDs and match them with Valant's patient list.
- Migrate and import data from Valant into the system.
- Allow providers to manage and view patient information from Valant within the system.
- Provide access to previous appointment's clinical notes, health information, and medication history from Valant's data within the system.
2. Customer Problems
- Fragmented patient health records: Difficulty in managing and updating comprehensive patient health information, including diagnoses, medications, and allergies.
- Lack of integration with external systems: Challenges in seamlessly integrating with DrFirst, Kareo, CHC Lab, and Valant, leading to manual data entry, discrepancies, and inefficient workflows.
- Inefficient medication management and e-prescribing: Issues with accessing patient health records, performing electronic prescribing, and managing medications, resulting in potential errors and delays.
- Complex billing and health plan management: Challenges in creating and updating billing information aligned with patients' health plans, leading to inaccuracies and financial inefficiencies.
- Ineffective lab order management and report tracking: Difficulties in managing lab orders, requesting reports, and tracking their status, causing delays and potential gaps in patient care.
1. Programming Language
2. Framework
3. Third Party
4. Database
1. Challenge
Our team faced several significant technical and operational challenges during the implementation. Overcoming them required a blend of deep technical expertise, meticulous planning, and a proactive approach to problem-solving.
- Navigating Disparate APIs and Inconsistent Documentation
- Architecting a Scalable Solution Beyond Point-to-Point Fixes
- Executing a High-Stakes Patient Data Migration
- Achieving Rigorous Third-Party Certification and HIPAA Compliance
2. How to resolve these challenges:
Successfully navigating a project of this complexity required more than just technical skill; it demanded a strategic, multi-faceted approach grounded in partnership, planning, and technical expertise.
- Strategic Planning & Proactive Risk Management
The project began with a meticulous planning phase, where we established clear objectives, detailed specifications, and a well-defined project plan. We focused on in-depth research of all third-party documentation and implemented a robust risk management strategy to anticipate and mitigate potential obstacles before they arose. - A Collaborative and Transparent Partnership
We believe in true partnership. Through continuous and proactive communication, we engaged in deep discussions with the client to align on the best course of action at every stage. This transparent relationship ensured that any emerging issues were identified and resolved swiftly, always keeping customer value at the forefront. - Technical Integrity and User-Centric Design
Our solution was built on a foundation of technical integrity, where the code structure and API requests were designed to strictly adhere to HAPI FHIR (Fast Healthcare Interoperability Resources) and USCDI v2 standards, ensuring future-proof interoperability. Our design process was also fundamentally user-centric, incorporating valuable feedback from end-user testing to create a solution that is not only powerful but also intuitive. - Disciplined Execution and Continuous Improvement
Our experienced development team practiced effective, disciplined project management and followed software development best practices throughout the lifecycle. We view project delivery not as an end-point but as a milestone; we perform final and post-release reviews to gather insights for continuous improvement and long-term success.
1. DrFirst
2. Kareo
3. CHC Lab Order
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