36% reduction in the workload of medical staff with a custom electronic patient record system

Innowise has developed a custom electronic patient record software with appointment management, patient profiling, telehealth, billing, and lab integration features.

Customer

Industry

Healthcare

Region

Client since

2020

Our customer is a leading MedTech company based in the US delivering innovative software solutions for doctors and medical clinics.

Detailed information about the client cannot be disclosed under the provisions of the NDA.

Challenge: Empowering medical practices with custom EHR software development

The main challenge of the project was to address the issue of medical staff being overburdened with administrative tasks and paperwork, thereby reducing the amount of time they can dedicate to delivering individualized care to their patients.

Clinics also face a significant challenge when evaluating off-the-shelf solutions available in the market. These solutions often lack essential features that cater to their specific needs, and they may also include excessive features that cannot be adapted or eliminated to match their individual practices.

Our client’s goal was to create a flexible EHR platform that enables medical organizations to prioritize patient care by streamlining administrative tasks. This project aims at offering an adjustable electronic patient record software for private clinics and individual medical providers to efficiently manage patient communications, financials, insurance claims, and other administrative tasks.

Innowise was faced with the challenge of building a custom EHR system development from the ground up. This included creating user-friendly web and mobile versions for patients and designing a scalable admin panel with configurable functions to cater to the diverse needs of medical staff.

Solution: Electronic patient record system with flexible appointment management, payment processing, lab integration, and telehealth

Innowise has developed an electronic patient record system for the effective management of patient recordings, medical reports, appointments, billing systems, and other features for automating regular procedures and ensuring higher-quality patient care.

Patient profiles and news section

The patient profile enables users to easily manage their personal health data and appointments. Through this feature, patients can create an account by providing their personal details and access their doctor visit history, payment and insurance information, prescriptions, test results, etc. Additionally, patients can schedule appointments with their healthcare providers and receive automated reminders to reduce no-shows and cancellations.

The EHR system offers a patient communication and support module that facilitates easy communication between patients and healthcare providers. It includes a news module and a chat feature that allows patients to receive commercial and technical information, ask general questions, and stay in touch with their doctors.

The news section shows to patients commercial and technical information, including promotions in clinics, free screenings, medical presentations, updates to medical care packages or insurance, and the updated information about clinics’ work hours.

Scheduling and appointment management

The EHR solution we have built offers seamless scheduling and appointment management for both doctors and patients. The system provides staff with a task management dashboard that smoothly integrates with appointment schedules. The platform addresses the issue of no-shows and cancellations by offering automatic and customizable appointment reminders. The reminders can be sent to patients via SMS or mobile notifications 24 or 48 hours prior to their scheduled appointment or procedure, or at a time that is determined by the clinic.

This functionality enables doctors to organize practice information, including patient details and inventory, for convenient and easy management. Furthermore, the solution minimizes the need for patients to call to clinics by displaying doctors’ available appointment slots.

Patient communication and telehealth

The chat with a smart bot allows patients to improve communication with their healthcare providers, resolve technical issues, or ask general questions. The chatbot first contacts the patient when they need to make an appointment with a clinic or require medical consultation.

The chatbot has the capability to address the patient’s concerns by resolving their issues, directing them to a doctor’s assistant, or facilitating direct communication between the patient and the doctor via chat or telehealth, enabling real-time interaction through video connection.

This feature ensures that patients can easily access the medical care they need and receive remote assistance from their doctors. The system allows patients to leave feedback and rate the consultation or service received at the end of each conversation or appointment. It also provides patients with a voice to share their experiences and helps doctors improve the quality of services.

Flexible admin panel

The EHR system features a flexible web-based admin panel with different access levels for medical personnel and doctors. The panel allows for easy configuration of various aspects such as appointment types, payment options, appointment codes, specialist categories, and others.

Through the admin panel, doctors access patient and appointment cards, health data, chat history, insurance information, and other details that may be useful during appointments. Additionally, doctors can plan vacations and set their working frequency through the scheduling and flexible calendar constructor.

The admin panel enables medical practitioners to set prices for their services, calculate costs depending on each patient’s individual needs, and configure appointment-related questions for patients.

Moreover, clinics can set up cancellation policies that automatically write off money in case of no-shows or appointment cancellations. This feature helps to minimize wasted time for doctors and reduce no-shows, improving overall clinic efficiency.

Billing system

Our team has implemented a robust billing system to streamline the payment process for patients and healthcare facilities within the EHR. The electronic patient record system is designed to seamlessly integrate with various data providers collecting the patient insurance information, to accurately calculate the cost of medical services.

To ensure seamless and flexible transactions for patients, we have integrated Stripe as a payment service. Once the payment has been processed, the system generates a detailed transcript that includes a breakdown of the services rendered and the amount charged. This information is vital for maintaining transparency in the billing process and helping patients better understand the cost of their healthcare. The system also sends payment receipts to patients via email, providing them with a comprehensive healthcare expense record.

Lab integration

We added the lab integration feature that allows easy tracking of the test results. This integration allows clinics to receive test results from partnering or in-house laboratories directly into the EHR system, streamlining the process of updating patient records and providing doctors with the latest information.

The EHR system receives test results automatically, eliminating the need for manual data entry. Physicians receive notifications of patient results in separate assessment cards on their dashboards, allowing them to stay informed and make decisions about their patients’ healthcare plans before appointments.

Patients stay informed about their test results through the application or email notifications. Additionally, the platform enables patients to effortlessly share lab test results with their healthcare providers, allowing them to clarify any questions they may have or provide context on research conducted at other clinics, all via the chat feature.

Enhanced data security

Our team utilized the Amazon Web Services (AWS) cloud infrastructure for the data storage needs as it provides a range of security features and compliance with strict industry standards.

We have implemented a two-factor authentication system to ensure the security of patient data in the EHR system. This system enhances the security of patient information by implementing an additional layer of protection. Users are required to verify their identity using a second factor, in conjunction with their username, phone number, and password.

To implement this system, we used a combination of biometric authentication and SMS verification. Biometric authentication uses the patient’s unique physical characteristics, such as their fingerprints, to verify their identity. The system is intuitive and straightforward, with clear instructions provided to guide patients through the process. SMS verification involves sending a one-time code to the patient’s registered mobile number which they must enter to gain access to their account.

By implementing this two-factor authentication system, we have significantly reduced the risk of unauthorized access to patient data. This is particularly important given the sensitive nature of healthcare information which must be kept secure and confidential at all times.

Technologies

Front-end

React, TypeScript, Redux, Redux-toolkit, Material-UI, Jest, React Testing Library, Cypress.js, Chart.js, Stripe, Socket.io

Back-end

Python, Flask, SQLAlchemy, Pydantic, Boto3, Flask-Admin, Flask-Login, Flasgger, Flask-Bcrypt, AWS SNS, AWS SES

Android

Android Studio, Kotlin, Android Jetpack, NavComponent, Hilt, Room, Retrofit, Moshi, Glide, WebRTC, Kotlin Coroutines, Google Play Services (Firebase and etc.), Jetpack Compose / XML, MVVM, Clean Architecture

iOS

Xcode, Swift, UIKit, SwiftUI, MVVM, Foundation, CoreData, Keychain, WebSocket, WebRTC, AVFoundation, CallKit, async/await, Rest API, Apple Pay, Push Notifications

Cloud

AWS

DevOps

Docker, GitLab CI/Bitbucket pipelines/ArgoCD/GitHub Actions, Kubernetes (+Helm)

Process

The process of the medical record system development consisted of several phases, including discovery, development, and implementation. Throughout the development stages, we used Jira to track tasks and progress in real time and Google Chat and Zoom to facilitate daily communication with the client and ensure that any questions or concerns were promptly addressed.During the discovery phase, we worked closely with our client to understand their requirements for the system architecture, basic design, and key features. We identified which EHR workflows should be fully automated, and what the interface should look like to be user-friendly for clinicians and patients with different technical backgrounds. The development phase took around 17 months to complete. We started by creating a detailed roadmap with well-defined development milestones. Our team followed the Agile methodology, wherein we released a working EHR prototype at the end of the last sprint. We prioritized the creation of crucial modules such as patient profiles and specialist authorizations, while simultaneously introducing the capability for various integrations. This approach facilitated valuable feedback from the client’s team, enabling adjustments to be made to the core system functions when necessary..During the development process, we conducted functional and non-functional testing to ensure the EHR system’s reliability and security. As the custom electronic patient record system stores sensitive information, we ensured its compliance with relevant regulations such as HIPAA, GDPR, and other standards.After the custom EHR system was meticulously developed, thoroughly tested, and valuable feedback from clinicians was incorporated, we proceeded to integrate the system into multiple hospital ecosystems. This integration aimed to ensure its seamless compatibility with other medical software, fostering a cohesive and interconnected healthcare environment.

Team

Back-End Developers

Front-End Developers

Android Developer

iOS Developer

QA Engineer

DevOps Specialist

Project Manager

Designers

Business Analyst

Results: Decreased workload for medical staff, rise in daily patient appointments, and streamlined patient care

We have developed a custom electronic patient record software that has significantly enhanced the efficiency and quality of patient care across multiple healthcare facilities. Healthcare providers can now access, manage and update patient records in real time, resulting in improved coordination of care and reduced administrative errors. The cloud-based electronic patient record software has made it possible for providers to securely access patient records from any location, thereby enabling remote consultations and telemedicine. Furthermore, healthcare facilities that have implemented this EHR system have reported a 36% decrease in administrative tasks, freeing up more time for providers to focus on patient care. Currently, we continue to enhance the system and implement new functionalities to ensure that it can be adopted by a wider range of medical facilities.

Project duration

January 2020 - Ongoing

36%

decrease in administrative tasks

16%

increase in the average patients number per day

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