Essential but Underskilled: Healthcare Workforce is still Living with Tools from Ancient Times.

Healthcare facilities have finally acknowledged the necessity for upgradation to enhance care-delivery worldwide. However, it still wouldn’t be too irrelevant to ask – how can we upgrade healthcare systems when one of its crucial pillars is still functioning or perceiving healthcare in the same old fashion? Most importantly, is the medical fraternity aware of the challenges that their staff have been experiencing after the introduction of technology? 

According to the studies – the Indian healthtech market is expected to grow to $5 billion by 2023 and to $50 billion in another ten years, suggesting that healthcare technologies are gradually moving to the core of healthcare processes while implying that the care delivery patterns are evolving and we are finally heading towards a new age of renaissance in healthcare. But, is our workforce strong enough to sustain the change, let alone flourish in the light of development? 

Today, as the state of affairs between nurses/work staff and technology continues to influence the quality of care, patient safety, staff efficiency, and job satisfaction, these two have been viewed as being in a love/hate relationship.

HealthTech and Nurses – A mismatched duo!

According to the Head of Staff for Nursing Department, Mrs. Gayathri Iyer from Government Medical Hospital, Nagpur, nursing and technology have a complex relationship. Technology can improve the efficiency and accuracy of nursing care, but it can also introduce new challenges and stresses for nurses. Electronic medical records, for example, can make it easier for nurses to access patient information, but they can also add to the workload and take time away from direct patient care. Additionally, new healthtech tools are not easy to learn, which can create additional barriers for nurses. Overall, while technology can be a powerful tool for nurses, poorly designed software will bring nothing but chaos to a care delivery system. Further in the conversation, Mrs. Gayathri highlights the relationship dynamics between healthcare professionals and technology while telling us why the healthcare workforce is still underskilled to adapt HEALTHTECH!

Tech Literacy and Adaptability Issues. 

The future of the healthcare systems is poised to bring better & more fulfilling work responsibilities for the healthcare workforce only if care facilities adapt to healthtech swiftly. However, with a low tech literacy headcount within the healthcare organisations, the adoption is not as easy as it was anticipated. As a result, the care facilities that fail to fuse their workforce and healthtech systems are not only missing out on great leaps in patient engagement and efficiency, but, in the worst-case scenario, it can also lead to a loss of position as a patient’s provider of choice.

So to bring your workforce to speed, here are a few strategies that can help:

  1. Provide training and education: Training staff to use a healthtech platform efficiently is one thing and helping them understand why it is important is another. It’s more about the perspective they have regarding technology. Figure out a way to change the perspective of healthcare force towards the way they perceive healthtech, and reap the benefits of automation in healthcare. 
  1. Choose your tech partner wisely: Given that your healthcare workforce wouldn’t be pleased while functioning with multiple healthtech tools for different operations, opting for an integrated healthcare management suite will encourage smooth workflows. Integrated Management Suite comes with an all-in-one solution platform making your inter and intra-departmental processes easier while creating a balanced ecosystem for your patients and staff.  
  1. Regularly evaluate and update the technology: Updating healthtech platforms is necessary for several reasons. First, it ensures that the tool is functioning properly and is free of bugs or glitches. Second, it allows for the incorporation of new features and improvements that can enhance the user experience and make the tool more effective. Third, it is crucial for maintaining compliance with industry regulations and standards.
  2. Opt for a healthcare system that does not require tech support: Having a tech-admin team is an added benefit, but if your practice management software doesn’t need a tech-support, in a way it implies that the system is easy-to-use and you won’t have to worry about all the hassles that might come while managing a tech-support team.

HArbor Says: The healthcare industry is facing major challenges such as healthcare accessibility issues, chronic disease, and a shortage of skilled professionals. In order to meet these challenges, it is essential for the healthcare workforce to be equipped with the latest knowledge and skills, including digital literacy and the use of technology. This will not only improve patient outcomes but also increase efficiency and reduce costs. It is time for the healthcare industry to embrace the digital age. 

If you are looking for a practice management platform that is easy-to-use and would assist you and healthcare staff in everyday operations, feel free to reach out to HArbor! 

Practice of Medicine: Story of Two doctors, Two Realities & One Profession. 

Two dynamic young doctors – Dr Jay & Dr Keshav, got admission in a renowned medical institute in the old city of Vellore for their post-graduation studies. Growing up in different parts of the country, Dr Jay & Dr Keshav had different approaches to their patient care methodology. While Jay grew up in the suburbs of South Bombay, Keshav saw his family struggle with electricity supply in their agricultural field in the remote areas of Gadchiroli.

These academically brilliant minds found solace in each other’s company while in medical college. Fast forward to 2022, both have completed their Masters in General Medicine and are ready to take on their lifelong mission of helping people in dire need of their skills.

Dr Jay & Dr Keshav had an immense influence on each other’s lives, so much so that when Dr Jay wanted to open his first clinic, he chose a remote area in Gadchiroli, not far from Dr Keshav’s childhood home. His motto was simple: nobody should suffer to get healthcare as much as his dear friend Dr Keshav did in his early days. Meanwhile, Dr Keshav, inspired by Dr Jay’s lifestyle, moved to Bombay to bid goodbye to his financial worries; once and for all.

Practicing in his new clinic in the well-educated suburbs of Bombay, Dr Keshav was astonished to see how well-read and aware people of the city were, yet they would abuse their health intentionally or unintentionally with their city-based lifestyle. Most of the time, his patients in the city would have a pre-consultation with Dr Google before meeting him. For the first time in his professional life, Dr Keshav recognized the importance of online brand creation and digital awareness about his clinic amongst patients.

On the other hand, Dr Jay struggled to give necessities like continuous electricity in his clinic. He was in pain to see patients around his clinic, taking their health so lightly. His proposition of creating awareness amongst the people for “wellness living” has failed miserably.

Against popular belief and trying various platforms to keep his clinic lights on, Dr Keshav understood that all such platforms gave a temporary boost to his patient flow and eventually, the inflow decreased to a marginal level unless he paid to “Advertisements” in these marketplaces. Moreover, most of his patients who came via these platforms were prompted with too many details about the disease to sell devices or other services, which made his patients self-aware and forced them to internet search their issues before coming to him for consultations. Dr Keshav almost faced legal action once when he signed up for a cheap and free clinic management platform to manage his patients, and the software-cum-advertisement company sold the private data of his patients to the highest bidder for their own profit greed.

All this while, Dr Jay recognised the major health issues in the region were very different to what he saw his friend Dr Keshav deal with. Dr Jay had his own set of issues. While he had a very active Instagram page with more than 45K subscribers, found no impact of that on his clinic business. In the rural location, his patients struggle to find the correct pills from the medication envelope he was used to giving them, himself. He saw most of his patients going to the old Ved Ji near the old Bazar road in his village for all health ailments instead of coming to his clinic. Yet, all these problems did not even bother Dr Jay. His main concern remains the fact that patients near his clinic found his consultation fees to be very high, and for every step, his rates & fees structures were being compared to the wrong side of the governmental institutes, many of which did not even come close to the quality of services he provided.

Later that year, while both struggled to keep their work-life balance intact, their alma mater invited them to the annual alumni meet. Unaware of their individual struggles, they both confided their care giving problems to each other. That evening was the awakening moment for each of them. They found their old long lost passion for care giving. It was like walking back to their college days, where they used to talk about fixing healthcare issues in India. Even though their challenges were different because of their practice locations, their collective goals were the same – Better Healthcare for All. The eureka moment was when they discerned that their most problems could be solved with technology. They both skipped the alumni dinner party, rushed to the old dormitory stairs, sat with pen & paper and decided to conceive a solution to their every problem.  

They both were stunned to see the solutions were ever so simple. To build patient trust, Dr Keshav suggested Dr Jay write prescriptions in local languages so that the people around his clinic would understand better, while Dr Jay advised Dr Keshav to give timely medicine and appointment reminders to his patients. Furthermore, Dr Keshav was happy to find that the only way to beat Dr Google at his clinic was to keep in touch with his patients even outside his clinic, as suggested by Dr Jay. On the other hand, Dr Keshav strongly advocated Dr Ram use much more affordable rapid test kits for quicker and cheaper diagnosis instead of much more expensive and hard-to-run pathological tests.

Collectively, while Dr Jay needed satellite clinics in remote locations to create awareness about his care giving methods and reduce travel costs of the patients in that area, Dr Keshav needed these satellite clinics in various locations to increase his patient reach in the competitive urban setup. However, they both agreed that these satellite clinics would only work if they were manned by paramedics and connected to their central locations, facilitating assisted telemedicine to everybody. It was a fun night for these two medicos who were divided by their needs and environment of practice but connected by the end goal. 

From studying the existing fragmented healthcare system to modern-day data breach issues, these young professionals concluded that only an integrated healthcare system would lead them to a better healthcare future. A single-platform system to equally benefit every stakeholder in care and thereby take responsibility for their roles. An integrated platform that will not only enhance the personalization of care with better care coordination but will also curtail the manual processes to keep their staff busy in patient care and not in documenting and managing paper records.  

The next morning, both left that passionate ‘TED Talk’ between themselves, hoping to find a one-stop solution to each of their problems. Probably, one day they will be able to achieve their dream of providing equitable health for all. 

Readers, this could be you waiting for your perfect solution, but if you have read this story and related practice issues of these young doctors, it is your time to start using HArbor. 

Are you Brand Conscious or Brain Conscious,

while choosing a practice management software for your clinic?

Because when your casual Google search for “practice management system”  returns over 16 Million results, it can get a little overwhelming, especially when the majority of these platforms look promising for your business. Promises sound fair until they are kept and sadly, your ceaseless faith in market trends can do you more harm than good. In the process of creating a brand, we often forget what might have  worked for a few others may not work for us! Hence, eventually, we find ourselves fascinated with sale campaigns and end up spending loads on software which may not be a perfect fit for your care facility. 

While looking for an ideal healthtech software, one must consider a few things, which include:

Overall value of the software: Pricing is integral to any business decision, however, decision on price point alone may not ensure the value. And, purchasing expensive software just for its ‘fancy’ extra features may not work out for you either. Instead, begin with your ‘must have’ feature list, set your price range and while you are at it think also of your business expansion plans. So that when you’re finally negotiating, you’d know what you want. 

  • Software support and implementation requirements: Other than selecting a software with good adaptation proficiency, your software should come with a 24/7 support team that can handle any grievance immediately. It is better to check on the implementation methods if your Clinic Management Software is complex and your staff requires training. A dedicated relationship manager also reduces your overall training cost with every attritio.

Pro tip: If your software provider assigns a dedicated team for implementation and staff training, it’s a keeper! 

  • Speciality wise customization: HealthTech companies pay attention to the customization that are significant to every specialty. Customization, on paper, sounds great, but a highly customized platform may bring you a system which is complex and cumbersome. Thus, experts suggest locally customized software over standardized platforms as it facilitates you to explore the platform for effective management. 
  • After-sale services: It’s true that a good after-sales service team significantly enhances the client-company relationship and has proved to elevate the sales via just by word-of-mouth. However, these services help clients just the same. After-sales service team is that connecting chain which attends to all your suggestions while making sure that your care facility system is taken care of. 
  • Tech update plans: If you are buying a healthtech software, it is crucial for you to know how often they are pushing updates. Ask your vendors the frequency of these updates and how those are communicated. 

These pointers will keep you fixated on your features checklist and away from fake campaign loops during healthtech-gazing on the internet.

A reliable practice management solution not just enables your care facility with its day-to-day operations, data management and doctor-patient relationships but is also an investment for your future practice. An efficient software provider prepares the technology to grow in multi-folds, and purchasing a ‘fix-it’ healthtech solution may cause your practice to lose its patients’ trust and future growth possibilities. Let us discuss further below – 

The existence of commodification in Healthcare

When you look in the rare-view mirror, you will find a similar practice pattern of prescribing medicines, or tests that seem fit according to their experience and patients used to comply with the treatment(without 2nd opinion). While there was a strong doctor-patient relationship in the bygone days, it was not necessarily an equal partnership. Back in the days, patients would want to stick with one healthcare provider and get referred only at the suggestion of their primary doctor. Although the system has its limitations, the doctor-patient relationship was not looked at as a commodity in healthcare. 

Patients today are proactive towards their health more than ever, which is relatively ironic when it comes to their bond with doctors. To top it off, listing websites in healthcare have not only flourished the commodification in the healthcare system but have also created an unnecessary competition among the care professionals. Yes, you read that right and if you are aware of the doctor-patient ratio in India, this wouldn’t be news for you. Here, when these websites are giving a chance for easy doctor-patient “interactions”, they are ultimately also favoring one practice over the other. Somehow, staging a scenario, where either the care provider doesn’t have enough experience, degrees or worse they don’t have enough reviews to prove their credibility. As a result, your patient gets confused and is high over heels for a new doctor for every new consultation! 

“Truth to be told, to be able to choose your care provider is an amazing perspective, but the aftermath of such consultations elevates out-of-pocket expenses for the patients leading to fragmented care which is hardly a bargain.”

– Kartik Vijaywargi, Founder HArbor

Imagine being in a situation with a bulky Clinic Management Software installed. Frustrating right? Often care providers find themselves in a situation where software ends up imparting additional weight rather than unburdening them of the existing ones (PS: Not every grand advertisement gives you the healthtech your care facility needs!) 

Eventually, it lowers the staff response time, deteriorates their relationship with patients and creates a system that looks functional on paper but feels robotic in reality! 

While installing a clinic management suite, remember that the system must assist you  to organise and optimise day-to-day operations, report generation and patient data management. Also, it should be able to integrate the latest modules while keeping you updated with the changing healthcare delivery dynamics. 

HArbor Says:

Finding the right software for your business is a daunting task. With the fast-paced business world, it is more important than ever for healthcare facilities to be able to stay organized and efficient. Although, a practice management solution can assist you grow your business and keep your patients happy; you need to be conscious of every decision you’ll make while walking through the maze of health tech platforms. 

It’s time to sit down with your team and call HARBOR!

Can HealthTech take the temperature-off of the Healthcare Worker Shortages?

When a system flourishes on default and not by design, its foundation experiences chaos. It fails to manage & utilize resources, resolve the existing problems and disrupts revenue cycles which is crucial to keep it fueled. Unfortunately, due to its disorganized growth, it faces difficulty while adapting new-age modules; we call these advanced modules ‘the helping hands’!

India’s healthcare system is no different. Carrying the weight of the entire system, care professionals are not just working their fingers to the bone but burning their potential capacity to zero! Now, the only question remains;

DOES INDIA REALLY LACK AN OPTIMUM HEALTHCARE WORKFORCE? 

According to WHO’s 2020 midterm report, the Indian healthcare system needs at least 1.8 million doctors, nurses and midwives to achieve the minimum threshold of 44.5 professional health workers per 10,000 people. 

Number of health professionals/workers per 10,000 persons, 2018

So yes, our healthcare system needs an additional workforce, but this inference shall not excuse the adverse effects of disrupted healthcare structure on healthcare professionals. And first, it is of great importance to understand the impact of relatively old and disorganized healthcare practices in private and public health spheres that are not ideal anymore!

Outdated Management

In all the loud and necessary debates about resolving the staff shortages in India, the conventional care management has been constantly overlooked. Although the Ministry of Health and Family Welfare is striving to improve the healthcare sector with several initiatives, policywise; the workflow foundation of the majority of primary healthcare centres (the heart of the system) is too old to sustain the load. Outdated management exhibits tragically slower workflows, reduced care efficiencies and pressurizes the care professionals to share the responsibility. A load which can be perfectly handled by practice management software.

Simply put, healthtech solutions for practice management can efficiently assist every healthcare stakeholder, especially doctors, nurses and administrative personnel. Such solutions not only eliminate the redundant and manual processes but also build standard protocols for care procedures for anyone and everyone to follow. Thereby reducing re-work or any last-minute extra shifts.

Fragmented Care Delivery and Manual Processes 

While talking about tiring manual care modules, this discussion must take the responsibility to address the strain of fragmented care delivery on healthcare professionals. Our healthcare system is an unbalanced rather ‘broken structure’ at the grassroots level that lacks an integral value chain. It restricts care professionals to coordinate smoothly during patient care while burdening care facilities during referrals, record maintenance and designing treatment protocols.  

HealthTech platforms in such scenarios will not just streamline patient care delivery, but will eliminate the cumbersome and unnecessary processes. As a result, facility staff will always have more than enough time for patient care without worrying about tedious and redundant administrative work. 

Lack of Data Interoperability and Lack of Data Protection

A doctor spends around 35% of their time documenting patient data. What if managing patient data becomes as easy as tapping a few times on your phone while sharing it with a swipe?

You probably do not believe this but the funds, time and workforce required to maintain paper-based healthcare records are noticeably high. In fact, the expensive paper-record maintenance should be enough for medicos to consider switching to healthTech platforms. Yet, the vicious cycle of filling up MRD rooms and dedicating valuable staff working hours every month has become more of a healthcare ‘habit’ than a practice.

Paper based medical records slow down the data exchange process between its stakeholders, which means treatment delays and disruptions in care professionals’ schedules. Moreover, paper medical records are prone to tampering, stealing and are even hard to retrieve.

A modern EMR can come with cloud-based storage that guarantees maximum data security and the convenience of retrieving the medical records at their fingertips. Not only are these records encrypted and password-protected with correct authorization, care practitioners can exchange data and compile it all under a single patient ID within a few minutes. The Governement of India, has even started working on something on similar lines, with the visionary Ayushman Bharat Digital Mission, ABDM, where they have envisioned a central EMR storage for citizens of India. 

Automated and faster processes may not be a long term solution for staff shortages in healthcare but it will have a significant impact on care practices and workplace conditions. Hence, it is justified to say that since the healthcare system is ‘stuck in time’, integrating healthtech platforms from ground zero (primary care facilities) should be our first call. And there by, improving physician response times, increasing efficiency and transforming team communications.

The Impact of Skilled and unskilled care professionals in Healthcare

To resolve the shortage of healthcare workers in India, it is also important to analyze the number of skilled and non-skilled professionals in the domain. According to a report published in the journal BMJ Open, India does not meet the minimum threshold of 22.8 skilled workers per 10,000 people as recommended by the WHO (World Health Organization). However, the study revealed an alarmingly large number of low qualified health professionals and low performing workers. These care professionals usually come under the first point of contact in low economic and rural parts of the country. 

When distribution and qualification of health professionals is serious problem, healthTech platforms will not only keep standard care processes in place, but will enhance overall productivity in care facilities. The SOPs designed by these platforms will eventually reduce any illegal practice, medical data breach and errors while delivering care.

HArbor Says

One of the biggest challenges faced by the Healthcare industry is the constant shortage of skilled workers. The increasing demand for qualified medical professionals has led to the creation of thousands of new jobs, but the industry can’t seem to find enough qualified workers to fill them. This has prompted many to ask if technology could solve this problem. Only technology can be used to “create efficiencies, automate tasks, and address staffing gaps through technology.”

Undoubtedly, India needs to invest in Human Resource for Health, HRH for increasing the number of active health workers but also needs to integrate healthTech platforms to improve the skill-mix and overall care practices.