Do you know anyone who doesn’t use a smartphone? Nearly half of all adults in the United States now own at least one “smart” mobile device, and it won’t be long before those without are in the minority.  

So what does that mean for the way we work, and in particular how clinicians work in a healthcare setting? Many doctors and nurses use smartphones in their personal lives, but few have the same technology available to support their work. In fact, they often still use landlines, pagers and PDAs – technology that was obsolete long ago in most workplaces – to communicate with their colleagues.  

Get ready for a change. The consumerization of healthcare IT is coming, and it’s about to revolutionize not only the way clinicians communicate but also how they care for patients. As mHealth delivers comprehensive, integrated healthcare solutions, traditional boundaries will inevitably break down. The result: onsite, offsite, any time, anywhere communication, collaboration and access to information.  

Clinicians who are accustomed to having maps, weather, news and the latest viral video at their fingertips in their personal lives want the same timely and reliable access to information when treating patients. That includes medical reference apps such as Epocrates as well as access to patients’ electronic medical records (EMR).  

Healthcare organizations that embrace these inevitable changes are moving in the smart direction, improving quality and efficiency, reducing costs and meeting governmental requirements for meaningful use of EMR. More important is the ability to focus on their primary mission of caring for patients. Other benefits will likely include higher job satisfaction and lower turnover among their staff.  

I’m not saying it’s going to be easy. Robust privacy and security features are integral to the successful transition of smartphones into the clinical workplace. And the challenge of working within a hospital’s existing wireless network is not for the faint of heart.  

Fortunately, Voalte has spent the past four years working through these issues at some of the nation’s top hospitals. As we start Q2 of 2013, I’m pleased to announce we experienced record-breaking growth of 280 percent over Q1 last year, with 18 new hospitals signed on to implement Voalte solutions.  

The foundation of our exponential growth is our stellar executive team, made up of the most talented professionals in their respective fields. In my new role as president of Voalte, I’m looking forward to working with this team and our entire staff as we continue to lead hospitals in the smart direction. 

Very soon your web browser will become your next telephone!  Surprised.  You should be.  Soon you will be able to make voice and even video calls to anyone running the latest web browser.  No apps to download, no installs and no sign ups.  It’s just you and your web browser.

WebRTC is a free, open project that enables Real-Time Communication (RTC) capabilities to be built right into the web browser without any extra plug-ins or software.  In addition to voice and video calls, it will also be possible to screen share and transfer files. 

What does this mean for you?
Websites will become more interactive “environments” where other users will be able to interact and communicate in real-time, rather than static pages of text and images.  It will also allow for imagine browsing on an online store, being able to chat with other shoppers or even talk with a salesperson or customer support directly and immediately.

What does this mean for healthcare?
This will make telemedicine easier and cheaper to achieve because it won’t require any special hardware or software to setup a videoconference between a patient and a healthcare provider.  It could also change the landscape of medical devices, for example, a nurse could receive a critical alarm that links to the patient monitoring device showing the live waveform or real-time values like heart rate.

What browsers have it? 
WebRTC is not generally available in any web browser yet, but you can try it in early experimental versions of Google Chrome, Mozilla Firefox or Opera.

When will it be generally available? 
I guesstimate that 2013 will be the year of WebRTC and it should be available on all major web browsers.

I am very excited about this new technology because it will take web browsers and communication to the next level.  Telecommunications started with landline telephones that only made voice calls, then wireless smartphones enabled voice, video and data and now the web browser will have the ability to allow easy real-time collaboration between individuals and offer direct access to real-time data.

Recently I had the privilege of attending User Interface Conference 17 over in Boston where I met some really interesting and talented people. I attended some outstanding sessions and workshops to help us improve and innovate our design process over here at Voalte. One session that resonated with me was Luke Wroblewski's talk on 1st person user interfaces where he spoke about the current trend in touch-based interfaces and how augmented reality and the use of sensors in everyday items will become the interfaces of tomorrow, paving the way for natural interaction interfaces over learned voice or esoteric device specific commands (swipe to delete anyone?).

Being part of such a saturated market, where the new buzz word 'HIPAA-compliant text messaging' is being slapped on everything like a 'Gluten-free'' label, means we constantly have to keep one eye on the goal and one toward the future. This talk got me thinking about some of the cool new ideas we could use to improve healthcare communications in the future.

Imagine being able to use your phone's altimeter (or interpolated location based on WiFi access points) to trace a nurse's route throughout the hospital. You could automatically set them as 'busy' when they enter the cafeteria or the break room and forward alarms to their backup.

There is also the concept of wearables, where users affix an unobtrusive device to their clothing which records information from a built-in GPS, altimeter, pedometer, gyroscope, accelerometer, temperature sensors, and more! We would be able to tell if a physician is sleeping, driving their car, or out on a hike, and look through their backup list to try and not disturb them if another physician is readily available.

New tools and paradigms like this will allow us to gather information about a user's surroundings and let the software work for you, naturally, as you would expect it to. As a software developer and user interface designer, it is a very exciting time to be in the healthcare communication market. 

You may have heard about cloud computing, but what is it and where did it come from? If you’re a Voalte user, you are already using the cloud. Congratulations, you’re on the cutting edge of technology! 

Cloud computing got its name from engineers' practice of drawing networks as clouds on whiteboards. Drawing a cloud is easier than drawing a bunch boxes and lines for the connections between the client and server. Over time it also became an easier way to talk about server computers too.

The term is used to describe various ways of sending data across a network from one computer (like your iPhone) to another (like the Voalte server). The server then processes your data for you. In this case, it’s the Voalte cloud! Think of it as an assistant doing your bidding. Or think about it like an iceberg. The software running on the iPhone or on the desktop is the tip, but underneath there’s big chunk of software in the network doing its job. That software is running on the server computer.

When you send a message on your Voalte phone, despite what you might think, you’re not sending it directly to your co-worker. Your message goes through the hospital’s WiFi network to a computer called a server. This is a computer in an equipment rack somewhere in your hospital’s IT department. The software on that computer then looks at your text, figures out if your co-worker is logged in and can be reached on WiFi, then relays that text. Otherwise it waits until it can reach your co-worker and sends that message later.

As a Voalte engineer, my co-workers and I create features by writing code on the server, on the iPhone, and on the desktop clients. That software has to communicate across the network. We also define the network protocol that our software uses to talk across that network.

When we find problems, we have to figure out if the problem is on the iPhone, desktop, or the server. Or, maybe there’s a network communication problem in the middle? We don’t like WiFi problems any more than you do!

Writing networked software can be challenging, but it’s also rewarding. I enjoy writing our Voalte software and seeing it used for an important purpose: taking care of patients.

On Tuesday, October 23, 2012, at 10:00AM PST, Apple released the iPad Mini.

On Tuesday, October 23, 2012, at approximately 10:05AM PST, physicians, nurses, and other caregivers began asking IT when the iPad Mini would be supported by the organization.

Below are three things to consider regarding the iPad Mini’s immediate impact on healthcare:

1. Ease of use. The iPad Mini has the same intuitive user interface and application standards that the iPad and iPhone feature. Users will have no problem picking up the device and using it with little-to-no training. Standardized products and ubiquitous experiences have their advantages.

2. No form factor. The iPad Mini is a dream device for physicians and nurses who are looking for a lightweight, mobile platform that can fit in their lab coat pocket. It’s big enough to enable both reading and writing information in an EHR, yet small enough to easily carry around throughout a shift. When it comes to the deployment of the iPad Mini, the real question will be, how quickly EHR vendors can optimize their applications for the iPad Mini’s new form factor? Epic’s Cantu and Cerner’s PowerChartTouch were both designed for a regular sized iPad. Not all features and functions that have been built into their iPad app will be suitable for a smaller screen size, so expect customization to occur.

3. Enterprise readiness. Right out of the gate, the iPad Mini runs Apple’s iOS, which is accepted by almost all IT organizations in one fashion or another. With the plethora of mobile device management solutions (such as Voalte Connect, powered by Airwatch), the iPad Mini will have no problem receiving the go-ahead from IT in terms of enterprise readiness. (This, of course, is a 180-degree change from the launch of the iPhone in 2008!)

Wondering how the iPad Mini will play into your organization’s mobility strategy? Feel free to give us a call here at Voalte and we will be happy to help guide the way.

As a young, fast growing company, trade shows can provide a wealth of knowledge, and lead to an overwhelming amount of success. Two weeks ago, Voalte had the chance to participate in the Cerner Health Conference out in Kansas City, Missouri. We had a booth setup, ready to demonstrate our Voalte One Nursing Communication Solution where we were able to speak face-to-face with current customers in addition to potential customers. Our booth screamed pink and green and our “pink pants crew” triggered lots of attention across the show floor driving more traffic towards our location.   

What made CHC different from other shows I had attended in the past is that it was a user conference. In other words, only Cerner customers were able to attend. In addition, Voalte and Cerner were able to join forces to enhance communication at the point-of-care, by integrating with Cerner on a few different levels at the conference. We showed Voalte One integration at the CareAware Connect station as well as the Alert Link Alarm Management Station. Cerner showcased these products and others in their Solutions Gallery. This Solutions Gallery was an amazing resource of EMR knowledge. We were able to learn as much as possible about their EMR and Middleware platforms, iBus and Alert Link, as well as new up-and-coming Cerner products!   

Looking back, I can’t help but think of CHC’s tagline, “Because it’s personal”. At the end of the conference, I was able to meet face-to-face with hundreds of potential customers, some of which I had been speaking with for seven months or more. Which goes to show you, building relationships before hand is key, but being able to interact face-to-face can make all the difference. And when you stop and think about it, the same is true in healthcare.

Healthcare is personal, shouldn’t clinical communication be personal too? 

Recently I was given the opportunity to travel to California and engage in an onsite meeting. We met with an organization that was seeking out a communications platform to accommodate their new medical campus. Aside from the traditional pink pants buzz, our presence created an overwhelming sense of optimism. After years of handling unintelligent legacy devices, a brief exposure to innovation opened their eyes and left them with a trending notion: change is coming.

The 3 most talked about features included:

1. Texting – Blown away by the increased functionality and customization, nurses immediately gravitated to the personalized texting feature. They understood what texting provided and how it could help improve workflow efficiency. 

2. No Alarm Fatigue – Due to the immense call volume per shift, nurses were cringing at the sound of their phone. A phone call for something as simple as ice-chips? Not anymore. Voalte eliminates 80% of ringing phones, decreases alarm fatigue, and helps streamline communication. Consequently, we have happy nurses and an overall positive end-user experience.

3. One Device – With a legacy phone dangling from her neck, and a “Batman Utility Belt” full of pagers, we bumped into a nurse that set a new Voalte record for devices carried (6). With Voalte, caregivers can shed some device weight with a solution that eliminates excess pagers and phones.

Not only did caregivers embrace the functionality, they also understood the BIG picture. Healthcare is a constantly evolving, ever-changing field. By integrating with Voalte, hospitals are provided with a communication platform that can expand to meet their needs. Overall, our visit opened their eyes to innovation, making a lasting impression upon their staff members with thoughts of pink on their mind...

When I joined Voalte six months ago, I was already a fan of the iPhone. I had read about this fantastic company providing a revolutionary healthcare communication solution via the iPhone. Needless to say, I was eager to join the team. I love providing excellent customer service and I love the iPhone, but providing support to those who care for others is especially rewarding. 

As a Voalte BFF, I provide Voalte support to caregivers at the point-of-care in real time. I’m there with our users throughout the course of a busy day to answer questions or provide other assistance that enables them to get back to their patients quickly. At any moment users can reach out to me by sending feedback at the touch of a button and I am able to respond just as quickly.  We BFFs do this all day, every day. It’s really all we think about.

Now caregivers are smart people. They’re well trained professionals and the work they do is complex and demanding. They’re dealing with changes in healthcare and responding to those who are in their care. They’re really amazing people. On top of everything they have to do, they’re navigating a technology leap from a patchwork of communication methods (personal pagers, overhead paging, call lights, patient monitoring systems, landline phones, and etc.) to Voalte, the one solution that allows for comprehensive communication from the palm of their hand. Suddenly, communication can travel effortlessly to and from your handheld smartphone at the tap of the screen. Voalte is an amazing and powerful solution for critical hospital communications.

So how do our users make the leap to the next level in communication technology? First, by being a caregiver at one of the best hospitals in the country! And while smartphones may seem to be ubiquitous, they are new to some of our users. The idea of using a smartphone may at first seem intimidating to some, but Voalte is built for comfort! Those who are new to smartphones sometimes need a bit of coaching on the phone itself. I’m the friend they can rely on to help them get over that little bump in the road. I’m their BFF, and our BFF team is there pretty much whenever we’re needed so that caregivers can get back to doing what they do best. Their transition to the Voalte solution is often an exhilarating experience because the user interface is so intuitive that they’re able to enjoy the benefits of improved communication immediately.

For me, it’s all a matter of perspective. You don’t need to know how to rebuild an engine in order to drive a car, and you don’t need to know every detail of how smartphones work in order to use one successfully. The Voalte solution makes it easy! Have a suggestion, comment, or question? Reach out and let us know. You’ll find my team listed under Voalte BFF in the directory.

Better communication means better caregivers.

Better caregivers mean better patient outcomes.

 

In my travels working with customers and partners I have the pleasure of talking with hospital management teams and end users about Voalte. Frequently our conversations gravitate to the lack of modern wireless communication solutions in healthcare and the truly unique capabilities Voalte brings to the market.

1. Convenience – Voalte eliminates the need for the nurse's "tool belt" of multiple devices and applications. Text messaging, alarms/notifications, and voice communications all flow naturally to a single smartphone application.

 

2. Ease of Use – Why is Apple selling 350,000+ iPhones Per DAY? It's intuitive and simple to use. Voalte leverages the advantages of the robust iPhone hardware and a software application that provides all of a caregiver's communications needs on a shared device with a single sign-on.

 

3. Functionality – I tried text messaging on my old Nokia cell phone. Remember pushing each button 1,2, or 3 times to get the letter you wanted? Forget it. The advent of full keyboards made text messaging a mainstay of communication in the modern world. The non-smartphone handsets currently used in most hospitals today provide the same functionality you abandoned 10 years ago in your personal life.

 

4. Efficiency – The workload of nurses and physicians is astounding. Few jobs require keeping multiple "balls in the air" quite like the hospital environment. A study shows that communication with team members, or other departments, accounts for 20.6% of nurse's time. Providing more streamlined communications leads to happier more effective caregivers. The result is more time spent at the bedside with patients and fewer mistakes. Voalte provides better outcomes and happier patients. This all leads to higher reimbursement and lower cost to the hospital and our over burdened healthcare system.

 

5. Flexibility – The typical process for replacing broken wireless phones in the hospital is for the telecom team to order the same proprietary phones they have been using for decades. The "new" handsets may be a different color or shape, but provide the same limited functionality and user interface they've always had. Why replace a dead-end phone with another dead-end phone?

 

Voalte can custom provision iPhones tailored to the hospital system's needs or even customize by department. Voice, alarms, and text are just the beginning. Voalte puts the power of 50,000+ medical applications in your hands at the bedside – drug reference, med math calculators, language translation – the options are endless and growing every day. Shouldn't your wireless hardware and software solution have the flexibility to grow and change with your communication needs?

After having worked for Voalte for six months now people have asked me; “what question do you hear most often in the field?” When explaining what we do to hospital executives the over whelming majority ask, “if Voalte is a smartphone application can we just download it on our personal phones?” 

The simple answer is no, but the underlying importance is the reason why. Nurses all over the country have used different legacy devices ranging from complicated phones to simple single-use pagers. Now days all of the emerging technology is wonderful but we cannot lose focus on the end users. Hospitals are busy places and when a new technology is proposed caregivers are left wondering if they are going to have to learn how to use a new device or system?

This is where, as we say, a full “turn-key” solution is necessary to address the problem. After seeing our solution successfully rolled out at a number of hospitals across the country I have to come to realize that the reason for the success starts with the nurses being receptive and embracing the technology. Our end user training does just that. Our project management team ensures integrations are performed and infrastructure is configured correctly. Our go-live support maintains a successful rollout, while our ongoing supports keeps the solution up and running as it should. Lastly, our “app” in combination with our specialized devices and charging solutions deliver the efficient and effective communication nurses and caregivers need to deliver the best care possible.

It’s more than just about the app…it’s about our people and the overall experience.