Let’s move on to a more interesting part of our platform. Now the personnel is logged in with a mobile, fast and secure way. We and any other software companies can continue making our fantastic mobile applications right? We still have one conceptual major issue to solve. What happens when during a renovation in a hospital a wrong data cable is cut or an EHR is not working properly? As we know, service level agreements allow this to happen every now and then. Results are bad. No data, no care.
Europe’s biggest Epic EHR installation is a few kilometers away from where I sit at the moment. It’s serving Helsinki University Hospital (HUS) in Finland. Even though the installation is pretty new, it has already accidentally experienced a few days offline. At those times papers are taken into use, efficiency is reduced to less than half for a day and patient safety is compromised. And even most importantly, there becomes a supermassive blackhole of missing patient information concerning that day. No one has time to put that patient information to an EHR afterwards. The time critical part of a healthcare system in a smart city definitely needs a working back-up function for days like these.
Already in my earlier posts mentioned NFC chips are high security hardware used commonly in banking business. But how they are used in banking is, that for customers they show up as read-only chips. No one ever writes data to your credit card once you have got it. But we do. We give every patient a chip and before he is moved from one room to an other, all the relevant patient data is updated to his chip. Of course the primary location of the data still is the cloud service. But as seen before, you don’t want your relatives to be in a heart-surgery process at the time the cloud service goes to sleep.
So in a nut shell: The doctor touches the mobile device with his identity card, writes his pin code and can now use any software in a secure way. Then, when a patient comes in, the doctor touches the NFC chip of a patient with the mobile device in use and gets the latest patient data. Whether there is a cloud connection or not. If there is, the latest data is checked from the cloud. If the connection or servers are down, the data comes from the chip. So the doctor doesn’t necessarily even need to know whether there is a malfunction or not. And as the patient leaves to room, the updated data is once again recorded to the chip with the touch. And if the server connection is working, the data of course is being recorded to the cloud server at the same time.
And where the NFC chip is embedded? In paramedical environment it can be embedded to a patient bracelet. Inside a hospital it can be paired with a patient using anything from a bracelet or medical tape to a credit card-like product, key ring or any media that suits the conditions at hand. Data follows the patient in all conditions.