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Real-Time Health Systems (RTHS) and Experiential Wayfinding

Posted on May 19, 2017 I Written By

The following is a guest blog post by Jody Shaffer from Jibestream.

You have probably heard about Real-Time Health Systems (RTHS). This is a game-changing trend among healthcare providers where the delivery of healthcare is transforming to a more aware and patient-centric system. Providers are leveraging technology to get pertinent information to decision makers as quickly as possible empowering them to make more informed decisions in real-time. Facilities that are amenable to change will remain strong in competitive markets, while those who are reluctant to adapt will fall behind.

As we entered this new era in healthcare, providers are faced with a series of challenges. Smart medical devices are transforming the healthcare dynamic as medical data and information is produced and multiplying at an exponential rate, yet it’s use has not been keeping pace. This data overload has created a significant obstacle for healthcare providers to overcome. There is also intense pressure to create a consumer and patient experience that is dynamic, accessible and engaging.

So the question is, how can healthcare providers quickly process and interpret copious amounts of data into a digestible format for immediate patient consumption while internalizing and translating the same data into operational intelligence?

The answer lies in evolving to a paradigm that is situationally aware and patient-centric in both operations and management. Not only is this pivotal in successfully achieving a RTHS, it ensures that healthcare providers connect, communicate and collaborate more effectively than they have in the past.

When looking to achieve a Real-Time Healthcare System, there are four primary phases that need to be addressed:

Phase 1 – Collecting data

Phase 2 – Processing data

Phase 3 – Translating data into intelligence

Phase 4 – Utilizing/sharing data

The final two phases are essential for healthcare providers to excel in this changing market dynamic and meet increasing patient expectations.

To yield valuable intelligence, data needs to be presented with situational context. Raw data is in itself useful for analytics, but can only be leveraged to create spatial awareness when augmented with location-based data.

Consumers have grown accustomed to the convenience of real-time access to information from mobile devices and apps, and healthcare is no exception. Through a combination of location-aware technologies, hospitals can eliminate some of patient’s biggest frustrations fostering a more positive patient experience across the continuum of care.

Mobile apps, digital maps and interactive kiosks leverage connected technologies to help create a more familiar and engaging environment promoting an effortless and seamless patient experience.

Experiential wayfinding, made available through these technologies, form the foundation for enhancing patient experience, which is paramount to the success of a healthcare organization. Experiential wayfinding reduces the complexity of indoor spaces by anticipating where people are going and what they are looking for. It can be used to direct visitors to a facility and identify parking availability nearest their desired location. Once there, it can be used to guide visitors to destination(s) within a facility using turn-by turn directions making it easy and less stressful to get where they need to go.

An integrated platform can also enable proactive interactions engaging patients before, during, and after hospital visits. The use of mobile messaging to deliver contextual content based on a patient’s location and profile help create a more pleasant and efficient patient experience. Prior to a visitor’s departure to a hospital, the facility’s mobile apps can share information such as appointment delays or traffic delays to take into account on the way there. Mobile messaging also enables facilities to communicate with visitors by sending appointment reminders, context-aware messages, preparation guidelines, post-care instructions, and more. Another application of this can save patients the frustration of intolerable wait-times when a hospital is stretched beyond capacity by sending notifications to offer a change of appointment or alternate appointment location.

Location awareness and spatial context benefit both patients and healthcare providers alike. For clinicians and healthcare teams, this translates to accelerated productivity facilitated through visibility, the streamlining of processes resulting in the elimination of inefficiencies, minimizing staff interruptions, and a balance between resources and demand.

When managed properly, a RTHS enables healthcare providers to improve patient satisfaction and outcomes by leveraging the vast amount of data made available through connected computers, technologies and medical equipment across hospitals, clinics, and patient homes.

By merging the location dimension into healthcare systems, providers are able to bring order to complex data. Through geoenrichment and data visualization, providers can improve patient experiences and outcomes, uncover previously unseen data patterns, realize workflow efficiencies through connected technologies and enrich business insights leading to better more actionable decisions.

Behind the Scenes: Preparing for a RTHS Transition

  • Digitization of Space (converting CAD/DWG map files to SVG)
    Before data can be presented in the context of a map, healthcare providers need to digitize their space. This provides a scalable platform for plotting data to support multiple use cases.
  • Connect core systems and data
    Leveraging technology that offers interoperability allows for seamless integration of core systems and data
  • Connect assets and people
    Create situational awareness by connecting to assets and people
  • Connect maps to data with Indoor Positioning Systems (IPS)
    Look for a solution that offer a technology agnostic architecture to calibrate maps Indoor Positioning
  • Implementation
    Make all this available by extending solution to patient and nonpatient hospital workflows

About Jody Shaffer
Jody Shaffer is an experienced marketer with more than 13 years in the software industry. Jody currently leads the marketing department at Jibestream, an award-winning company specializing in indoor mapping and location intelligence solutions. The company’s platform provides developers with the tools to build custom map-enabled applications unlocking the full potential of the Internet of Things (IoT). Jibestream’s platform can be found implemented in hospitals and health care facilities across north America.

What Kind of User Experience Are You Offering Patients?

Posted on May 3, 2017 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Centric Digital put out a look at the User Experience Trends we should expect in healthcare in 2017. Check out their findings:

*Click on the image to see the larger version.

The summary on the image offers some great insights for hospitals and healthcare organizations as they consider their patient experience plans:

“In 2017, we’ll likely see increases in mobile-first & user-centered design, deep personalization, and conversational AI elements (e.g., bots) implemented across a range of sites for greater engagement.”

How’s your hospital doing at these items?

My guess is that most hospitals are not on trend. I wonder if hospitals even know what mobile-first is and how many have rolled out a mobile-first experience for their patients. My guess is that most hospitals have looked at their website on mobile and possibly implemented a responsive website.

Going beyond that, how many hospitals have created user-centered design. There’s a simple test to know if you’re focused on the user or not. Go to your hospital website and evaluate whether your website encourages engagement or whether your website discourages engagement by users. The reality is that most hospital websites discourage engagement.

We don’t even need to start down the road of discussing deep personalization and conversational AI elements. Let’s start with a mobile-first user centered design and then we can talk about the deep personalization and conversational AI that could benefit your hospital.

While I find these trends interesting, I don’t think I agree with Brenda who shared the image above that these will be the trends for 2017. This sounds more like where the cutting edge organizations are innovating as opposed to the industry trends.

How’s your organization doing in these areas? Are you offering these kinds of user experience to your patients?

E-Patient Update: If Hospitals Were Like Airports

Posted on June 6, 2016 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or

Almost everyone reading this blog has spent some time in an airport. And though not much of it is visible on the surface, airlines do an amazing job of managing people and things seamlessly while you sit reading the New York Times and drinking your latte. People are ushered on and off of flights, baggage is dispatched around the world and airplanes maintained and fueled at a miraculous pace. Although, you probably forget about that when it’s your flight that has delays or issues.

The hospitals many of us work for also do an amazing job of managing people and things, typically in a way that patients never need notice. While the carefully orchestrated dance of care plays out, patients simply eat their meals, sleep, visit with their friends and family and provide whatever bodily fluids are necessary to diagnose them. Meanwhile, multi-million dollar IT systems help see to it that the process works.

In some ways, however, the two industries are quite different in how they work with the people they serve. And in my opinion, the healthcare system would work better if it borrowed from the airlines when it comes to using IT to simplify the customer experience.

Status updates

One thing airlines do well is keep passengers informed about the status of their flight, or the flights of those for whom they might be waiting. Airlines began posting real-time schedules and allowing passengers to preregister for flights from early in the emergence of the commercial Internet.

In more recent times, the airlines have added a mobile dimension to their customer experience, offering small but valuable services like reminder texts and mobile-only information. While being able to check on your flight from your home desktop is great, it’s even better to know what’s up as you head for the airport, and mobile apps make this possible.

Traffic information

Unlike hospitals, airlines post scrolling information on key progress indicators — i.e. arrivals and departures. While you, as a consumer, typically only need to know the status of your own flight, having a comprehensive information source sometimes allows you to better understand delays, orient yourself to time and place and even make a mental note as to which destinations your chosen airline travels.

Such displays don’t disclose any personal information about passengers, but they still offer some value to individuals, if for no other reason than that having this information available helps to put airline staff and consumers on the same page.


These days, many airlines allow passengers to check in for their flights and print tickets without ever speaking to a human clerk. The process not only saves time, but also personal aggravation, as waiting in long airline ticketing queues can be quite tiring.

Checking in at a kiosk also offers passengers additional reassurance that they are indeed booked on the fight of their choice, allows them to confirm their seating choice and in some cases, even add additional flight options.

Transparency is key

I could go on, but I’m sure you get the idea. By exposing what might otherwise have been internal systems to consumers, airlines have substantially improved aspects of their customers’ experience. And they’ve done so without exposing individualized data or subjecting themselves to increased risk of hacking episodes. On the other hand, while health systems and hospitals have dabbled in these areas — for example, by posting ED waiting times on the web — it’s still something of a rarity for them to share live patient information.

Admittedly, hospitals may be leery of giving the patient too much visibility into the process they undergo. After all, their interaction with consumers is a good deal more complex than that of the airline industry, and they don’t have time to explain what they’re doing and why beyond a certain degree.

Still, as a patient who wants to know what the heck is going on with my care, a little transparency would go a long way. If you want patients to be prepared to care for themselves, treat them like adults and include them in what you’re doing.

Patient’s Take On Making Hospital IT Patient-Friendly

Posted on September 4, 2013 I Written By

Anne Zieger is veteran healthcare editor and analyst with 25 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. She can be reached at @ziegerhealth or

Today I was talking with my mother about her experiences with hospitals and IT. My mother, you should know, is so computer averse that she won’t send or receive e-mails — she leaves that to Dad.  But despite her fear of home computing, she’s got some interesting opinions about how hospitals should use health IT to involve patients in the care process:

* If possible, she suggests, hospitals should assess a patient’s “electronic IQ” to see how comfortable they are with using technology. I liked this because it could apply not only to in-hospital info sharing but also the patient’s ability to participate in remote monitoring or other mHealth modalities.

*Give patients access to a schedule (via an app on a tablet, perhaps) which tells them when various tests, procedures and clinician visits are likely to happen. This not only calms the patient, it helps keep the family in synch with the patient’s routine, she notes.

* Display results of key tests — or if clinicians are concerned that patients won’t understand them, at least register when the results have been received, so  patients know their care process is progressing. She’d be happy with a note that said: “Dr. X will be in to discuss the results of your CT scan shortly.”

* Allow the patient and their family/caregivers to make notes within the system of what they want to discuss with clinicians.  Otherwise, as she rightly points out, they’re likely to forget what they wanted to say when the nurse or doctor swoops into the room with their own agenda.

Actually, my mother’s vision is already largely in place in at least one facility. As I reported last year, the Mayo Clinic has already begun a program using content- and app-loaded iPads to move the patient through their inpatient stay. Not only does the Mayo implementation do everything on my mother’s wish list, it also allows patients to report on pain levels and exchange messages with doctors.

Let’s hope more hospitals find a way to use IT to make the care process more transparent for patients. While it calls for a not-inconsiderable investment in time and resources, it seems like an excellent way to keep patients engaged in their care.

Do Hospitals Think About Patient Engagement?

Posted on August 2, 2013 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This week’s #HITsm chat revolves around the subjects of patient engagement and patient experience. For those not familiar with the #HITsm chat, you can follow the #HITsm hashtag on Twitter and every Friday at Noon ET various people from healthcare IT get together to discuss 4-5 questions. For example, here are the questions for this week:

T1: How would you define patient engagement vs patient experience? Does the difference matter?
T2: Is improving patient engagement a prerequisite to improving patient experience?
T3: What #HealthIT solutions have you seen that are effective at improving patient engagement? Which are not?
T4: Should patient engagement technologies be mandatory and should there be penalties for not adopting them?
T5: What #HealthIT solutions do you predict will be the most effective at improving patient experience? mHealth? Big Data? Quantified Self?

I took a look at the topics today and decided to look at many of these questions from a hospital perspective. I found this to be a real challenge, because I really don’t think that most hospitals think about patient engagement. They certainly have things they do that engage patients, but most hospitals have a goal to stop engaging with patients.

There are a whole series of projects that hospitals are taking on now that engage the patient, but that’s not how I think most hospital administrators think. I’ve never heard a hospital CIO say, “We need to do more patient engagement.” Instead, they think about ways to lower readmissions. They think about ways to decrease length of stay. They think about ways to improve how quickly they collect payments.

The interesting thing is that some of these goals can be achieved through patient engagement. However, if we use that terminology I think that most hospital execs will turn off the discussion. I’m not sure if it’s right or wrong that hospital executives think this way, but the worst thing that can happen is for hospital executives to turn off the discussion.

I think a similar thing can often happen with the idea of patient experience. Most hospitals are just trying to keep their heads above water, so trying to take on patient experience is a real challenge. However, I’ve heard some amazing discussions from hospitals in competitive regions really taking patient experience to the next level. In many ways, their discussion of patient experience feels more like what you’d hear at a five star hotel than a hospital.

What are your thoughts when it comes to patient engagement and patient experience from a hospital perspective?