Google Health – Tools to help healthcare providers deliver better care

Google Health – Tools to help healthcare providers deliver better care

Hi, I’m Alvin. I’m a Product Manager here at Google and a practicing doctor in Internal Medicine. Our goal is to restore the joy of caregiving and redefine how physicians, nurses, pharmacists, and more, operate. We want to enable them to operate at the top of their license, encouraging high-quality and high value care. Today, healthcare data is siloed and innovation to improve the clinical experience is hard.  The tools for frontline clinicians are clerical and sub-optimal for decision making.  We need modern tools that are a joy to use. Doctors and nurses spend half their day in the electronic health record, and they often have to log into multiple systems with multiple usernames and multiple passwords rather than seeing all the information in a single place. This makes accessing the information they need burdensome, and even when they do get to the data, they are often confronted with information overload,  and they don’t have the tools to quickly and easily find what they are looking for. We’re excited to share with you what we’ve been working on here at Google Health. The chart you’re going to see is synthetic, meaning it’s not real patient data. The product is currently in development and early clinical pilots. It’s not yet available for clinical use. With a single log-in, doctors can access a unified view of data normally spread across multiple systems. All the types of information clinicians need are assembled together, such as the vitals, labs, medications, and notes. Clicking on any value will start a deeper exploration, showing recent and historical trends, both graphically and with tables. Doctors can query the entire chart with their own words and typos.  Results are not strict keyword matches. A variety of Google technologies are used to identify related concepts, such as coagulopathy and thrombocytopenia. Clinical shorthands works too. You can search abx for antibiotics, and we’ll return the administered antibiotics and mentions of them in the note below. To reduce the number of clicks, clinicians can jump directly to any part of the chart with a simple search, such as vitals or notes. Key information, like the latest admission note, known as an H&P,  are also just a few keystrokes away. Text is often copied and pasted from prior notes, obscuring fresh from stale information. Copy-forwarded text is automatically detected in grey and the source is shown on hover. Documentation is a major pain point for physicians.  To help, we’ve adapted SmartCompose from Gmail complete common clinical phrases. As clinicians write in different sections of the note, relevant information will be shown on the right hand side, and tricky to enter or spell information is automatically made easier to enter. As clinicians type about lab tests, relevant results will automatically be shown on the right hand side. We’ll even try to successfully complete, grammatically, what the clinician wants type and enter the right piece of information. Similar proactive assistance works for reports, such as the chest x-ray,  where we’ll show the full report and after you enter it, you can go back to see it at any time point. Last, and this is my favorite feature, you’ll even be able to search for information in scanned documents. And those faxes, even when they’re handwritten, we’ll still find the information for you. We want to empower clinicians by making it easier to access complex, clinical data with tools that are delightful to use. We want to make the work of caring for patients, like documenting your thoughts,  more efficient and seamless. We’re excited to work with doctors and nurses on our collective mission of delivering the best possible care for all patients.

50 thoughts on “Google Health – Tools to help healthcare providers deliver better care

  1. Oh Google.. Certainly not a 21st century solution. Please try not to release this, call me anytime

  2. Alright, this is actually really promising and makes me hopeful as someone considering pre-med as this is one of the most vital issues clinics deal with!

  3. The recent negative report in the WSJ about Google Health is much ado about nothing. I am an internist using an electronic health record that is touted as being the gold standard. It is as expensive as gold but hardly a standard worth advertising. The imperfections of the current health records are legion. The brouhaha is a small screen.Insurers and other individuals with no interest in health care other than profit are allowed literally unfettered access to our notes and their preauthorization prompts force us often to disclose information lest a sick patient be denied care or medications. The noise we hear is a smoke screen that allows inefficient software to impair the ability of many physicians to deliver care. The EHR manufacturers took the feds for $30 billion and now want to stifle competition. As an individual my patients and I would welcome Google to help me practice more efficiently. Google may have the key that will once again open the Joys of Medicine to its practitioners

  4. This has many positive features, and I suspect that after their past failures, and indeed the failures of many other larger corporations like Microsoft to make a dent in healthcare (RIP, HealthVault), Google will to a certain extent pull this off. But they still have things back to front. Where is the problem list_? How is this informed by the data? Good doctors don't garner data and build models, they use data to apply, inform and above all else _test models for appropriateness. We need to get over the myth of "data driven" medicine—and I don't think they have, yet. Give them two decades and they might 🙂 Or, like Larry Weed, they may never. Dr Jo.

  5. I like it a lot. Seems similar to EPIC but page seems a bit less busy without missing much information. Some suggestions…

    Bold and red abnormal labs or vitals

    Utilize bar graphs for urine input/output

    You didn't show the orders page but try boxing them into separate boxes (medications, nursing orders, labs, imaging, etc) for easier viewing.

  6. Why google? WHY?! Now my business plan to graduate from health administrator has gone to hell. What I do is going to look like I'm making a copy of your idea.
    I admire you very much.

  7. As usual, the EMR looks like it is being built for the physician. Please remember that 80% of data entry on a patient's care is done by nurses. Nursing documentation should be a priority of development for any truly revolutionary EMR.

  8. How many ads will you play before doctors can read a patient's chart? Will patients be shown search results that are relevant to their life expectancy?

  9. How does your interoperability work? Integrating different EMRs is tough especially in say behavioral to primary care partnership with different rules regarding protected information

  10. Please add inpatient easy to view sections for blood glucose monitoring and anticoagulation! Currently using a version of cerner and it is so frustrating that we have no way to view this data in daily grid form (blood glucose listed with insulin given with each meal would be so nice) , it is listed as discrete data points in a time line you have to put together yourself.

  11. This is a game changer. If google amasses huge amounts of clinical data that this will give it, the possibilities are endless: public health stats, drug discovery, patient cohorts, etc .

  12. UX is the easy part. Integration with those siloed systems is the real challenge. This is basically a fancy wireframe. How will patient consent work? How will user roles between various systems be handled? How will the data be recorded back into those source systems?

  13. There are some nice features here (such as the "type ahead" feature that guesses what you are going to type) that the major EHRs should have implemented a long time ago. However, I was sad to see that the Google designers were as innumerate as all the EHR designers that preceded them. Look at the lab results at 1:40 in the video – no error bars or ranges around the creatinine results and a completely inaccurate inference that there's a linear progression between each measurement (as if the patient's creatinine of 1.2 in early 2017 dropped linearly without excursion to 1.1 in Sept 2018). And of course the values all performed in a short time frame in early 2019 are all jammed together on this view. Hopefully they'll put some real thought into accurate data representation (maybe consult Edward Tufte) before unleashing this on the world.

  14. Estimados señores de Google me gustaría pediros a ustedes está solicitud: como bien saben tenéis una aplicación llamada Google Earth, pues lo que yo os propongo es que generase una aplicación dentro de Google Earth llamada Google Earth historic and prehistoric, la cual lo que haría sería regenerar escenarios del pasado utilizando la aplicación de Google Earth. Por ejemplo si quisiéramos viajar en esa aplicación a hace 65 millones de años, en el momento de la caída del meteorito, dentro de esa aplicación podría haber un buscador llamado momento, en el cual se coloca el año o hace cuántos años y saldrán una fila de resultados, siguiendo con el ejemplo sería algo así; en vez de ir a el año iría a hace cuántos años dónde aqui pondría hace 65 millones de años (el hace se mantendría estático como título y lo que se escribiría , sería en el apartado de cuántos años), una vez ocurrido eso saldría la fila resultados sobre respecto a el momento que quieres ver en concreto: en este caso la caída del meteorito de la extinción kt.

    Una vez elegido el momento habría un botón llamado aceptar, el cual una vez dado, la imagen de la esfera terrestre del Google Earth, se modificaría para adaptarse al momento concreto que has pedido: en este ejemplo se modificaría los continentes y se vería a diferentes escalas la caída del meteorito de los dinosaurios.

    Ojo en esta aplicación habría también otra otro apartado que sería el "cómo lo quieres ver": el cual te permitiría ver de dos formas el escenario terrestre: la versión sin cambios temporales : que mostraría en ese momento histórico o pre histórico los elementos de hoy en día como casas, monumentos, etcétera, para saber dónde pudieron estar ubicados, os pongo un ejemplo para entenderlo: la península de Yucatán, que en el momento de la caída del meteorito de los dinosaurios, estaba inundada por las aguas del Atlántico, colocar la silueta de la península con sus elementos actuales. Otro ejemplo sería ir a la época del Imperio romano, buscar roma, darle en como lo quieres ver ,a "sin cambios temporales" se vería la Roma actual con sus elementos actuales.

    Y la opción "con cambios temporales"; la cual haría una simulación de elementos estáticos dentro de los escenarios de cada momento histórico o prehistorico; cómo colocar los dinosaurios y demas seres vivos qué pudieron vivir por Nueva York, como también la morfología del terreno en aquel entonces. O colocar a Roma en su época imperial con los elementos que está conlleva. También sea bueno colocar en estos elementos unas etiquetas para poder identificar o saber qué son.

    Estaría muy bien que existiese un apartado llamado recomendados, el cual serviría para decir curiosidades o momentos históricos/ prehistóricos, interesantes o recomendables.

    Esta sería mi encantaría saber los resultados del si estáis de acuerdo o no con esta petición con sus porques.

    Si llegáis a aceptar mi propuesta, estaría muy bien que me informaseis de vuestras aportaciones.

    Un cordial saludo
    Pablo Ciriaco Beaumont
    Usuario de Google

  15. Okay stop saying this is a good thing

    Image if this person walked up to you and told you all your medical history, he is not a medical professional so why would you trust him with your medical data

  16. Mind your own damn business your only doing this for MONEY! We all know it I hope you get shut down by the Federal Government

  17. Don’t just don’t I don’t trust you with my medical record everyone with more than ten brain cells can see that this is most likely illegal for you to do this and it’s privacy invasion

  18. "Graphic designer and political activist Somerset Bean reported on Monday that information related to his Google account was provided to the US government under a federal court order more than one year ago.''
    Bean is that artist doing many of those great posters and banners you've seen all over the place. His work is at this link below

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