Agile Mindset Focuses on Product and Process

Post by Cynde Dornuf, CBC, and product marketing manager at Resideo Life Care Solutions. Cynde has more than two decades of experience helping create business agility in healthcare, insurance and manufacturing settings. As Resideo Life Care Solutions prepares for a new software update, this post has been created to help describe the processes of development Resideo uses in our upcoming, current and future product updates.

It’s one thing when a technology company embraces an agile approach to software development. It’s quite another when it’s an entire business philosophy. That’s what we are aiming for at Resideo Life Care Solutions as we create seamless, advanced remote monitoring solutions for care providers that improves the quality of patients’ lives.

By working to embrace an agile culture, Resideo Life Care Solutions is sharing knowledge, increasing responsiveness – and best of all, confidently providing a renewed customer focus, which is a key differentiator as user experience expectations and technology options are rapidly changing.

We’re not perfect. Maintaining our focus on agile and taking our application to the next level is a marathon—not a sprint. The first step is understanding where you really are – what approaches are working and what needs help. Then it’s all about defining the end state – where you want to go with agile.

Next Steps in Agility

Out of the starting block, we’re doing quite well. The process involves a kickoff meeting at the beginning of each product release to address the top customer challenges.

Our teams include a wide variety of disciplines to draw on experiences and attack projects from different angles, so we can come up with as many viewpoints as possible. That often means involving industry experts, supply chain and direct or indirect channel partners who can address downstream requirements.

Along the way we include customers to be sure we are addressing their needs and creating value. When the customer helps prioritize features and functions, we can better understand what’s most important and can develop solutions in the most valuable order. It benefits us through less rework and ultimately greater customer satisfaction.

We work out loud, think out loud, share perspectives and freely voice opinions. To help us monitor our progress toward a solution and facilitate daily collaboration, we use Kanban visual management boards throughout the facility.

The challenge is getting the entire team to leverage agile’s collective power – to collaborate and define, understand and find solutions by having everyone contribute knowledge and experiences.

Collaborative Effort

As product owner, I enjoy setting the stage by facilitating groups, finding problems, maximizing value and triaging ideas. I don’t tell people how to solve problems, but I do help lay out the issues and determine the criteria for successful solutions. Then the team takes over to decide what they need to do to deliver the solution as fast and accurately as possible.

For example, we know that healthcare systems want to avoid readmissions, so we involve one of our internal clinical consultants, Lisa Quinn – a nurse who has worked in urban hospitals, the military, home healthcare and quality certification – in the process.

An agile mindset means we break down silos. Everyone contributes to a complete, holistic solution, providing insights into the product from every angle. By including the clinical team, there are fewer re-works, as they have helped define the work that needs to be done, identified potential approaches and reviewed the work in progress the entire way.

It’s all about user experience, Lisa says. “Medical professionals and patients are becoming more sophisticated with phones and mobile devices. They expect healthcare technology to be seamless and have the same responsiveness, along with even more privacy and security.”

As Resideo Life Care Solutions invests in data and infrastructure security, we’re bringing in guest team members – authorities who can address the challenges. That’s especially important as our products are FDA-cleared, so we bring in FDA subject matter experts to raise issues even our experienced team might not consider.

Lisa says, “We have amazing specialists who can be sure the process follows the regulation to the letter. We always bring our ideas back to the committee to be sure we’re compliant. It doesn’t slow us down; it makes us more efficient in the long run by having final products that will withstand FDA scrutiny.”

Creating Value

One of the most important elements of agile is creating a common understanding of how to create value. Value can only be created when something gets done – customers can’t just buy “progress!”

That means defining “done.” Done has to be from the perspective of the overall business and customer, not from just from a particular role or contribution.
For instance, some people may think it’s done when the new code is written or the new brochure has been created.

But then we ask, did we think about the fact that manufacturing needs new part numbers or the impact it may have on fulfillment of orders? Did we assess if we need to update the terms and conditions in our contracts because of a new feature?

Agile is thinking holistically from the point of view of the customer—what they will experience when they want to buy it and what we have to do overall to take care of that customer—from selection to processing to support.

And since the delivery of our product is changing – from managing devices on a computer to managing them in the cloud – we’re working to take a fresh look at what we offer.

We are questioning everything. Can we find a way to minimize the effort needed by patients to take their vitals? Should we rethink how we enable customers to do analytics and create reports? What can do we do to minimize the number of steps for clinicians to monitor and assess patients?

As the vision of remote patient monitoring evolves, it takes everyone in the organization to identify what’s possible and develop the solution that’s best for the customer. By having a short time between the project investment and initial results, we are reducing risk by being able to quickly pivot to successful ideas.

Managing Uncertainty

Organizations need to find new ways to deal with uncertainty, especially in a field as volatile as healthcare technology.

But I recently read a Yale Insights article that pointed out, “The traditional way of managing uncertainty was with tools like scenario planning. That doesn’t work because the world is now changing so fast and in such dramatic ways. A portfolio of agile teams is a terrific way to manage uncertainty.”

Chris Addison, our director of engineering, says that because Resideo Life Care Solutions is a smaller entity than our former parent company, we can be much more nimble.

“Resideo Life Care Solutions brought the best of Honeywell processes and cultures, and we are fine-tuning them to fit our more efficient approach,” he says. We are updating and modifying the software daily, putting us in a position to give customers new functionality and enhancements more consistently and regularly.

“When I first got here, we had a waterfall approach, which slowed things down. One of the first things I did was train everyone on scrum and encourage self-organizing teams. That’s really paid off,” Chris says. “We’re providing more than technology and data. We’re able to provide full, turnkey customer solutions.”

Multiple Benefits

It’s easy to see why a growing number of companies and organizations – from IBM and Amazon to National Public Radio and Spotify – are embracing an agile approach. The 2019 State of Agile report indicates that companies show a 71% increase in project cost reduction as a primary reason to adopt agile.

It’s an absolute must as we deal with constantly evolving markets and with frequently fluctuating technology. As healthcare organizations make many changes in these times of shifting expectations and increasing responsibility for patient health, it is important for companies like Resideo Life Care Solutions to be just as adaptable and flexible as the healthcare providers that we serve.

Chris assures me that we have full leadership buy-in from the top to not just use agile in software development but to engage our entire organization. They see themselves as servant leaders – ready to dig in and work hard along with us.

We’re on our agile journey, learning and continuously improving as we go. My job is to embrace enthusiasm, bring people together and figure out how the multiple viewpoints can deliver the best solution to our customers in every possible way so we all win in the end.

To learn more about our Resideo Remote Patient Monitoring platform, visit our website for more information.

Local Seniors Review New Genesis Touch User Interface for Remote Health Monitoring

Resideo Life Care Solutions was pleased to receive product feedback from seniors, aged 65-92 years old, who stopped by our offices to help test a new user interface on our touchscreen remote patient monitor.

Participants graciously took time out of their day to to experience remote patient monitoring for the first time, while providing honest opinions while interacting with every menu and device.

Overall, all participants noted the design of the Genesis Touch user interface looked extremely or very appealing. After taking a sample measurement, all participants noted they’d be very comfortable using the remote patient monitoring system as it was shown to them. All participants noted clear text, graphics, buttons, clear vocal commands, or clearly designed menus when interacting with the systems.

Testing also revealed a level of comfort with using connected mobile devices, with all participants noting easy access to Wi-Fi, and ownership of a smart mobile phone.

We’ll be releasing quotes and highlights from participants on Linked In, and we invite you to follow us for more information to see highlights from the event.

This is how Resideo Life Care Solutions designs — with a 360-degree view. Our Agile development process and mindset ensures multiple perspectives are built into our solution. We incorporate feedback from seniors about how they interact with the product and how the product fits into their home. Clinicians regularly provide feedback about workflows and enhancements. Our engineers are keeping tabs on the latest technology developments and changes. The result: a product that works for everyone.

Four New CMS Codes Could Change the Way Telehealth Services are Reimbursed in 2019

Link

Centers for Medicaid Services (CMS) is working to finalize policies that bring benefits for remote patient monitoring services this year. These changes have healthcare systems, home health agencies, considering how to build a business case to attract new patients, and demonstrate stronger revenue potential in 2019.

Our latest white paper estimates utilization of two CPT codes from CMS, for Remote Patient Monitoring, could potentially generate $83.61/patient for reimbursement alone.

Penny Osmon Bahr, from CLA, explores the many possible outcomes of how your program could benefit from a few different codes. We encourage you to read our white paper, and contact your Life Care Solutions representative for more information.

Check back for more information this year, as Life Care Solutions continues to monitor developments, and opportunities to help care providers drive value for their businesses.

With LifeStream, telehealth clinicians may generate a suite of reports on aimed at identifying trends, aligned with business needs. As you’re considering how your organization may report on operational data, contact us for a demo of how LifeStream’s robust reporting capabilities could help.

Learn more here >>

Webinar: Maximizing the ROI tied to your Remote Patient Monitoring Investment

Link

We know you are busy, so we’d like to invite you to watch our latest webinar at your convenience. You’ll learn about:

  • Best practices for implementing a telehealth program
  • New CMS codes related to Remote Patient Monitoring
  • One approach to calculating the ROI tied to your RPM investment.

If you have questions about this webinar, don’t hesitate to get in touch with a representative for more information, or to schedule an appointment. Visit our website for more information about Resideo’s latest telehealth solutions.

LifeStream: A Telehealth Platform that Could Transform Remote Care

Advancements in technology, legislation, and consumer behaviors over the last decade have set the stage for a new virtual healthcare model to emerge. Telehealth helps make it possible to provide a new level of care outside of traditional settings – keeping patients out of the hospital and in their own homes.

Provider organizations may now be looking to implement telehealth programs that increase efficiency, improve care coordination, reduce costs and result in better healthcare outcomes. Honeywell is addressing these needs by bringing remote patient monitoring solutions to the next level with integrated video visits as part of the latest LifeStream release.

Clinicians can now initiate and manage video visits directly from their LifeStream dashboard. Not only does this streamline clinical workflows but video communication helps reinforce and evaluate patient adherence to care plans. Clinicians can view visual indicators/symptoms of deteriorating health, evaluate medications and speak with family members and caretakers through video interaction. In addition, face-to-face conversations can often provide comfort and encouragement for patients, reducing feelings of isolation felt by chronically ill patients.

With the Resideo telehealth platform, software updates, troubleshooting and customer service come from the same source – Resideo – simplifying the overall user experience.

The LifeStream solution is also easily deployed, allowing clinicians to connect to large patient populations over long distances without placing a burden on organizational resources and IT staff. Most importantly, patients are empowered to work with their caregiver to achieve desirable clinical results.

Resideo Life Care Solutions is driving innovation with its video-based telehealth solutions designed to improve the quality of patients’ lives and reduce the overall cost of healthcare.

Request a demo today!

Disease Management Through Telehealth

THE NEED

“Our executive leadership realized that we needed to do population health in a more cost effective way. They wanted to get out ahead of the curve to succeed under value based care,” said Josi DeHaven, RN, manager of ambulatory care coordination at the Goshen, Indiana-based community hospital.

The idea of establishing a new telehealth program with chronic disease patients began to emerge. The fact that the hospital’s telehealth equipment – which was being used in home health – was old and too expensive to maintain pushed the idea of purchasing new equipment to the front-burner. The organization began to look for a telehealth solution that could support both its existing home health program as well as chronic disease and population health initiatives that could be administered by Goshen Health’s Accountable Care Organization (ACO).

THE SOLUTION

After reviewing proposals from several vendors, leaders chose to purchase 70 units (Resideo’s Genesis Touch) that collect and then transmit biometric data to the LifeStream, Resideo’s remote patient monitoring software that provides a single consolidated view of patient information enabling care providers to make informed, data-driven decisions. The devices also enable patients to conduct real-time online visits with caregivers through the videoconferencing function. With these units, the hospital can support its existing home health programs, as well as emerging chronic care and population health initiatives that are being administered via the ACO.

After identifying COPD patients as its initial patient population, clinicians developed a disease management program that could be administered through the telehealth equipment. The program consists of an initial home visit, daily remote vital signs monitoring and weekly videoconferencing. After fine-tuning the installation process and training the care coordinators on the use of the equipment, Goshen Health launched the initiative by enrolling 10 COPD patients in an eight week trial program.

During weekly video visits, ambulatory care coordinators in the ACO met with patients, counseled them about specific health challenges and provided education covering topics such as medication management, stress reduction and breathing techniques. In addition, if patients presented with specific problems, specialists such as physical therapists or dieticians were brought in to participate in the videoconferences as well.

THE BENEFIT

“There were several occasions when I was not feeling well and through the telehealth visits, the nurses were able to catch it early enough,” Jim said. “By reviewing my vital signs and observing me during the telehealth visits, nurses would establish that I needed a medication change. They would work with the doctor and made sure I got it – and that would get my symptoms back under control. So, I could stay at home, instead of in the hospital.”

Keeping patients like Jim out of the hospital is precisely what Goshen Health is aiming to do with its innovative telehealth program. A look at how the initiative came to be, its early success and its future direction sheds light on not only how telehealth can help individual patients like Jim but on how such programs could become an integral component of successful population health initiatives.

To read more, fill out our form below for the full download:

Let us know if you’d like to receive more case studies like this, directly to your inbox from Resideo!

Expanding a Telehealth Program to Serve More Patients

THE NEED

MultiCare is looking to reduce costs by offering high quality care in a more efficient manner as virtual visits will take the place of in home appointments. In fact, with this model in place, MultiCare expects to enable home health case managers to double their average case load, moving from 30 to about 70 patients. In addition, MultiCare is looking to improve care outcomes by offering patients the opportunity for clinicians and patients to routinely collaborate on clinical care issues by providing telemonitoring to interact with patients on a very personal level.

THE SOLUTION

To meet the needs of a large number of patients, MultiCare is offering a two-tiered telehealth program. “Tier one will be a full-blown program. These patients will have the telehealth monitor with all the peripheral devices in the home. They will get all of the intensive interventions that we can provide. We expect about 300 to 350 of the 500 patients will be enrolled in this tier one program,” said Kelly Gariando, RN, telehealth specialist at MultiCare

Instead of conducting telehealth sessions without any specific purpose, specific disease management questions are integrated at specific points in the telehealth process. For example, there are specific points in the care process when the telehealth nurses will ask cancer patients about pain control or diabetic patients about sugar levels.
To ensure that patients continue to adhere to their medication regimens, medication management is purposefully integrated into the telehealth nurses’ workflow. For example, the telehealth nurses focus on medication management on Tuesdays by asking a series of specific questions about the patients’ medication compliance. On Wednesdays, the nurses follow up to make sure the patients took action on any gaps that were identified the previous day. And, on Thursdays, the nurses work with the patients to ensure that they are prepared to stay in compliance with the medications over the weekend

THE RESULT

Now in its third year of using video technology the program is showing positive results in reducing 30-day readmission rates for both heart failure and COPD. For heart failure, the 30-day RPM readmission rates have never exceeded 5.1%, which compares favorably with national CHF 30-day readmission rates of 25%. In addition, when compared to all of MultiCare’s heart failure patients, the RPM patients experienced 30-day readmission rates of 3% and 4% compared to 22.38% and 18.70% respectively for the two reporting periods (2016 and January – June, 2017).

For COPD patients participating in the RPM program 30-day readmission rates have decreased steadily since the program was implemented – 10.7% in 2015, 6.0% in 2016, and 4.0% January-July, 2017. These readmission rates also compare favorably with national COPD hospital readmission rates of 20.2%.

Patient satisfaction is another area where hospital organizations can demonstrate improvements in care delivery which can also impact reimbursement levels. For all but one question, 93-97% of patients answered positively with an agree or strongly agree response. The highest rated questions (agree or strongly agree) were for reliability and ease of use of the equipment (97%) and whether the patient would use the equipment in the future (96%).

The impact of MultiCare’s RMD program has already resulted in improved patient care, enabling patients to stay in their homes and has increased the efficiency of care delivery by reducing the high cost of rehospitalization.

To read more, and download the case study, enter your information below.

Let us know if you’d like us to send more case studies just like this once we release them.

Archived: HomMed Announces Its LifeStream Partners

Telehealth industry leader harnesses collective strengths of leading companies to create a substantive product offering platform

Archived Release – February 20, 2012 – HomMed, a leader in telehealth and remote patient care, today announced its LifeStream Partners – an expanding group of industry-leading companies Honeywell has collaborated with to create an enhanced service offering around its award-winning Genesis Touch™. Through its open development platform, the Genesis Touch has been the catalyst for creating the LifeStream Partner program, allowing HomMed to leverage the strengths of the “best of the best” in their respective industries, and providing Honeywell customers with the support of unparalleled technology and resources.

Samsung Telecommications America, Inc.: HomMed has partnered with industry giant Samsung Mobile to provide the Android-based tablet for its new Genesis Touch personal health device. The touch-based tablet was selected for its simplicity and intuitive interface, providing Honeywell customers with an easy-to-use mobile device.

Connecting the Dots: Connectivity & Infrastructure

Verizon: HomMed has partnered with Verizon to provide the network that supports the connectivity between patients using the Genesis Touch and their healthcare providers. The strength of the networks ensures that there is always a connection – whenever and wherever patients need it.

Red Anvil: HomMed has partnered with Red Anvil to provide HIPAA-compliant, top security for its Genesis Touch users, to assure the security of not only the patient’s healthcare data, but the physical device hardware as well.

About HomMed
This archived release is provided for informational purposes only. Life Care Solutions, formerly HomMed, is now a Resideo Technologies, Inc. company.
HomMed is part of Resideo, a global leader in providing product and service solutions that improve efficiency and profitability, support regulatory compliance, and maintain safe, comfortable environments in homes, buildings and industry. For more information about Resideo, please visit resideo.com/news.