A doctor wearing safety goggles and a face mask appears with the blog title: Patient Safety Challenges & Solutions

Patient Safety Challenges & Solutions

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HealthWare Systems Blog

Patient Safety Challenges & Solutions

Posted on Monday, March 15, 2021

Here are some of the patient safety challenges healthcare facilities are facing today, along with solutions for addressing these issues:

Patient Safety Challenge: Patients Delaying or Avoiding Medical Care


A doctor wearing safety goggles and a face mask appears with the blog title: Patient Safety Challenges & Solutions

What are your patient safety challenges? Chances are, one or more of our ActiveWARE products can help.

Patients missed health visits at alarming rates last year.

Research reviewed by the CDC found that by “June 30, 2020, because of concerns about COVID-19, an estimated 41% of U.S. adults had delayed or avoided medical care including urgent or emergency care (12%) and routine care (32%).” Consequently, the Becker’s Clinical Leadership & Infection Control editorial team included “missed and delayed diagnoses” and “low vaccination coverage and disease resurgence” on its top ten list of patient safety issues for 2021.

Besides worry about the pandemic keeping patients away, other barriers to healthcare access include a lack of (or inadequate) health coverage.

Solutions: A patient outreach campaign can bring patients back for preventive health services and encourage them not to forgo urgent care when they need it. Patients may be confused about the guidelines for seeking medical care during a pandemic. Receiving clarification directly from your organization will reassure them of the importance of obtaining routine and emergency care for their own health and safety. You can find patient outreach messaging ideas here.

HealthWare SystemsActiveXCHANGE solution can be bundled with our messaging platform to add automated voice message (TTS), text, email, pagers, fax, and traditional mail to create a physician and patient outreach engine for alerts, reminders, requests for information, and post-acute care follow-up.

When it comes to your uninsured and underinsured patient population, you can improve their access to healthcare by finding alternative funding sources for their medical bills. ActiveASSIST is our financial assistance screening solution that identifies which charitable programs patients may qualify for and manages the application process for them. This patient advocacy tool helps remove financial obstacles to healthcare access.

Patient Safety Challenge: Potential Exposure to COVID-19


While it may not be in a patient’s best interest to evade medical care altogether due to COVID-19 fears, there is still a risk of exposure to the virus when visiting a health facility.

Solution: Most health systems are now enforcing visitor restrictions to limit the number of people on site at their facilities. But have you considered reducing the number of employees on site as well?

Healthcare organizations have historically been hesitant to offer remote work opportunities due to concerns over uncontrolled access to PHI. However, you can enable healthcare staff to work from home in a HIPAA-compliant, secure remote work environment. Our off-site print management workflow solutions provide:

  • Controlled access to PHI.
  • Complete audit trails.
  • Elimination of intermediate hard copies/storage of paper forms.
  • Encryption of all information at all times.
  • Full transparency and productivity monitoring for management.

With fewer people on site, the risk of exposure to COVID-19 will be lower for both patients and healthcare employees. Patients will also be more willing to come in for medical care if they know every possible measure has been taken to limit their risk.

Patient Safety Challenge: Data Integrity & Interoperability Issues


Healthcare organizations continue to experience problems electronically exchanging information both externally (between different health systems) and internally (between different units/departments). Individual patient safety, as well as public health, depends on a provider’s access to accurate and complete data for each patient.

Unfortunately, “patient matching in the EHR” and “fragmentation across care settings” were included on the ECRI Institute’s top ten list of patient safety concerns in 2020.

Solutions: Our integration capabilities can introduce universal master patient indexes across disparate systems. This makes it possible to link episodes of care and supporting documentation across fragmented systems. Our electronic forms solution, ActiveFORMS, protects patient safety by enhancing patient data accuracy. ActiveFORMS uses barcode automation to correctly match patients’ medical forms to their accounts and auto-populates patient data on forms to prevent human error from manual entry or illegibility issues from handwritten forms. It also improves clarity by converting raw data into easy-to-read reports and transforming legacy reports into user-friendly documents.

With ActiveFORMS, healthcare facilities can easily pass Joint Commission audits.

In addition, our ActiveXCHANGE platform helps achieve healthcare interoperability in many ways, including by:

  • Providing a bi-directional gateway for consolidating information from any source (e.g. multiple scheduling systems, custom interfaces, HL7, FHIR, XML, web-based requisition systems, EHRs/EMRs, faxes, direct messaging, e-mail, hard copies, scanned documents/images, and verbal appointments).
  • Routing information through business rules and account matching to the appropriate destination (e.g. EMR, physician portals, document management systems, other third-party applications) in virtually any format.

HealthWare Systems specializes in integrating proprietary and third-party patient access technologies and connecting disparate health IT systems and EMRs/EHRs.

Patient Safety Challenge: Clinician Burnout


Physician burnout is tied to more medical errors, lower quality of care, and reduced patient compliance. Not only does it affect patient safety, but provider safety and health as well. This problem was on the rise before the pandemic and has understandably increased since it began.

Clinician burnout also appears on the Becker’s patient safety issues list for 2021.

Solutions: Major causes of clinician burnout include too much paperwork, administrative burdens, spending excessive time on EHR tasks, and working long hours.

Many EMR frustrations and administrative burdens can be traced back to interoperability issues (e.g. sifting through an overwhelming abundance of low-quality data to find relevant information, spending more time with the computer than with the patient).

ActiveXCHANGE increases physician satisfaction by:

  • Improving interoperability.
  • Intelligently managing information objects by using business rules to find and create actionable data, determining what to do with that information, and flagging errors and exceptions (e.g. detecting missing signatures or required forms/documentation) for resolution.
  • Handling incoming physician orders/third party documentation to greatly reduce physician complaints related to lost or incomplete orders.

ActiveXCHANGE also does not require referring physicians to change their behavior or learn new software.

You can further reduce providers’ workloads by outsourcing credentialing, which is another time-consuming and exhausting clerical responsibility for clinicians.


Solve Your Patient Safety Challenges with ActiveWARE by HealthWare Systems

Which patient safety challenges are you facing? Chances are, one or more of our ActiveWARE products can help. Contact us today to learn more, request a live demo, or schedule a free consultation – together, we can improve patient safety and enhance the patient experience at your healthcare facility.


By Stephanie Salmich

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How Does ActiveXCHANGE Help Achieve Healthcare Interoperability?

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HealthWare Systems Blog

How Does ActiveXCHANGE Help Achieve Healthcare Interoperability?

Posted on Monday, October 12, 2020

ActiveXCHANGE is our solution for helping organizations achieve healthcare interoperability. Below you’ll find information on the basics of interoperability in healthcare, the challenges healthcare facilities face, and how we can help you solve them.

What Is Healthcare Interoperability?


According to HIMSS:

“In healthcare, interoperability is the ability of different information technology systems and software applications to communicate, exchange data, and use the information that has been exchanged. Data exchange schema and standards should permit data to be shared across clinician, lab, hospital, pharmacy, and patient regardless of the application or application vendor.

Interoperability means the ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities.”

Why Is Achieving Interoperability Important?


  • Interoperability is vital to patient safety and public health and a lack of interoperability leads to poor health outcomes and higher healthcare costs.
  • Seamlessly sending, receiving, interpreting, and integrating data significantly improves the patient experience and patients often expect that their information will be readily available to them and their healthcare providers.
  • Federal efforts to achieve healthcare interoperability are aimed at giving patients access to and control over their own medical information.
  • Interoperable technology streamlines organizational workflows and increases efficiency, plus cuts costs, by eliminating manual and redundant steps in the process of exchanging data.
  • Better interoperability helps with reducing physician burnout, which is often tied to EMR frustrations and administrative burdens that can be traced back to interoperability problems (such as sifting through an overwhelming abundance of low-quality data to find the information they need and spending more time with the computer than with the patient).
  • The Office of the National Coordinator for Health Information Technology (ONC) states that “Seamless data flow will also accelerate progress on a range of national health priorities that include combatting the opioid epidemic, spurring clinical innovation, and accelerating science.”

What Are the Challenges to Achieving Interoperability in Healthcare?


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Achieve healthcare interoperability with ActiveXCHANGE.

  • Disparate Technology Systems – there are numerous distinct EMRs in use today by different health providers and organizations, and most were not made for the purpose of integrating with others.
  • No Standardization – there has been no uniform method of identifying patients or shared clinical terminology used among different EMRs, resulting in inaccuracies when matching individuals to their health data, duplicate medical records/patient accounts, and costly repeat testing.
  • Fragmented Data & Information Delays – variations between systems in the way they handle information also leads to incomplete medical records and slows down the transmission of data.
  • Unstructured Data – information may be exchanged in a myriad of different formats, including fax, scanned images/documents, hard copies, and other non-electronic forms of unstructured data; many facilities are only able to integrate this information through manual work.
  • Design and Usability – the ONC found that barriers to interoperability identified by healthcare providers and other stakeholders include “the differences in user-interface design across developers variations in the design that make day-to-day use complicated when a health care provider uses multiple systems and the lack of developer engagement with end users of health IT regarding design needs.”
  • Cost of Replacing Technology – providers have made large investments in their EMRs and other health IT systems and may be unable or hesitant to purchase new solutions.
  • Security Concerns – providers are also cautious of maintaining patient privacy and HIPAA compliance when considering new solutions.
  • Information Blocking* – due to “legal and business incentives,” health “information networks and their participants often treat individuals’ electronic health information as an asset that can be restricted to obtain or maintain competitive advantage,” per the ONC.
  • Third Party Integration – challenges extend beyond the internal solutions used by the healthcare provider. Third party solution providers and service vendors introduce additional challenges for sharing information between systems.

*In accordance with the Cures Act and Interoperability and Patient Access final rule (CMS-9115-F), in late 2020 the Centers for Medicare & Medicaid Services (CMS) will start publicly reporting “eligible clinicians, hospitals, and critical access hospitals (CAHs) that may be information blocking” and “those providers who do not list or update their digital contact information in the National Plan and Provider Enumeration System (NPPES).”

How Does ActiveXCHANGE Solve These Challenges to Help Achieve Healthcare Interoperability?


ActiveXCHANGE helps facilities achieve healthcare interoperability in the following ways:

  • Provides a bi-directional gateway for consolidating information from any source (this includes multiple scheduling systems, custom interfaces, HL7, FHIR, XML, web-based requisition systems, EHRs/EMRs, faxes, direct messaging, e-mail, hard copies, scanned documents/images, and verbal appointments).
  • Interprets all information and makes it actionable, regardless of the structured or unstructured format in which it’s received.
  • Automatically transforms all incoming information into an electronic format.
  • Performs “image cleanup” (e.g. corrects alignment issues, discards blank or irrelevant pages, “de-speckles” to remove unwanted marks) on graphic images and scanned documents and extracts key data from each page.
  • Intelligently manages information objects by using business rules to find and make usable relevant data, determining what to do with that information, and flagging errors and exceptions (for example, detecting missing signatures or required forms/documentation) for resolution.
  • Drives and automates processes and workflows based on business rules and triggered by incoming information objects.
  • Routes information through business rules and account matching to the appropriate destination (e.g. EMR, physician portals, document management systems, other third-party applications) in virtually any format and in a user-friendly form that the destination system can accept.
  • Operates bi-directionally to manage incoming and outgoing communication (e.g. automated voice message (TTS), text, e-mail, pagers, fax, traditional mail) between healthcare facilities, patients, physicians, affiliated organizations, remote workers, payers, and vendors – whether the recipient has an ActiveXCHANGE server or not.
  • Ensures the secure, HIPAA-compliant exchange of information.
  • Supports custom workflows and can be configured to meet the unique needs of each department across a client enterprise.
  • HealthWare Systems specializes in integrating proprietary and third-party patient access technologies and provides the platform for connecting disparate health IT systems and EMRs/EHRs, so there is no need to replace your investment in your current technology.
  • All costs (e.g. software, implementation, training, transaction fees, hardware) for our solutions are included in one monthly subscription payment and there are NO upfront fees, creating a more immediate return on investment for our clients.

As the ONC wrote, “Improved interoperability can strengthen market competition, result in greater quality, safety, and value for the healthcare system, and enable patients, health care providers, and payers to experience the benefits of health IT.”

Contact us today to learn more about how ActiveXCHANGE can help you achieve healthcare interoperability or schedule a live demo of our solution.


By Stephanie Salmich

A man works from home and the blog title is shown: 6 Tips for Managing Remote Healthcare Employees.

6 Tips for Managing Remote Healthcare Employees

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HealthWare Systems Blog

6 Tips for Managing Remote Healthcare Employees

Posted on Tuesday, June 2, 2020

Your organization may be moving workers off site due to COVID-19 concerns or looking to make working from home a permanent option because of its many benefits. As you adjust to your new role managing remote healthcare employees, the following tips will be helpful.

6 Tips for Managing Remote Healthcare Employees:


1.) Set clear expectations and lines of communication.

If employees know what is expected of them at the start, you’ll save yourself a great deal of hassle down the road. Be direct about job duties and timelines, as well as how to reach you and when is best.

Communication is key. You don’t want your remote workers, who cannot simply drop by your office, to feel they have limited access to you. Be responsive to their calls and emails.

A man works from home and the blog title is shown: 6 Tips for Managing Remote Healthcare Employees.

HealthWare Systemsremote work solutions enable healthcare leaders to securely and effectively manage remote healthcare employees.

2.) Create a secure remote work environment.

Ensuring security entails both choosing remote work solutions that facilitate HIPAA compliance and instructing employees on their responsibilities regarding the protection of PHI. Supply employees with reliable tools that will allow them to work securely and effectively.

See our guidelines for creating a secure remote work environment.

3.) Establish a Remote Work Policy.

It is prudent to have employees sign an agreement stating they will follow all rules and regulations put in place for working from home and understand the civil and criminal penalties for improper handling of PHI.

4.) Monitor productivity.

Not only is this essential for security reasons, but also for maintaining high performance standards, efficiency, and accountability.

HealthWare Systemsremote work solutions provide managers with full oversight/review of employees’ work and complete audit trails.

5.) Keep remote workers engaged.

It’s important to make sure everyone stays connected to their team and the organization, even if they don’t work together in person.

Some ways you can improve employee engagement include scheduling an initial (or periodic) on-campus visit, getting to know your staff personally, conducting virtual team-building activities, checking in to offer support, and providing incentives to reach goals.

6.) Give regular feedback and recognize achievements.

Employees want to know how they are doing and how they need to improve. Be attentive to this to prevent remote employees from wondering if their hard work is going unnoticed.

Feeling appreciated by management makes a crucial difference to an employee’s motivation and loyalty, so strive to extend praise where deserved. Additionally, acknowledging employees publicly and/or to upper management will show them they are valued and not forgotten.

You may also be interested in: 11 Reasons to Enable Healthcare Staff to Work from Home

Managing Remote Healthcare Employees


Remote work may be new territory, but you’ll probably find that many of these tips are similar to those you’d follow when managing staff on site. No matter their location, all healthcare employees need secure technology solutions, encouragement, direction, and investment from leadership in order to succeed in their work.

HealthWare Systems can assist you in your transition to managing remote healthcare employees. Learn more about our remote work solutions and schedule a phone consultation today.


By Stephanie Salmich

A healthcare employee working in a secure remote work environment.

Creating a Secure Remote Work Environment for Healthcare Staff

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HealthWare Systems Blog

Creating a Secure Remote Work Environment for Healthcare Staff

Posted on Friday, May 1, 2020

Ensuring a secure remote work environment is a top concern of healthcare organizations that are looking to move workers off site.

While remote work is increasingly common, organizations within highly regulated industries like healthcare have been slower to offer work from home opportunities. This is understandable, as you may worry about protecting your patients’ PHI and maintaining HIPAA compliance.

However, it is absolutely possible to create a secure remote work environment for your healthcare staff with remote work solutions that address these issues. There are many benefits of allowing healthcare staff to work from home, and the COVID-19 crisis adds one more significant reason to transition some employees to secure remote work.


In order to create a secure remote work environment for your healthcare staff, look for remote work solutions that offer the following:


A healthcare employee working in a secure remote work environment.

HealthWare Systems’ remote work solutions enable healthcare staff to securely work from home.

Controlled Access to PHIlimits users’ access to only the minimum information necessary to perform their job duties.

Full Transparencyprovides management with real-time oversight and review of employees’ work, which highly discourages inappropriate behavior.

Complete Audit Trailsalways know who accessed data, what they did, and when.

Workflow Automationautomating redundant, manual tasks through robotic process automation means fewer employees must handle each information object and data will automatically be routed to its proper destination with little to no human intervention. Plus, it greatly reduces paper usage…

Paper Reductionsolutions that eliminate hard copies remove the need to commit PHI to paper or to store paper forms containing sensitive information, and they make proper disposal of physical documents a non-issue.

Off-Site Exception Handlingremote employees should be able to handle individual exceptions manually with the same level of security, controlled access to PHI, and paperless processes in place.

Encryption of Dataall information must be encrypted at all times.

HealthWare Systems’ remote work solutions cover all the above. By providing each of these features, our solutions create a HIPAA-compliant, secure remote work environment that will enable healthcare staff to work from home.


Additional Guidelines for a Secure Remote Work Environment


In addition to choosing remote work solutions that address the security concerns listed above, it’s crucial that you communicate with remote workers about their responsibilities regarding the protection of PHI.

Many of these guidelines apply to all healthcare staff – whether they work remotely or on site:

  • Adhere to strict password rules.
  • Use multi-factor authentication.
  • Complete periodic cybersecurity and HIPAA compliance training.
  • Only work on approved devices and only access the Internet through approved methods, such as the organization’s virtual private network (VPN).
  • Do not use work devices for personal activity.
  • Do not copy PHI to other devices.
  • Keep software updated.
  • Always lock your screen when not in use.
  • Be aware of common forms of cyber attack and know the warnings signs for email scams, such as phishing emails or suspicious attachments.

Implement a Remote Work Policy and after confirming employees understand what’s expected of them, have them sign an agreement stating they will abide by all rules and regulations in place. Just like you would for on-site employees, remind remote workers of the civil and criminal penalties for negligent or illicit handling of PHI and of their duty to protect it.

For more information on creating a secure remote work environment for healthcare staff, contact us today. Through a consultative phone call review, we can analyze your workflows to help you determine which areas to transition to a secure remote work environment.


By Stephanie Salmich

A remote worker smiles as she enjoys the benefits of remote work solutions that enable healthcare staff to work from home.

11 Reasons to Enable Healthcare Staff to Work from Home

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HealthWare Systems Blog

11 Reasons to Enable Healthcare Staff to Work from Home

Posted on Wednesday, April 15, 2020

Not all healthcare employees need to be on site to complete their work. When you enable healthcare staff to work from home, your employees, organization, and community will benefit!

A remote worker smiles as she enjoys the benefits of remote work solutions that enable healthcare staff to work from home.

Everyone benefits when you implement remote work solutions that enable healthcare staff to work from home.


Here are 11 reasons why you should implement solutions that enable healthcare staff to work from home:


1.) Limit the number of people on sitethe COVID-19 crisis has caused numerous organizations to reassess how many employees are actually necessary to keep on site. Moving workers off site now will help protect patients and employees from the current coronavirus; and, it will establish a more proactive approach for any future public health emergencies by ensuring staff who can work from home are already set up to do so when another new disease strikes.

2.) Maintain HIPAA-compliancethe healthcare industry has been reluctant to offer remote work opportunities due to concerns over PHI security. HealthWare’s remote work solutions enable healthcare staff to work from home by providing controlled access to PHI, encryption of all information at all times, complete audit trails, and full transparency for management.

3.) Increase productivity many studies demonstrate the positive effects of working from home on productivity. For example, a Stanford paper reported a 13% performance increase when employees switched to remote work and Airtasker’s survey of 1,004 full-time employees found that on average, remote workers put in 1.4 more days of work each month (16.8 more days each year) than those working in an office. Plus, remote work has the potential to facilitate a more flexible schedule, so many remote workers can choose to accomplish some of their work outside of the typical “9 to 5” business hours if they feel more motivated in the early morning or late at night, with the result of producing higher quality work. (Our remote work solutions provide management with productivity monitoring for real-time oversight, so you can really be certain your remote workers are delivering.)

4.) Expand your pool of job applicantsif your employees can work from home, you aren’t limited to hiring workers who live within commuting distance of your facilities.

5.) Recruit top talentin addition to more potential candidates, you’ll also attract the best contenders. According to Indeed’s 2018 survey, an organization’s remote work policy is an important factor for 47% of employees in their job search and 40% would even consider taking a pay cut if it meant they could work from home. And if you can offer a work from home incentive, you’ll especially appeal to Gen Z and Millennial healthcare employees who have joined or are entering the workforce at a time when remote work opportunities are increasingly common.

6.) Reduce your footprintcommuting and company offices are major contributors to greenhouse gas emissions. Moving some of your healthcare staff off site will make a significantly positive environmental impact. These remote workers’ homes will double as their office space and they will travel fewer miles, use less gas and oil, and reduce their contributions to air pollution.

7.) Keep workers healthyworking remotely means your teams won’t be exposed to workplace (or public transportation) germs. This is especially enticing for employees who work in the healthcare field and would otherwise be vulnerable to germs from both colleagues and ailing patients. And on top of the physical health advantages, remote workers experience mental health benefits related to stress (e.g. no commute/traffic, more free time, better work/life balance). Physically and mentally healthy employees can better concentrate to produce superior work.

8.) Decrease sick days and absencesemployees are not only less vulnerable to getting sick in the first place when they work remotely, but they’re also more apt to work through a mild cold or sickness if they can do so in the comfort of their own home. In fact, the reason some employees may choose to call in when sick is not because they don’t feel up to working, but simply to avoid spreading the illness to their coworkers – a concern that remote workers don’t have to worry about!

9.) Improve employee satisfaction and retentionemployees who enjoy the perks of remote work will be more satisfied, more loyal to your organization, and less inclined to leave their positions.

10.) Save moneycost savings come in the form of less office space/equipment/supplies, reduced turnover, fewer absences, increased productivity, and recruitment of better talent, to name just a few areas in which you’ll see major returns on investment. (We estimate savings of $10,000 per year per worker when you employ our remote work solutions.)

11.) Remote work is the futurebetween 2005 and 2017, remote work increased by 159% in the United States. A recent study projects that 73% of all teams will include remote workers by 2028.

The time has come to embrace work from home solutions in order to remain competitive in the eyes of prospective employees – you simply can’t afford to resist this inevitable change to the workforce.

Remote Work Solutions for Healthcare


Which parts of your operation would you move off site if you could? HealthWare Systems can analyze your paper and fax-based workflows and offer alternative solutions that enable healthcare staff to work from home in a HIPAA-compliant, secure environment.

Schedule a phone consultation and we’ll help you determine how you can enable healthcare staff to work from home, and which departments to target, so you can start reaping the benefits listed above as soon as possible.


By Stephanie Salmich