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Project Algo

If you've spent any time working in healthcare or have had to use it, you're likely aware of the challenges clinicians face in the health & fitness industry. Year over year, the demands on clinicians seem to have increased—not only in patient volume but also in complexity. This could partly be attributed to the growing recognition of exercise's positive effects on various conditions by other healthcare professionals but there may be other reasons.

I believe it is mainly the result of health & fitness clinicians assuming greater responsibilities within healthcare. This is not just about taking on more administrative work or secondary duties but rather an expansion of their scope of practice. Year over year, I've felt a widening in the average clinician's scope of practice, with seemingly more conditions to treat and manage, increasing uncertainty, and posing more challenges for delivering effective care.

From my perspective, today's primary challenge is that most clinicians have, knowingly or unknowingly, become first-line practitioners, now requiring a working knowledge that extends beyond common musculoskeletal issues. An increasing number of patients attend clinics without seeing a GP, placing the entirety of the patient's health responsibility on the treating clinician.

In the past, the solution for treating patients with complaints outside of common musculoskeletal issues was to attend seminars and develop protocols for effective care. However, this method has become impractical as we've moved from managing a few conditions to many, especially when protocols  change and become more nuanced each year. It can drive a sane person into madness trying to stay updated with the relevant changes in each protocol.

The only practical solution to this issue is to incorporate and integrate computer algorithms into patient care. Before you shake your head, consider that you might already be thinking through an algorithmic process when deciphering a patient's condition and determining the most suitable treatment. Of course, the intention is not to replace the clinician but to offer guidance on differentials, highlight relevant information, and outline a suitable treatment pathway.
In the past, the solution for treating patients with complaints outside of common musculoskeletal issues was to attend seminars and develop protocols for effective care. However, this method has become impractical as we've moved from managing a few conditions to many, especially when protocols  change and become more nuanced each year. It can drive a sane person into madness trying to stay updated with the relevant changes in each protocol.

The only practical solution to this issue is to incorporate and integrate computer algorithms into patient care. Before you shake your head, consider that you might already be thinking through an algorithmic process when deciphering a patient's condition and determining the most suitable treatment. Of course, the intention is not to replace the clinician but to offer guidance on differentials, highlight relevant information, and outline a suitable treatment pathway.
By integrating algorithms into the diagnostic process with the potential to suggest suitable treatment pathways, we can streamline patient care, enabling clinicians to devote more attention to the nuanced aspects of care that necessitate a human touch—empathy, understanding, and personalized attention.

My ultimate vision involves seamlessly incorporating these algorithms into electronic medical records to enhance the clinical practice. This idea has stayed at the back of my head for some time, born out of the hope that someone with a deeper knowledge of computer programming would recognize its potential and bring it to fruition. Unfortunately, so far, no one has taken up the challenge to develop this concept to the extent that it markedly influences clinical practice.

Development Plan

Stage 1: Working Concept

Objective:

To establish a foundational digital form using Google Sheets, employing its logic features. The form aims to comprehensively collect patient-reported symptoms, medical history, and other relevant details, with an emphasis on identifying red flags and screening out patients potentially unsuitable for certain treatments.
Action Plan:
  • Design a form to capture a wide range of symptom descriptions, medical histories,and essential demographics, including age and gender.
  • Utilize conditional logic within the form to automatically identify and flag potential red flags based on patient inputs.
  • Ensure user-friendliness through clear instructions and an intuitive design to guide patients smoothly through the reporting process.

Stage 2: Prototype Development

Objective:
Transition the initial concept into a more advanced digital form on a secure, robust platform by leveraging a combination of programming languages. This iteration will introduce an algorithm capable of intelligently analyzing patient inputs against a comprehensive conditions database, enhancing the precision of follow-up questions and test recommendations for differential diagnosis.

Action Plan:

  • Implement stringent data security protocols, including end-to-end encryption of patient data and secure data transmission channels.
  • Develop and refine the algorithm to dynamically cross-reference patient inputs with a detailed conditions database, tailoring subsequent questions and recommended tests based on various factors like symptom descriptions, patient demographics, and medical history.
  • Conduct initial testing with a select group of clinicians and patients to gather actionable feedback aimed at enhancing both the algorithm's accuracy and the overall user experience

Stage 3: Refinement & Clinician Interface

Objective:
Based on feedback from clinicians and patients, refine the digital form and introduce a clinician interface. This interface will support the inclusion of additional protocols and allow for clinic-specific customizations, such as incorporating company logos on the form.

Action Plan:

  • ‍Diversify the development team, assigning specialized individuals or sub-teams to concentrate on distinct aspects of the project, from user interface design to database management and security protocols.
  • Facilitate clinic-specific customizations within the form, including options for branding and personalized aesthetics, to enhance the tool's adaptability and appeal to various healthcare providers.
  • Implement a cycle of continuous feedback and iterations, engaging closely with end-users to ensure the platform remains responsive to the evolving needs of both clinicians and patients, thereby maximizing its clinical utility and user satisfaction.

Stage 4: Voice Recognition Technology Integration

Objective:
o incorporate voice recognition technology into the digital form, facilitating an even more accessible and user-friendly interface for patients and clinicians. This technology aims to enhance data entry efficiency and accommodate users with varying abilities and languages.

Action Plan:

  • Research and select a robust voice recognition software that seamlessly integrates with the existing platform, ensuring accuracy and responsiveness across diverse accents and speech patterns.
  • Develop functionalities that allow patients to verbally input their symptoms, medical history, and other relevant information into the digital form, alongside enabling clinicians to dictate notes and commands.Conduct extensive testing to fine-tune the voice recognition capabilities, ensuring a high degree of precision in data capture and a smooth user experience.
  • Train both clinicians and patients on utilizing the voice recognition feature, highlighting its benefits and addressing potential challenges to encourage adoption.

Stage 5: EMR Development and Integration

Objective:
To develop an Electronic Medical Records (EMR) system that integrates seamlessly with the digital form. This EMR will automatically update both clinician and patient notes with any clinically significant changes in patient outcomes, and prompt clinicians with targeted questions if treatment pathways do not progress as expected.

Action Plan:

  • Design the EMR system with a focus on interoperability, ensuring it can effortlessly communicate with the existing digital form and algorithm to exchange and update information in real-time.
  • Implement a feature within the EMR that alerts clinicians to significant changes in patient conditions or responses to treatment, based on predefined clinical significance criteria.
  • Develop a dynamic question prompting system within the EMR, designed to guide clinicians through further inquiry and adjustment of treatment plans based on patient progress or lack thereof.
  • Pilot the integrated system in a clinical setting, gathering feedback from end-users to refine functionalities and ensure the system supports clinical decision-making and enhances patient care

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