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The Guyer Institute: Customization Project Will Enhance EMR, Patient Portal and Customer Care!

About The Guyer Institute
The Guyer Institute (TGI) offers a multidisciplinary, scientifically-based approach to discovering the “root cause” of illness, putting the patient on the path of achieving and sustaining optimal health and well-being. Their vision is to come alongside their patients and create a new standard of medicine where their clients know that they are valuable to them. To achieve this vision, TGI limits patient consultations to 10-12 clients each day, ensuring that they can create personal relationships with each one. Unlike traditional health care facilities, TGI uses molecular medicine, therefore their needs are not the same. Dr. Guyer incorporates Bio-Identical Hormone Replacement into his treatments and some of his specialties include the treatment of Complex Chronic Fatigue Syndrome and Fibromyalgia cases.

TGI’s Requests
In 2013, TGI was in search of an EMR and Patient Portal that could be easily integrated with a customized online store, where patients could purchase supplements and compound medicines from their in-house licensed dispensing office, to fit the unique needs of their practice. CoreTech was hired by TGI to lead this project to help them determine the best path forward in finding and implementing a product that fulfilled their needs. Based on research and assistance from CoreTech, TGI selected iSalus as the vendor application that would best fit their needs for the EMR and Patient Portal component. CoreTech’s senior developer built the online store website and functionality within it where patients and non-patients could purchase supplements from without a prescription. After the completion of the initial implementation of the EMR, Patient Portal and online store, TGI identified a need for customizations within the patient portal and to integrate the online store with iSalus’ EMR and Patient Portal (MyMedicalLocker). Due to CoreTech’s experience and the relationship that had been established with TGI, CoreTech was chosen to manage the customization projects and also complete a portion of the development work for the integration of the online store with iSalus. The process started by working with TGI to understand exactly what they wanted and from there, we worked with our internal development team and also the iSalus team to map out the entire project, create contracts for all parties involved, develop a schedule and begin development work.

TGI’s first customization request was to customize their patient portal. TGI wanted the functionality for their patients to be able to request a medication refill prescribed to them through their individual Patient Portal account. This request would send a notification to TGI staff and allow them to log into the patient account in the EMR and either approve or decline the refill. They could then communicate their response to the patient through their Direct account within the patient portal. This request required extensive development work from iSalus so CoreTech’s role in this customization is to manage the entire project to keep all parties aligned and on track. This includes weekly status updates and coordinating any testing for final approval of the work completed by iSalus.

TGI’s second customization request was to integrate their EMR, Patient Portal and Online Store so that any medications prescribed by TGI that can be filled in their in-house licensed dispensing office will populate in the patient’s patient portal account and also in their ‘wish list’ in their TGI online store account. This customization will also give patients the ability to purchase Guyer medications prescribed to them via the online store and either have the medication delivered to them or opt to pick it up at their convenience at TGI office. When patients make their purchases in the Online Store the patient’s account in the EMR will be updated to show that the medication has been purchased and on what date. This project involves development work to be completed by one of CoreTech’s senior developers, along with extensive testing with TGI staff, CoreTech team and feedback from the iSalus team. CoreTech’s role is to lead this effort to completion by managing all parties involved, identify and track all issues and risks and coordinate testing. CoreTech will also help train TGI staff on how to use this functionality once the development work is completed.

Currently, we are in the development phase of the patient portal customization which is set to wrap up towards the end of 2016. The integration of the online store with the iSalus EMR and MML is in the final stages of testing and will be completed in the next several weeks.

The End Results
Once this project is completed, TGI’s EMR, Patient Portal and Online Store will all be integrated as well as the patient’s ability to request medication refills from the patient portal account. This results in a better overall experience for the patient and allows Dr. Guyer and other TGI staff to perform more patient centered work and have more information available to them so they can interact and communicate with their patients effectively. It also allows easy access for patients to request medication refills which is so important in today’s busy and technology driven world. TGI prides themselves in personalized patient care and these customizations will allow them to maximize their patient’s experience.

Exciting Partnership Announcement!

CoreTech is proud to announce that we have recently partnered with Dynamic Health IT! Dynamic Health IT was established in 1999 to meet the increasing demands of modern health IT technology. Dynamic Health IT provides multiple Health IT tools that we have found to be outstanding and we feel will add great value to our customer’s organizations. One major benefit of working with Dynamic Health IT’s tools is that you can purchase all of their tools as a package or you can purchase specific tools that will satisfy the needs of your organization. This is extremely important to us because we receive multiple customer requests for very specific functionality. We appreciate the flexibility that Dynamic Health IT offers, which is something that is important in the consulting industry.

We were looking to partner with a company that has a robust product offering that many of our current and future customers in the health industry could benefit from. We wanted a joint effort where we could work together to sell and implement their products where CoreTech lead the implementation efforts and the DHIT team provided the development and support aspects of the implementation. CoreTech has a team of seasoned project managers, two PMP certified, who have extensive project experience implementing from planning to Go-Live of EMRs, Patient Portals, Transition of Care programs to help hospitals meet reporting requirements, migrations of data in the nation’s largest HIE, and many other areas in the HIT arena. We are very excited about our partnership because Dynamic Health IT and CoreTech Revolution combined have very knowledgeable staff and many years of expertise working with major hospitals and software vendors with a focus on Meaningful Use requirements. We also appreciate that Dynamic Health IT is a small business like CoreTech and embodies many of the core values as we do.

Dynamic Health IT offers several products. One of their featured products is CQMsolution, which is an easy to use web-browser-based reporting application for calculating, displaying and producing clinical quality measure output. Another product that they offer is ConnectEHR, which received the 2014 Edition Inpatient & Ambulatory HITECH Modular Certification. ConnectEHR meets interoperability requirements for Health IT Certification Criteria and smoothly connects with any EHR. With base EHR and bolt-on ConnectEHR functionality, you will meet Meaningful Use requirements. ConnectEHR also has a customizable Patient Portal that is ONC certified for Meaningful Use 2014 and meets both inpatient and ambulatory certified criteria for Meaningful Use. The patient portal allows patients to view, download and send CCDA documents and communicate with their provider through secure messaging. It also allows patients to access their clinical documents and send secure messages to their providers. In addition to Dynamic Health IT’s products being exceptional, they are bolt-on applications, meaning that they can be used with most any other products, including ones from other vendors or your existing tools.

At CoreTech, we want to review your workflow and work with you to identify exactly what your organization needs and ultimately find the best solution for you. CoreTech will work with our customers to determine the tools that are the best fit for their organizational needs. CoreTech has the expertise and experience to assist with the implementation to our customer’s environment while DHIT will do the development and training aspects of the implementation. At CoreTech, we’re excited about our new partnership with Dynamic Health IT and we’re looking forward to helping our customers find the products that best suit their organization-specific needs.

Telehealth at the IRHA Conference

What is telehealth? Telehealth is the use of technology to deliver health care, health information or health education at a distance. There has been a growing need for telehealth, especially in assisted living facilities. In Ohio alone, the number of adults age 85 and over will nearly triple over the next 30 years to 650,000 in 2050. More than 70 percent of Americans over the age of 65 will need long-term care services at some point in their lives and the cost of institutional care is currently $75,000 to $100,000 per year and rising.

At the Indiana Rural Health Association’s Annual Conference, a case study on telehealth was presented from a partnership between Maple Knoll Communities and The University of Cincinnati. The presentation was led by Dr. Debi Sampsel, the Chief Officer of Innovation and Entrepreneurship from the University of Cincinnati, College of Nursing and Megan Ulrich, the Director of Corporate Communications Maple Knoll Communities, Inc. The University of Cincinnati partnered with Maple Knoll Communities to observe how a variety of Telehealth devices can be used in aging services settings, from remote control robots to biometric monitoring. From this case study they learned about residents, families, health care providers, and engineering faculty’s response to use of telehealth and the link to access to care. They were also able to use the results of this case study to plan necessary steps for implementation and organizational readiness for telehealth application and/or expansion of services.

One telehealth device they used was the Flo-Bot. According to the presentation that was given, Flo-Bot is an InTouch Remote Presence Robot that performs patient assessments. It’s a specialist that “treats” from remote locations. Flo-Bot’s service results in quicker intervention and fewer trips to the ER. Flo-Bot provides better care at a lower cost. Another telehealth device that they provided to the Maple Knoll Communities is the V-GO. V-GO is in the beginning stages of “rounding” in Independent Living Apartments to help individuals live independently with the assistance of a physicians or nursing staff member. Some of the other benefits of V-GO include: patient education, monitoring, and remote communication. V-GO provides health assistance at a lower cost and assists in ability to age in place.

There were some challenges involving the telehealth devices. Some of those challenges include: the lack of funding for telehealth devices, educating and training on the telehealth devices for staff and physicians, and making sure that they maintained a high speed connection that is compatible with their devices. Their solution to their financial issue came from their partnership with the University of Cincinnati, and their solution to their education challenge was that they made sure that they gave an early notification of program and transparent goals and guidelines so that their staff and physicians were well prepared.

Telehealth affects people in rural areas because people living in those areas could have limited access to internet and the elderly may not be comfortable with computers, but if we could make the services intuitive enough and easy to use the elderly would be more likely to use it, and they could avoid long commutes to a nearby hospital for minor things. According to Wiring in Rural Patients, “Investing in telehealth may make more financial sense for health systems with rural facilities than staffing up those facilities with specialist providers.”

We need to work with hospitals to connect patients with expert care which will save them time, money and travel. We should also provide education on assisting older adults to care givers and providers who can improve their quality of life. Lastly, we should leverage technology for health monitoring and assistance which can help catch issues sooner and monitor critical or chronic patients and provide assistance in a timely manner.  We need to continue to create new technology, products and systems. If we advance telehealth and make it available across the nation, we can lower readmission rates, especially if we expand telehealth into assisted living facilities to help older adults age in place. With the elderly population growing, advancing telehealth should be a top priority since telehealth is a proven way to effectively care for elderly patients while also saving money.

Indiana Rural Health Association Conference

Summer is officially here and so is the 19th Annual Indiana Rural Health Association’s conference! The conference was held on June 21st and 22nd at the gorgeous French Lick Springs Resort. This year’s theme was “Rural Health: Align, Connect, Engage.”

The IRHA’s Annual Conference brings together physicians, nurses, pharmacists, public health professionals and other rural health practitioners from all over the state. National experts and skilled practitioners from the field discuss current topics, as well as share the experiences of others in public health and rural health care delivery. The conference’s schedule was packed with speakers, networking and social events and even a 5K Fitness Walk/Run! This year, telehealth was a hot topic during the learning sessions, with the speakers addressing the steps that need to be taken to build a Telehealth program. A featured speaker was Ed Bell, a farmer from Hagerstown, IN. Bell is a gifted communicator, a powerful motivator, a born leader, and a true overcomer. He has had personal experience dealing with disability and hardships. He is a survivor of a violent criminal attack and sustained a gunshot wound which left him permanently paralyzed. His keynote speech was on “The Patient Experience: Disabled Farmers Farm— Overcoming Adversity.”

IRHA has also developed an app you can download to help you navigate through the conference and connect with other attendees. We highly recommend downloading the app if you plan to attend next year! The beautiful location, the innovation of the topics being discussed and the many fascinating keynote speakers creates a wonderful learning environment, you won’t want to miss the 2017 conference!

Here’s a link to all of the resources that were presented at the IRHA’s Conference, make sure to check it out!

Baby Announcement!

Adalynn CTCoreTech is proud to announce Ashley and Jon had a baby GIRL at 6:01pm on March 30th.  Her name is Adalynn Marie and she was 7 pounds 1 ounce, 22 3/4 inches long.  She is beautiful and everyone is healthy and happy.

Ashley has been with the CoreTech Revolution Team since August of 2011, she is our Human Resources and Office Administrator. She is always willing to take on a new project and helps in any way she can. She has been a key player in helping with web development and managing web projects for some of our clients. We wish Ashley and Jon the absolute best in their new life together and welcome to the CT Team baby Adalynn!! <3

A Team Approach for Improved Healthcare

The words big data and interoperability are constantly used in the Healthcare IT (HIT) field but it’s imperative to understand why they are so important in creating a team to tackle patient care. The use of technology such as computers, smartphones and other devices has created a plethora of information. We need Health Information Exchanges (HIE) and companies such as Intel to turn that “big data” into information we can use to improve the health of our population. We also need the third parties such as CoreTech to connect all of the systems to create interoperability. We need a team to provide adequate care for patients; we are beyond the doctor-patient relationship. Healthcare is no different than Health IT, we need a team!

Specialists are trained to focus on one piece of the puzzle and if you are suffering from a chronic or serious condition you likely see several specialists. It can become overwhelming to keep track of every doctor, every diagnosis, and every pill. Here is where interoperability comes in handy. Patients don’t want a patient portal for each specialist or hospital they visit; they need one location to view all of their information. Care providers have the same concern. We cannot treat one symptom without understanding what is going on with the patient as a whole. A great example of that is medication lists, having all of the information in one place is incredibly valuable. Healthcare organizations are slowly working towards a future of healthcare where we focus on the patient and not just the illness. In order to accomplish that, healthcare providers need to work as a team and they need to have all of the information easily accessible.

Once we accomplish interoperability and start making use of all of the data being gathered we can start focusing on providing care tailored to the individual. With the technology available to us today we can not only cater care but we can deliver it anywhere.

A Review of HIMSS16

Las Vegas held one of the biggest Health IT conferences of the year this month, HIMSS16. The conference was packed full of useful educational sessions, ideas, devices and big announcements. The Office of the National Coordinator for Health IT (ONC) had some huge announcements to follow up on the pledge made last year to make interoperability a reality. The ONC announced three challenges to encourage app development to share information in a user friendly manner. The Consumer Health Data Aggregator Challenge, the Provider User-Experience Challenge and a grant opportunity, all aimed at developing tools for users to review their health information from any healthcare provider.

Vendors and providers know that interoperability is possible; other countries are way ahead of us in this area. The challenge is getting the necessary tools, expertise and funding to make it happen. The challenges provided funding as incentive to achieve that goal. Dr. Karen B. DeSalvo, the acting assistant secretary of health, National Coordinator for Health IT at US Department of Health and Human Services had a Q&A session after her presentation to discuss interoperability, among other things. HIMSS covered the challenges in more detail in their post, read it here.

Other key players used the conference to showcase their high tech tools and devices. The shift to provide patient care with a higher standard of safety, transparency and accountability was a key theme throughout the conference. The conference, as usual, focused on where Health IT is going. Accountable Care, Population Health, Interoperability, and Telehealth were very prominent themes throughout the week. One of the more fascinating technologies discussed used artificial intelligence and computing to improve population health; the platform is called cognitive computing. Learn more about how Cognitive computing and population health work together here.

HIMSS16 was an incredible conference full of education, innovation and a look ahead for Healthcare IT. We are excited to be in such an exciting field that can make an impact for patients on a daily basis.

Happy Women’s History Month!

Over the course of history women have been denied many rights but we’ve fought for equality not just for ourselves but for others as well. One issue of particular importance in this election year is the right to vote. The women’s suffrage movement in the U.S. lasted over 70 years and was led by some amazing women like Elizabeth Cady Stanton, Lucretia Mott and Susan B. Anthony. Thanks to their struggle women are able to vote. Do not take their victory for granted this November, get out there and vote. They, along with many others, paved the way for the many successful women we have today.

Almost a century later we are still fighting for equality. Equality in pay, reproductive rights, violence against women, education, and many other topics continue to be a struggle. Throughout history we’ve seen women stand up and fight and during the month of March we honor those women. Women continue to make history every day. The courageous Malala Yousafzai is the youngest ever Nobel Prize laureate. She is known for her fight against discrimination and advocacy for education in Pakistan. Our first lady Michelle Obama is a big supporter of education as well. Among the many contributions she has made over the years Let Girls Learn and Reach Higher focus on helping girls all over the world receive education and encouraging young Americans to go on to higher education past high school, respectively. Conner Prairie recently held an event to get girls interested in science, technology, engineering and math you can read the article here.

CoreTech is proud to be a Women Owned Business (WBE) and to employ such talented women. We support the fight for equality and we hope that you do as well, whether you are a woman or not. We ask that you do something special today for those strong and wonderful women in your life. A simple message of appreciation can go a long way.

Reason To Dance

Friday, March 11, 2016
6 to 11 p.m.
Indiana Roof Ballroom

Hello!  The team at CoreTech would like to take a moment to invite you to Reason to Dance, Reason for Hope a benefit for Riley Hospital for Children on March 11th at the Indiana Roof Ballroom in Indianapolis.  Our team has had the privilege of participating in this event for the last two years and we believe that you will find it as amazing as we do!

Reason to Dance, Reason for Hope is a ballroom dance competition modeled after the popular “Dancing with the Stars” television show.  The event pairs eight Indiana celebrities with professional dancers for a fancy evening of dancing, fun and awards!  The evening will begin with a silent auction, followed by a three-course dinner, and then the ballroom competition. The evening will conclude with open dancing.  All profits for this event will go directly to support Research and Child Life at Riley Hospital for Children located in Indianapolis.

Awards will include:

  • Grand Champion – will go to the celebrity who raises the most money for this event*
  • Judges’ Choice – will go to the celebrity who has the highest combined judges score
  • Runner Up – will go to the dancer who has the second highest judges’ score
  • Riley Children’s Choice award – will go to the dancer who wins the most votes from the Riley Children.

The entire CoreTech team looks forward to seeing you at the event on March 11th.  Please consider supporting the event in one of the following ways:

Individual: $125 (regular price: $150 after Dec 2015)
Table: $1,000 or

Sponsorship (all with various benefits)
Platinum: $8,000
Gold: $4,000
Silver: $2,000
Bronze: 1,000

Votes are $25 each, or you can give a general donation

Learn more about the event at: or check out the Facebook page at

Catering Care to Patients through Health IT

Nothing can be more rewarding than making someone feel valued. In the healthcare world we are in the business of making our patients feel just that! We want to make sure the care they receive not only heals them physically but makes them happy and comfortable with us. Although good bedside manner makes a great impact there are many tools available to physicians and hospitals for improving patient interactions.

The first key aspect patient’s value most comes from providing them transparency. Patients want to see their records, treatment options and billing history. Proving tools such as patient portals creates a transparency that empowers the patient and keeps them engaged.

A second key factor in improving patient satisfaction and engagement comes from giving them flexible hours and means of connecting with their provider. Technology has given healthcare providers a wide variety of opportunities to connect with the patient such as home health, telemedicine and telehealth.  Utilizing this sort of technology increases access for patients and improves outcomes. Alternative methods of delivering care ensure patient get the care they need when they need it.

Population health is the last and crucial piece to providing the type of care a patient deserves. As we’ve moved to electronic medical records we have collected such a vast amount of data. Understanding what that data is telling us and applying the research to improving care is critical. Understanding trends can help us work with at risk populations and provide education. Prevention is the key to improving the health of our population.

As we strive to improve our technology and embrace the future it is important to keep the patient in mind. We want to make sure that the technology doesn’t overwhelm but compliment the care we give the patient. And if the technology becomes overwhelming it is also important to reach out to the experts for help or find ways to education your team on the ongoing technology. Health IT doesn’t have to be an expensive or complicated transition but it does have to be a growing part of your practice.