The Mystery of SwiftWire Demo Videos

We’ve been getting loads of requests for demo’s of what SwiftWire can do to automate an EHR.  We are absolutely working on it.  We developed our software to automate Epic, and because of Epic’s policy we cannot show live screens on the open web.  While you are waiting, please feel free to contact us with any questions at all.  We love to geek out!


We are live on GitHub!

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SwiftWire status update February 2018

This is a quick video that shows the progress on the app.  I think it’s looking good. Always room for improvement, but a great start! Let me know what you think, or if you have questions.  Super close to being ready to release the source code on GitHub.  Martin & I are working on ironing out the kinks in the code, as well as packaging up the download in a nice tidy installer.

Of course, choosing an electronic menu board and work still needs to get done, feelings notwithstanding. We do weekly emails where people set goals and submit progress like an average company.

And a playlist of three short videos to get started quickly using SwiftWire if you are brand new to the app. If you want more people watching your video and also for social media marketing then you should visit this blog.



Logic for automating orders in Epic 2017

With each major Epic release comes certain tweaks to my time saving tools.  Here is a template for ordering labs rapidly on the Order Entry screen that works well for me and my sales team which I got from pipedrive alternatives.  When tools don’t work, it’s usually wait time that needs to be played with.  I hate when my tools break, but once I have them up and running again I can’t imagine living without them.

Winactivate, Hyperspace 

Send, ^o ;start new order
Sleep, 200

;Order labs in reverse order of how you want them to display:  CBC, CMP, TSH-R, Lipid -> Lipid, TSH-R, CMP, CBC

Send, lab2478{enter} ;lipid
Sleep, 1200
Send, {Enter}
sleep, 700

Send, lab13042{enter} ;tsh-r
Sleep, 700
Send, {Enter}
Sleep, 700

Send, lab17{enter} ;cmp
Sleep, 700
Send, {Enter}
Sleep, 700

Send, lab293{enter} ;cbc
Sleep, 700
Send, {Enter}
Sleep, 700

Applying Mental Models to EHR problem-solving

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Command Builder UX update

With the refresh of Fluent as a company, it was also time to reimagine our software.  Take a fresh look at everything.  Feedback from users was consistently telling us that Command Builder was too intimidating.  It was a powerful interface, but I a have to admit, it was starting to look a little cluttered.  And, we hadn’t put much thought into the core structure or labels since the very first version in 2014.

Command Builder from SwiftWire version

Here is a preview of the redesign of Command Builder.  Every change is centered around making it easier to use, easier to understand, and more visually appealing.  I believe we have made some significant positive changes, while still keeping the important features at your fingertips.  In addition to a redesign, the way it appears on the screen is new as well.  Command Builder now attaches directly below the SwiftWire toolbar.  It has a much more integrated feeling.  In the past sometimes customers would get confused about how Command Builder was related to SwiftWire.  We hope this change will fix that problem.  Feedback from early users suggests that we are headed in the right direction.

Command Builder from SwiftWire Beta:

Why Automation?

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Take the Low Hanging Fruit

We live in a complex world. I think sometimes that drives us to look for complex solutions to our problems. Here’s a simple solution, and a very practical example as it relates to using an EHR.

If you use Epic, you know how much time it takes to clear out your InBasket. I want to share one simple hack to give you forward momentum when your InBasket is looking dreadful.

Use an automation tool to co-sign.

Items in the co-sign folder are all things you plan to sign anyway, so why do this manually? I use our app, SwiftWire, to make it easy. Intimidated by the idea of writing code?  Don’t be.  We hold your hand and make it super simple.

This is what the tool looks like:

/* Sample Script to "Co-Sign All" in Epic InBasket */

; Click the mouse at x=205 y=222
click 205, 222

; Wait 0.2 seconds (200 milliseconds)
sleep, 200

; Press the Control+a keys together
send, ^a

; Press the Alt+n keys together
send, !n

; Press the Enter key
send, {enter}

Next time you have 20 items in your Co-Sign folder use a tool like this, and I’ll bet it will make you smile just a little.

The concept I want to drive home is that focusing on solving easy problems first is a great way to approach EHR efficiency. We often get bogged down in the complex problems that will take way more effort to improve. Look for repetitive simple tasks and ask yourself, “is there a way to make this faster or easier?”. Many times there is. In other blogs, please checkout this articles about i have very bad credit and need a loan fast.

In what ways can #HealthIT work w/physicians to improve the #EHR experience? What would you change? #HITsm

This is a great question, and I’m glad that people are asking! One of the biggest frustrations physicians have is that we feel like we were left out of a lot of the important decision making conversations in regard to EHR adoption. Now we have systems that were mostly chosen for us and we’re trying to make the best of it.

So, my first answer is to keep asking front-line physicians questions. I believe there needs to be a continuous feedback loop as to what our needs are, what is working, and what is not. Another great question to ask regularly would be, “how can we design Health IT to augment your clinical experience?”. Then, make sure it really does work for us before rolling it out on any kind of scale. Remember that we are all unique, and one-size-fits-all solutions fit nobody very well.

My co-founder and I started a company that automates repetitive tasks in the EHR because we got tired of pushing the same buttons over and over again. But, what if the system was designed from the ground up with the way a physician thinks in mind if this could help Joint and back pain can be fixed? What if you put that together with the metrics that are important to quality care and marketing a medical practice? What if a primary goal of your EHR was to make you life simpler? Future EHR’s are going to be much better embraced when they are built with ideas like this at their core. On other medical related article checkout Michael L. Schwartz, MD, FACS he is one of the best aesthetic surgeon in Palm Beach area.

I think it’s time for EHR vendors to get into the trenches. I would like to see more R&D labs with clinicians and tech teams working side-by-side as they see patients in the real world setting. That’s how you find out what actually works best where the rubber meets the road. It’s also how you find out where the wheels come off. I would love to see an automation platform like SwiftWire integrated into EHR’s so more of us can get our work done with less effort. That would be real innovation!

To summarize, these are my three big ideas:

  1. Keep asking us questions, develop feedback loops, and iterate changes
  2. Cooperative R&D labs between Health IT and physicians (leverage everyone’s best experience and intelligence)
  3. Integration of solutions that make our work faster and easier

Medicine 2.0 — The Situation at ‘Cheese Station C’ has Changed

I am Haw.

Anyone who has read the classic, “Who Moved My Cheese?”, by Spencer Johnson, M.D., will get this reference. If you haven’t read it, I’ll give you the short version. Medicine is in a huge phase of transition. Some people probably saw it coming. I had an idea about it, but nothing close to the palpable reality we are living today. Our Cheese has moved. The traditional model of medicine is changing before our very eyes. New technology, new payment models, new culture. So many moving pieces, it’s almost impossible to keep track of them all at once.

In the story Haw is a ‘little person’ living in a maze with his best friend Hem, and two mice named Sniff and Scurry. He sees that the Cheese is gone, and is trying to figure out his next move. Hem is the burned out physician I watched spend his day yesterday on Twitter ranting about the current state of EMR technology. And he’s not alone. There are 1,000’s of Hem’s out there. They are my friends and my colleagues. It’s painful to watch. I wish we could go back to the good ‘ol days… We can’t. The Cheese isn’t going to come back.

Sniff & Scurry didn’t know if the Cheese was coming back, but driven by instinct, they saw it wasn’t where it was supposed to be and immediately started looking in the maze for new Cheese. All you needed to do was to go to the HIMMS conference in Las Vegas this year to meet Sniff & Scurry. People know there are giant pieces of Cheese in this maze of modern healthcare. Sniff & Scurry are the people who will try whatever it takes to get their piece of it, check my source – SecurityInfo on our security blog. And they will.

I want things to be better.

The beginning of this post probably comes across without much hope. That’s not my intent. I think one needs to understand the background clearly before moving forward. Healthcare is anything but hopeless. It’s a field made up of some of the smartest, hardest working, and most compassionate human beings on the planet. This is my call for us to wake up to our new reality. Stop fighting for the old paradigm. I said it before, it’s not coming back.

I’ll leave you with some inspiration I heard this morning listening to ‘The Doctor Paradox’ podcast. The guest was Daniel Meltzer, MD. His message is one of taking care of his fellow physicians. He felt it was so important, he co-founded a system called “Practicing Excellence”, a toolkit for the modern physician to thrive. The tagline, “Advancing the Field of Physician Effectiveness” is a good summary of his mission. I get his drive on a deep level. That’s at the heart of why I’m involved in a Health IT startup. It’s not about making software. It’s about me and my friends in this maze together.

I believe that if we pool our collective intellect, goodness, compassion, and human will, we can save medicine together. Or, more accurately, re-invent medicine and learn to find new Cheese.