iSmart EHR - AI design, planing and analysis

What is iSmart EHR? WCH iSmart EHR is a complete certified EHR (Electronic Health Records) that allows health care providers and their staff to record all the aspects of clinical care. Being a user-friendly web-based system with easy to learn interface, iSmart EHR is irreplaceable for mid-sized practices and solo practitioners. WCH developed and designed EHR the way that it is easy to use and navigate. The system is intended to represent accurate data which can be synchronized through different settings. Also, iSmart EHR should allow both healthcare providers and insurance companies to collaborate online, improving work efficiency. From making an appointment with patients and using templates specially created for each specialty to developing an individual treatment plan, iSmart EHR is multifunctional and useful for the entire practice staff. Website: https://ismartehr.com/ Project Mission We are looking to work with students to help us identify, analyze and develop clinical prediction models for iSmart EHR. Clinical prediction models can inform patients and their physicians or other healthcare providers of the patient's probability of having or developing a certain disease and help them with associated decision-making (e.g., facilitating patient-doctor communication based on more objective information). Applying a model to a real-world problem can help with detection or screening in undiagnosed high-risk subjects, which improves the ability to prevent developing diseases with early interventions (e.g., complication or mortality). Emergency medical response and patient information management. Remote monitoring of patients, especially elderly and chronic disease patients, support clinical decision-making, and provide remote training for health workers. Prediction modeling aims to develop an accurate and useful clinical prediction model with multiple variables using comprehensive datasets. Reduce overtreatment and personalize disease management Program Benefits Reducing infant mortality by notifying missed vaccinations. Preventing disease before they have started by identifying early symptoms and laboratory test data Reduce overpayment for non-need procedures Decreasing malpractice to a minimum by support decision making and algorithms based on filtrated data analysis. Making doctor understand patient’s complaints clear even both are speaking on different languages. Reducing Mortality within the population by identifying risk groups in a timely manner Project objectives • Models should predict specific events accurately and be relatively simple and easy to use. • Achieving a balance between predictability and simplicity for the clinical prediction model • Patient observation and measurement • Data interpretation • Data categorization • Planning and Therapy Examples: • Create clinical predictive modeling tools within iSmart EHR system • Match the records to assimilate the results in algorithms for future clinical decisions. • Integrate decision support and treatment strategies • Ability to identify population in a risk group, for example, cancer, diabetes, heart attack, and stroke • Automated imaging analysis • Language recognition tool • Optimize patient-specific treatment and further tests. Details (limited list) Integrated AI in ISmart EHR provides catch up schedules for children whose vaccination have been missed or delayed. Notifications pop-ups remind healthcare providers and parent (by email, text message other sources) about treatments in case they were missed or delayed for the reason of past sickness or medical withdrawal. It will help to avoid the not only individual situation but prevent from massive illness spreading of dangerous and high cognitive diseases like measles, rubella, pertussis, diphtheria, tetanus, etc. The program will be able to determine and prevent the heart disease risks by factors reflected in patient’s medical record analyzing parameters like high cholesterol level, high blood pressure, physical inactivity, chronic diabetes, a previous heart attack history, and smoking status. Etc. AI of ISmart EHR effectively helps to keep diabetes under control by comparing everyday blood sugar level measurement information, came up automatically from patients portative gadgets and giving alerts to decrease or increase sugar in patients food by sending alerts for both doctors and patients. Furthermore, the program will be able to inform the doctor about signs of uncontrolled diabetes indicators for example BMT Another benefit of AI is to prevent or predict cancer. Control patient’s visits, preventive healthcare, other health risks by analyzing data from lab tests and much more

Fight Fraud project development

Project Mission Priority actions within our «Fight Fraud» project are aimed at making joint efforts to strengthen the healthcare system and bring the maximum benefit to America. We focus on identifying and mitigation of fraud risks in the Healthcare sector. Annually The Office of Inspector General (OIG) collects and presents statistical data reported by Medicaid Fraud Control Units (MFCUs or Units) who investigate and prosecute Medicaid provider fraud and patient abuse or neglect. Fraud convictions accounted for 73 percent of all convictions for the last 5 years. According to data from the U. S Department of Health and Human Services Medicaid Fraud Control Units Fiscal year 2017 annual report stated that criminal recoveries of $693 million in FY 2017 were almost double those from FY 2016. The majority of this amount—about $519 million—came from the Texas MFCU, which prosecuted a large case involving a doctor and other codefendants who defrauded Medicaid and Medicare by improperly recruiting individuals and falsifying medical documents. This shows that fraudulent activities increased despite government measures taken to prevent fraudulent activities. The above data represent only those individuals and entities who have been convicted for fraud, which amounted only to 20% of the total number of frauds. Many are never caught. We strongly believe that billers and billing entities must be the first level of defense that stops unlawful claims submission. WCH has a well-designed strategy and vision for fraud prevention when billing for medical services. The «Fight Fraud» project will significantly decrease financial losses for federal programs like Medicare and Medicaid, bring the most outsourced jobs back to America and raise the medical billing profession to a higher level within the healthcare community. This program does not require significant funds from state organization but rather will bring money back to the state budget. Program Benefits: a. Financial gain for the states, government funds b. Saving benefits of Medicare and Medicaid for future generations c. Licensing access to People’s Money d. Raise of billing to a higher professional level and bringing jobs back to US. e. Creating new jobs f. Significant reduction of a billing fraud g. Decrease in the number of poor medical documentation that contains errors or fraud Project objectives • Fraud must be reduced, we estimate approximately a 25% reduction in the first 12 months • Decrease the number of billing entities • Remaining entities will serve as enforcers as well as reputable health compliant entities • Better control, oversight and management of a $100 million medical billing industry Details Through this project, students will be expected to: 1. Devise a development strategy for “Fight Fraud” project in line with its mission and objectives. 2. Create a business plan to implement the program to the federal level. It is necessary that the «Fight Fraud» project to become a part of the government programs. 3. Think how to build and develop a professional team for this project. Determine what would be the roles of the members of such team for timely achievement of the project main strategic objectives. 4. Identify promotional channels for the program and analyze what would be the effective strategy for sustainable use of the channels. 5. Ensure a relationship between development strategies, business plan and project budget. 6. Analyze the potential for government funding and funding from international financial institutions. 7. Prepare a database that will include state and federal contacts, who may help to move the program to the federal level. 8. Examine options of mutually beneficial cooperation of WCH with health professional organizations, private funds, government and any other companies/organizations that would have interest in cooperating and which may support to move the program to the federal level.

Fight Fraud project development

Project Mission Priority actions within our «Fight Fraud» project are aimed at making joint efforts to strengthen the healthcare system and bring the maximum benefit to America. We focus on identifying and mitigation of fraud risks in the Healthcare sector. Annually The Office of Inspector General (OIG) collects and presents statistical data reported by Medicaid Fraud Control Units (MFCUs or Units) who investigate and prosecute Medicaid provider fraud and patient abuse or neglect. Fraud convictions accounted for 73 percent of all convictions for the last 5 years. According to data from the U. S Department of Health and Human Services Medicaid Fraud Control Units Fiscal year 2017 annual report stated that criminal recoveries of $693 million in FY 2017 were almost double those from FY 2016. The majority of this amount—about $519 million—came from the Texas MFCU, which prosecuted a large case involving a doctor and other codefendants who defrauded Medicaid and Medicare by improperly recruiting individuals and falsifying medical documents. This shows that fraudulent activities increased despite government measures taken to prevent fraudulent activities. The above data represent only those individuals and entities who have been convicted for fraud, which amounted only to 20% of the total number of frauds. Many are never caught. We strongly believe that billers and billing entities must be the first level of defense that stops unlawful claims submission. WCH has a well-designed strategy and vision for fraud prevention when billing for medical services. The «Fight Fraud» project will significantly decrease financial losses for federal programs like Medicare and Medicaid, bring the most outsourced jobs back to America and raise the medical billing profession to a higher level within the healthcare community. This program does not require significant funds from state organization but rather will bring money back to the state budget. Program Benefits: a. Financial gain for the states, government funds b. Saving benefits of Medicare and Medicaid for future generations c. Licensing access to People’s Money d. Raise of billing to a higher professional level and bringing jobs back to US. e. Creating new jobs f. Significant reduction of a billing fraud g. Decrease in the number of poor medical documentation that contains errors or fraud Project objectives • Fraud must be reduced, we estimate approximately a 25% reduction in the first 12 months • Decrease the number of billing entities • Remaining entities will serve as enforcers as well as reputable health compliant entities • Better control, oversight and management of a $100 million medical billing industry Details Through this project, students will be expected to: 1. Devise a development strategy for “Fight Fraud” project in line with its mission and objectives. 2. Create a business plan to implement the program to the federal level. It is necessary that the «Fight Fraud» project to become a part of the government programs. 3. Think how to build and develop a professional team for this project. Determine what would be the roles of the members of such team for timely achievement of the project main strategic objectives. 4. Identify promotional channels for the program and analyze what would be the effective strategy for sustainable use of the channels. 5. Ensure a relationship between development strategies, business plan and project budget. 6. Analyze the potential for government funding and funding from international financial institutions. 7. Prepare a database that will include state and federal contacts, who may help to move the program to the federal level. 8. Examine options of mutually beneficial cooperation of WCH with health professional organizations, private funds, government and any other companies/organizations that would have interest in cooperating and which may support to move the program to the federal level.

Health Guard ID - Development Study

About Project Health Guard ID is an innovative and unique solution for fast and easy access to the medical information of an injured person in times of emergency. Project Mission This program is designed specifically to assist the Government Agencies to increase the effectiveness of life-saving activities and ensure prompt medical treatment in the case of immediate threat to life or health; The number of victims (dead or injured) are on the increase and time plays a crucial role when saving a person’s life in emergency situations. In those moments, the available data, including medical information, are always critical for effective treatment. Today, we have an opportunity to contribute to the achievement of these noble goals. Together we can save millions of lives –firefighters, law enforcement officers, lifeguards, military men and emergency first responders who in turn are risking their lives to save and protect ours. We can help every citizen who has increased risk of being in an emergency situation, since the risk of losing data is high and there can be potential problems with identification. Our mission is to contribute in resolving this issue. Project Objectives 1. Provide tools to improve the effectiveness of medical and rescue services to save lives of the public workers such as law enforcement officers, firefighters, EMTS, lifeguards, military and emergency first responders whenever there is an immediate threat to their life or a serious injury; 2. Mitigate possible medical errors by accelerating the process of identification and obtaining vital information (blood type, allergies, chronic diseases, including current medications and etc.), since the time factor in the emergency care plays a crucial role; 3. Assistance in ensuring the completeness, reliability, accuracy, relevance, timeliness and availability of medical data in the health databases of Department of Health and Human Services. Details Through this project, students will be expected to: 1. Devise a development strategy for the “Health Guard ID” project in line with its mission and objectives. This is our new product. 2. Create a business plan to bring the program to the federal level (US armed forces, law enforcement agencies. It is necessary that the « Health Guard ID » project to become a part of the government programs. 3. Make research and prepare recommendations relating to the development of a new product or service. No need to make a competitive landscape. 4. Identify promotional channels for the program and analyze what would be the effective strategy for sustainable use of the channels. 5. Ensure a relationship between development strategies, business plan, and project budget. 6. Analyze the potential for government funding and funding from international financial institutions. 7. Examine options of mutually beneficial cooperation of WCH with health professional organizations, private funds, government and any other companies/organizations that would have interest in cooperating and which may support to move the program to the federal level.