PRODUCTS
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STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER BROOKLYN, NEW YORK
The following interview was conducted with Eli A. Friedman, MD, Distinguished Teaching Professor of Medicine, Chief - Division of Renal Disease, Department of Medicine, State University of New York Health Science Center at Brooklyn. Dr. Friedman is an extremely highly regarded physician and considered by many to be the world's leading authority on diabetes-related renal disease.
Dr. Friedman would like the reader to understand that he has no financial interest in Velos Medical Informatics, Inc. nor will he endorse Velos. With a successful installation, he may at his choosing conduct a scientific, evidence-based study that reflects the impact of Velos products and perhaps publish the study. Velos is most fortunate that Dr. Friedman has chosen Velos Renal and is most respectful of his professional and ethical regimen. Velos Renal was not yet installed and his comments below reflect only expectations for Velos endorsement, Velos products or the organization.
Velos Medical Informatics: What is the "value proposition" of Velos
Renal from a clinical and business perspective?
Dr. Friedman: "Very concisely, an inordinate amount of time is
consumed by the necessity of compliance with regulatory and other
rules that make writing a note or filing of data and assessment of
performance an obligation that must be discharged by renal programs.
For example, the simple referral of a patient who is on dialysis for
kidney transplantation mandates that the quality of the dialysis be
documented, the medication list be retrieved, the initial history
and physical, the kind of dialysis that’s been delivered, and
adverse reactions all be compiled, which is simply in any other
context database retrieval. That kind of database retrieval is not
available to me now, and is unlikely to be for years with our
hospital computer problems. "
"The other hope that I have for
Velos is that the chore of placing a note in the chart of a patient,
being in the clinic or during a dialysis or on the ward, can be
minimized to the few pertinent, unique, idiosyncratic sentences
about that patient, and meshed and imbedded in the database in the
boiler plate that is demanded for an appropriate note. For example,
in an acute dialysis you might have the date, setting, the nurse,
the time already in Velos, and you might add that Mr. Jones was
begun on dialysis because of a rising potassium and volume overload,
incorporate a paragraph of standard text describing a usual acute
dialysis. and that the patients blood pressure dropped, and saline
was administered, and then for 30 minutes the blood pressure
stabilized, and then the word end, and your note is done. That takes
perhaps 30 seconds or 45 seconds whereas the structure of the note
as I now have to do it may take 10 to 15 minutes. All of this saving
gets to the precious commodity of physicians' time, which is the
commodity I'm attempting to conserve."
Velos: Some investors have questioned whether doctors will comply with data input. What's your perspective?
Dr. Friedman: "That was true some time ago but doctors have lost the rights to be selective and decide what they are going to do. Now they are forced to do things or they don't get paid. So things have changed."
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