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Figure 1 – The Quiet Medical Education and Collaboration Platform

Posted on December 22, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As a healthcare IT blogger, I try to keep up to date with the latest happenings in healthcare IT. Of course, it’s impossible to keep up with everything, but I’ve generally heard of tech companies that are getting traction in healthcare. Either someone tells me about it, I see it on social media, or the company reaches out to me directly to have me write about them. However, sometimes companies quietly do their work and don’t ever hit my radar while they’re gaining significant traction. That was the case with Figure 1 who I first saw on a venture capital blog I read regularly.

The venture capitalist described Figure 1 as instagram for doctors. I’d describe it as a medical education and collaboration platform. Both are pretty accurate depending on your goals. The former is better for raising money and the later is better for understanding what Figure 1 actually does.

No doubt what Figure 1 has built is impressive. They have over half a million healthcare professionals (I think they’re close to a million, but they seemed to be waiting to announce when they actually hit that amazing milestone) on their platform that are viewing images on their platform. Maybe more impressive is that over 50,000 healthcare professionals use Figure 1 on a daily basis and Figure 1’s “medical cases” have been viewed over 1 billion times. They have a very international audience with healthcare professionals from over 100 countries (They verify professionals in over 75 countries). That’s a really significant international medical community.

This is no surprise to me. The first EMR forum I was part of 10 years ago when I started this blog created a section of the forum where doctors posted various medical images. It was a really popular part of the site and doctors seemed to love it. So, it made total sense to me that a mobile optimized version of what was happening on that forum would be even more popular.

Just to put what Figure 1 is doing in perspective, here are some user stories that Figure 1 shared with me:

“I saw a patient who was immunocompromised and had ecthyma gangrenosum on Figure 1 recently, and then later I saw it in person on a child. I’ve never seen that kind of rash before in person, and I knew exactly what it was because I’d
seen it on Figure 1. I treated the patient for exactly what it was instead of something else.”

And now for an international take on what Figure 1 is doing:

Dr. Hugo Zuniga is a family physician working in the Peruvian rainforest in a rural farming community of about 2000 people. As the only physician in the area, Dr. Ziniga is forced to treat many injuries, illnesses, and infectious diseases. Specialists are only available to the community via larger hospitals outside the rainforest. These hospitals are far and require a planned ride to reach them. The cost of visiting these hospitals is typically more than members of the community can afford, so Dr. Ziniga often lends money to his patients for treatment.

Dr. Ziniga says that Figure 1 helps him treat his patients. As an example, he speaks of one particular case where he was able to aid a five-year-old patient with a recurring infection. The patient was sent to a large hospital outside the rainforest for surgery, but the doctors there sent him back untreated, saying he didn’t need surgery.

When the patient returned to the community, Dr. Ziniga felt the other doctors had made the wrong decision. Suspecting that the patient’s adenoids were causing the recurring infection, he posted a photo to Figure 1 asking others if they agreed. After receiving support from the international Figure 1 community, Dr. Ziniga sent the patient back to the hospital, where he was given the surgery he needed.

Dr. Ziniga has no ambulance and few medical supplies. But now, with Figure 1, he says he doesn’t feel as isolated anymore.

I’m really impressed by Figure 1’s approach. It’s largely being done outside of the medical establishment, but it’s generally complimentary to the medical establishment. It’s not easy getting 100 doctors on any platform. Half a million healthcare professionals is really impressive. I’d love to know what you think of what Figure 1 is doing.

9 Ways IT is Transforming Healthcare – “Top 10” Health IT List Series

Posted on December 27, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As is often common at the end of the year, a lot of companies have started putting together their “Top 10” (or some similar number) lists for 2011. In fact, some of them have posted these lists a little bit earlier than usual. This week as people are often off work or on vacation, I thought it might be fun to take one list each day and comment on the various items people have on their lists.

The first list comes from Booz Allen Hamilton and is Booz Allen’s Top 9 ways IT is Transforming healthcare. Here’s their list of 9 items with my own commentary after each item.

Reduces medical errors. I prefer to say that Health IT has the potential to reduce medical errors. I also think long term that health IT and EMR will reduce medical errors. However, in the interim it will depend on how people actually use these systems. Used improperly, it can actually cause more medical errors. There have been studies out that show both an improvement in medical errors and an increase in medical errors.

My take on this is that EMR and health IT improves certain areas and hurts other areas. However, as we improve these systems and use of these systems, then over all medical errors will go down. However, remember that even once these systems are perfect they’re still going to be run be imperfect humans that are just trying to do their best (at least most of them). Even so, long term health IT and EMR software will be something that will benefit healthcare as far as reducing medical errors.

Improves collaboration throughout the health care system. I’m a little torn as we consider whether health IT improves collaboration. The biggest argument you can make for this is that it’s really hard to be truly interoperable in really meaningful and quick ways without technology. Sure, we’ve been able to fax over medical records which no one would doubt has improved health care. However, those faxes often get their too late since they take time to process. Technology will be the solution to solving this problem.

The real conundrum here is the value that could be achieved by sending specific data. A fax is basically a mass of data which can’t be processed by a computer in any meaningful way. How much nicer would it be to have an allergy passed from one system to another. No request for information was made. No waiting for a response from a medical records department. Just a notification on the new doctor’s screen that the patient is allergic to something or is taking a drug that might have contraindications with the one the new doctor is trying to prescribe. This sort of seamless exchange of data is where we should and could be if it weren’t for data silos and economics.

Ensures better patient-care transition. This year there was a whole conference dedicated to this idea. No doubt there is merit in what’s possible. The problems here are similar to those mentioned above in the care collaboration section. Sadly, the technology is there and ready to be deployed. It’s connecting the bureaucratic and financial dots to make it a reality.

Enables faster, better emergency care. I’m not sure why, but the emergency room gets lots of interesting technology that no one else in healthcare gets. I imagine it’s because emergency rooms can easily argue that they’re a little bit “different” from the rest of the hospital and so they are able to often embark on neat technology projects without the weight of the whole hospital around their neck.

One of the technologies I love in emergency care is connecting the emergency rooms with the ambulances. There are so many cool options out there and with 3G finally coming into its own, connectivity isn’t nearly the problem that it use to be. Plus, there are even consumer apps like MyCrisisRecords that are trying to make an in road in emergency care. I’d like to see broader adoption of these apps in emergency rooms, but you can see the promise.

Empowers patients and their families to participate in care decisions. Many might argue that with Google Health Failing and Microsoft HealthVault not making much noise, that the idea of empowering patients might not be as strong. Turns out that the reality is quite the opposite.

Patients and families are participating more and more in care decisions. There just isn’t one dominant market leader that facilitates this interaction. Patients and families are using an amalgamation of technologies and the all powerful Google to participate in their care. This trend will continue to become more popular. We’ll see if any company can really capture the energy of this movement in a way that they become the dominant market leader or whether it will remain a really fluid environment.

Makes care more convenient for patients. I believe we’re starting to see the inklings of this happening. At the core of this for me is patient online scheduling and patient online visits. Maybe it could more simply be identified as: patient communication with providers.

I don’t think 2011 has been the watershed year for convenient access to doctors by patients. However, we’re starting to see inroads made which will open up the doors for the flood of patients that want to have these types of interactions.

Helps care for the warfighter. This is an area where I also don’t have a lot of experience. Although, I do remember one visit with someone from the Army at a conference. In that short chat we had, he talked about all the issues the Army had been dealing with for decades: patient record standards, patient identifiers, multiple locations (see Iraq and Afghanistan), multiple systems, etc. The problem he identified was that much of it was classified and so it couldn’t be shared. I hope health IT does help our warriors. It should!

Enhances ability to respond to public health emergencies and disasters. I’ve been to quite a few presentations where people have talked about the benefits and challenges associated with electronic medical records and natural disasters. They’ve always been really insightful since they almost always have 5-6 “I hadn’t thought of that” moments that make you realize that we’re not as secure and prepared for disasters as we think we are.

It is worth noting that moving 100,000 patient records electronically to an off site location is much easier in the electronic world than it is in paper. With paper charts we can’t even really discuss the idea of remote access to the record in the case of a natural disaster.

Possibly even more interesting is the idea of EMR and health IT supporting public health emergencies. We’re just beginning to aggregate health data from EMR software that could help us identify and mitigate the impact of a public health emergency. Certainly none of these systems are going to be perfect. Many of these systems are going to miss things we wish they’d seen. However, there’s real potential benefit in them helping is identify public health emergencies before they become catastrophes.

Enables discovery in new medical breakthroughs and provides a platform for innovation. Most of the medical breakthroughs we’ve experienced in the last 20 years would likely have been impossible without technology. Plus, I don’t think we’ve even started to tap the power that could be available from the mounds of healthcare data that we have available to us. This is why I’m so excited about the Health.Data.Gov health data sharing program that Priya wrote about on EMR and EHR. There’s so many more medical discoveries that will be facilitated by healthcare data.

There you have it. What do you think of these 9 items? Are there other things that you see happening that will impact the above items? Are there trends that we should be watching in health IT in 2012?

Be sure to read the rest of my Health IT Top 10 as they’re posted.