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Closing the Informational Gap in Patient Care with Medical Record Aggregation

Doctors lack real-time comparative evidence, leading to decisions made despite uncertain variables that could greatly affect treatment outcomes. These gaps widen for patients with disparate medical histories, multiple conditions, and diverse ethnic and economic situations. Recent academic advancements have sparked technological breakthroughs with Artificial and machine learning but the technology doesn't have the human element in decisions it needs to qualify the information it gathers and presents. These innovations do allow clinicians to generate timely evidence from research data and aggregated medical records, addressing the information gap and empowering informed decisions for better patient outcomes.

Physicians often respond negatively when asked if their cases align with established care guidelines. Around 20% of patients are linked to standardized care guidelines, and merely 4% of patient care instances are substantiated by robust clinical trial guidance. This scarcity forces reliance on intuition and experience, particularly for complex cases. In today's digital age, doctors should be able to reference colleagues' decisions digitally. However, integrating these insights into routine care demands innovation, like services with physician and data scientist teams accessing patient records to provide evidence within minutes.

An illustrative case is that of an elderly woman with unclear symptoms and persistently low serum sodium. Though treated for a suspected urinary tract infection (UTI), the low sodium levels remain puzzling due to scarce evidence. With aggregated electronic patient records shared by the patient from previous visits from other health systems outside the one she is currently a patient at, providers could easily pinpoint accurate diagnoses and treatment choices.

Routine database consultations can enhance critical clinical decision-making among primary care physicians by asking questions such as:

What is the accurate diagnosis?

Which diagnostic tests should be conducted?

What are the implications of abnormal lab results or genomic markers?

What prognosis can be expected for similar patients?

Which medications or treatments should be pursued, and in what sequence, for optimal outcomes?

Is a specific procedure justifiable considering its risks and costs for a particular patient?

Can alternative treatments enhance the patient's quality of life?

Consulting medical records for insights is not a new concept. Alvan Feinstein's 1972 computer system for lung cancer decisions initiated this concept. Initiatives like the Duke Databank for Cardiovascular Disease and Stanford's data-driven decision for systemic lupus erythematosus in 2011 have continued the advancement of clinical decision support. And these have been outlined in Havard Business Review written by Nigam Shah and Dr. John D. Halamka's findings here.

Despite technological investments, physicians still to this day make decisions without sufficient data about each patient. Individual health solution services have begun to fulfill electronic health records' initial promise to give patients their health data, but they cannot transform insights into improved patient care and close evidence gaps without normalized data and aggregation instantly.

CentiBlick is directly able to help a patient access their aggregated EHRs from over 95%+ of all their siloed health information from all their previous healthcare visits nationwide. EHR companies that previously used a record-hoarding strategy for patient retention are now being combatted by utilizing this software as a solution and gaining healthcare freedom.

On average, the provider only has access to 1/19th of the patient's records upfront if they were a previous patient within that hospital system and most life-saving decisions that need this previous history rely on the patient who could be under extreme medical duress. Records dictate 84% of a doctor's decision in a high-crisis situation. Utilizing CentiBlick, patients are able to access all their records from hospitals, review the combined normalized data in easy-to-use charts, graphs, and language, and then share them within 60 seconds from not just 3-4 close-looped hospitals but from over 26,000+ health systems nationwide. CentiBlick's solution connects providers to patients in one virtual location with the supported data they need.

CentiBlick also integrated the most seamless Virtual care system on the market allowing patients, providers, and admins to communicate through the use of telehealth 2- way video conferencing with transcriptive recording, remote patient monitoring devices, prescription adherence, and charting and billing assistance directly from the transcription of the consultation. These features can and will save millions of hours and prevent the majority of physician burnouts from happening. The possibilities every hospital could accomplish when their providers and patients are now fully supported by true interoperability are limitless.

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