HIMSS 2012 – Surgical Information Systems (SIS), Kermit S. Randa

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Dr. Howard Rollins, EHRtv AIMS specialist and medical consultant, interviews Kermit S. Randa, Chief Operating Officer of Surgical Information Systems (SIS).

Category: HIMSS12, Tradeshows
Date: March 21, 2012
Views:5,455 views

Dr. Howard Rollins: This is Dr. Howard Rollins. I’m at HIMSS 2012 in Las Vegas and I have the pleasure of speaking to Mr. Kermit Randa, who is the COO of Surgical Information Systems. For expediency, I’m going to refer to the company as SIS––

Kermit Randa: Sure.

Dr. Howard Rollins: –– for this interview. Is that okay with you?

Kermit Randa: That’s fine! Sure.

Dr. Howard Rollins: First of all, Kermit, thank you for being here with us.

Kermit Randa: Thank you. It’s great to be here.

Dr. Howard Rollins: And congratulations. I understand that you’ve been elevated recently to the COO of the company.

Kermit Randa: Uhum.

Dr. Howard Rollins: That’s fantastic.

Kermit Randa: Thank you.

Dr. Howard Rollins: So we’re going to talk a little about your AIMS Systems. It’s to my understanding it’s a very robust and very impressive system. And some of the things that I want to hit upon is your documentation wizards and your Analytics, because I think that’s some of the things that set you apart from the competition, and from much, if not most of the competition.

Kermit Randa: Right.

Dr. Howard Rollins: Can you tell me a little about that?

Kermit Randa: Sure. I can. I think that there are several things that set us apart, I think, from the competition.

Dr. Howard Rollins: Let’s go through it.

Kermit Randa: Those are–– those are two. A part of it I think start from a more of a strategic context on what we’re interested in is being leaders. We have a sense of, if we’re not teaching, we’re not leading, at SIS. And so we focus on thought leadership. This is why we were the first to work with AQI, the Anesthesia Quality Institute, as you know.

Dr. Howard Rollins: Right.

Kermit Randa: Why we’re supporting member of the ASA itself. So that we can be ahead of the curb and understand where the pack’s going and what is happening in the space. So it kind of starts with the mindset of why we’re different in terms of where are we going to go and how can we lead? Secondly, it’s about making it easy for the anesthesiologist to do their job and take care of patients. And then, really, put the power back in the hands of the anesthesiologist. For so long in this paper world, they haven’t had the ability to truly understand and measure their clinical practice.

Dr. Howard Rollins: Right.

Kermit Randa: And so with the ability to use our workflow wizards to make it easier for the data to get in and document, the next thing that they can do now that the data is in there, we can use Analytics.

Our solution has been recognized by the American Hospital Association. They went out and did an RFP and talked to a lot of different folks, and we were selected as the endorsed solution for the American Hospital Association for that power, precisely that power – to be able to provide the anesthesiologists and CRNAs, anesthesia providers, the ability to tie that data in and then look at it with Analytics, as you know –– we see here, I don’t know if we can see that –– to put that data there, to look at the practice patterns, and then to easily, on a minute-by-minute basis, and then to be able to push that data and actually change your practice pattern. So that’s just been very, very exciting.

Dr. Howard Rollins: So give me an example of how I, as a chief of an anesthesia group, might change my practice pattern based on what the system offers me.

Kermit Randa: Well, that’s a great example. In fact, we’re just releasing our compliance view and what that allows you to do, your compliance department, whoever is the doctor in charge of that for you.

Dr. Howard Rollins: Right.

Kermit Randa: Can, at the end of the day or the beginning of the next day, look at all the cases that were done that day and understand where there are holes in documentation, where there are holes in coding, and to be able to quickly understand what those challenges were, go to those physicians, and tell them how to rectify that or adjust their–– adjust their charts to make sure the date is––

Dr. Howard Rollins: So we can compare–– we can compare providers to each other.

Kermit Randa: Oh, absolutely. You can compare providers to––

Dr. Howard Rollins: I can go up to provider X and say “Your patient is spending 30% more time in the PACU than everybody else is.”

Kermit Randa: Absolutely! I probably should have covered that. To me and to SIS, that’s really easy. Our Analytics Solution can be put in within two weeks. We can have it installed, up and running and doing that. We can compare anything to anything, ASA score to ASA score, look at severity, where you are with your patients, pre-op, post-op, and so on, but then–– and we can put that on any system which makes it very exciting.

So now I can start to understand what happens postoperatively after the OR experience and the ability— I want to go back to that compliance view for a second.

Dr. Howard Rollins: Okay.

Kermit Randa: We have a tool called Workflow Wizards which you called documentation.

Dr. Howard Rollins: Okay.

Kermit Randa: We call them Workflow Wizards.

Dr. Howard Rollins: I’m sorry.

Kermit Randa: That’s alright. We shorten it up to say Wizards sometimes. People always say Workflow Wizards. Make it really easy for the physician to document by or anesthesia provider to document by exception.

And the ability to do that means that when I have that anesthesia view at the end, I can look and I can say, “Wait a minute, this is a problem. All of our providers are missing this routinely. Let’s go change the Workflow Wizard so that the physician doesn’t have to worry about it anymore; that it automatically happens. That in turn cleans up my billing, cleans up my compliance, makes it easier for reporting for PQRI and everything else that gets in the way of providing care to the patient.”

Dr. Howard Rollins: From the standpoint of the provider, tell me a little about your clinical decision support? How robust is that at this point?

Kermit Randa: Right. Our clinical support system, again, we would focus in on our Analytics tool and the capabilities to provide information literally served up in an iPad, or at home, or wherever there’s an Internet connection, the ability to understand how the clinical practice could be improved, by drilling down into individual patients, drilling down, looking at postoperative nausea, for example. What are the things–– what are the relationships to the drugs pre-op? And so on, to postoperative nausea, how can we start to balance and change the clinical practice patterns that way?

Dr. Howard Rollins: So when people talk about granularity, what are they focusing on, what does that really mean?

Kermit Randa: One of the things we find with anesthesiologist, very technology savvy and always wanting to improve their own clinical practice. And our system was designed that every data point there is, within that’s captured in the documentation phase––

Dr. Howard Rollins: Right.

Kermit Randa: –– is certainly searchable and it is comparable anything to anything. So when we start to look at, I want to look at the use of certain drugs, and postoperative nausea, for example. I can start to do that analysis and correlate back and forth. I can compare that over time, I can compare that over ASA scores, or any–– virtually any data point. It’s very exciting.

Dr. Howard Rollins: So you’re just collecting a tremendous amount of data and there’s so much to do with it.

Kermit Randa: Yes, it’s fantastic. And really what we found when we released the anesthesia view for Analytics for anesthesia providers, it’s really about understanding how you can improve your practice.

Dr. Howard Rollins: And be more efficient, right. And having that data, that granularity of data, allows the system to put dashboards, performance indicators in place so that the documentation is easy, fast and easy, with the focus on easy and fast. But then, they can use that to improve their practice.

And every time we sell a solution, it’s amazing to me how interested the anesthesiologists are in Analytics. And without fail, I think we’ve probably been able to implement many of our systems solely on the strength of our Analytics, not to say our feature function isn’t anything but fantastic on the system itself, as you can see. But it also, it‘s really about the power, having that power of data.

Dr. Howard Rollins: Yeah. I can understand that as an anesthesiologist.

Kermit Randa: Sure.

Dr. Howard Rollins: Because now you’re giving this something I never had before.

Kermit Randa: That’s right.

Dr. Howard Rollins: That’s really incredible.

Kermit Randa: What we found is that anesthesiologists–– I might get trouble from my OR friends when I say this, but anesthesiologists for far too long have, in a way, kind of been the victim of what OR director thought.

Dr. Howard Rollins: Yeah.

Kermit Randa: Or what the surgeon thought, or what the administration might think is happening, and reality is that this data now puts power back in their hands to say, “No, no, no. This is how my practice needs to be run.”

Dr. Howard Rollins: Right.

Kermit Randa: And now people respond to that data, surgeons will respond to data.

Dr. Howard Rollins: Absolutely.

Kermit Randa: The administration will respond to data. And it really does help this.

Dr. Howard Rollins: And the document will always [find] the data.

Kermit Randa: Exactly, exactly.

Dr. Howard Rollins: Tell me a little about your partnership with Allscripts and with Siemens.

Kermit Randa: We have a strategy where we’re partnering with EHR vendors, HIS vendors and it’s been fantastic because in addition to what we do on a direct–– when we’re selling to direct accounts where we’re focus on making sure that we are interoperable. We’ve worked with Meditech accounts. We have many, many Meditech accounts and many more on the way, hopefully. We are working with other vendor partners for relationships.

And what that helps us do is readily provide the specialist nature of what we do to go very, very deep and provide tools that are focused on the anesthesiologist, but then give them and the rest of the institution the enterprise view through having that interoperability into the enterprise record. We can start to look at your outcomes, your anesthesiologist outcomes, after the patient’s gone home because now we have all that data.

Dr. Howard Rollins: Right.

Kermit Randa: And it’s been–– it’s been fantastic. Our partners are fantastic to work with and it’s all about where we start. It’s all about the clinical workflow. What is the clinical workflow that should guide everything that we do?

Dr. Howard Rollins: Right.

Kermit Randa: And with our focus on interoperability with other non-vendor partner folks, we’ve been able to really resonate with the anesthesiologists because that’s what really they want. They want to be able to take care of their patients and know that it’s working, and we’re providing the solution to do just that.

Dr. Howard Rollins: Kermit, your enthusiasm shows.

Kermit Randa: (Laughs) We’re doing really great things. I get little a bit passionate about it.

Dr. Howard Rollins: That’s great.

Kermit Randa: But our whole company does. This really charges us up.

Kermit Randa: And the drive right now in the space, the anesthesia growth that’s happening. Just yesterday, we’ve got some data back from some research that we’ve been doing. Let’s face it, we surveyed anesthesiologists, 150 anesthesiologists, 100 surgeons and 150 CXOs. All of them see surgical volumes rising in the next three years; all of them see the need–– 82% of them see the need for a specialty solution for anesthesia, and it’s fantastic, the adoption that we’ve seen. And so we’re going to continue having this passion.

Dr. Howard Rollins: We’re in the early innings of the game.

Kermit Randa: We think so, too. We’re looking to a long, long, long road of providing value.

Dr. Howard Rollins: Thank you very much for taking the time to speak to us.

Kermit Randa: Thank you. This is fantastic.

Dr. Howard Rollins: Congratulations again.

Kermit Randa: Thank you so much.

Dr. Howard Rollins: Kermit Randa, COO, SIS (Surgical Information Systems).

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