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Rational Surgical Solutions (Rational) offers its Rati-Fi blockchain-based process for confirming informed consent for surgical or medical interventions. Rati-Fi extends the deepest blockchain technology in the healthcare industry, at a sensitive nerve point: the medical / patient / treatment interaction.
"I was fascinated by the potential of Blockchain technology in health information technology,"Says Dr. Jonathan Fialkov, CEO and Founder of Rational Surgical Solutions." There is a tremendous pressure on health institutions of all sizes to improve safety, reduce costs and increase transaction performance, particularly with regard to patient data, while offering an experience exceptional patient. Blockdrive technology from Blockdrive was the next logical addition to our Rati-Fi platform."
The problem
Studies have shown that individuals remember only 20-30% of what is said when doctors request informed consent. This lack of understanding can often lead to:
- patient dissatisfaction
- the opening of the door to causes of negligence.
The goal of Rati-Fi is to ensure that patients understand the procedures, surgical procedures or treatments they are agreed upon before giving their permission to proceed. The Rational approach aims to improve the informed consent process by creating an educational and engaging (and mobile) experience that:
- improve understanding so that patients make more informed choices
- constructs an immutable register to which both the patient and the physician can refer (if necessary).
A gradual approach
Rati-Fi seeks to minimize patient confusion through a four-step process that supports both the patient and helps healthcare professionals. The informed consent process uses a multi-step approach provided through a direct technology interface:
- video education: The Rati-Fi experience begins with high quality educational videos (available in Spanish and English, which could be readily translated into other languages) that describe the treatment or procedure on arrival; this provides answers to common questions
- digital confirmation: using a patent pending procedure, Rati-Fi confirms the patient's understanding of the potential consequences of a treatment or procedure and identifies the topics that the patient does or does not understand; reviewing the patient's results, a doctor can prepare to discuss in more detail any topic reported by the patient's misunderstanding test
- registered consent: the video recording of the doctor-patient consultation session digitally captures the signature consent form, which is then encrypted, compressed and archived on a HIPAA compatible cloud server, where it is viewable by the patient through a secure website (if necessary, the doctor can also request access)
- follow-up care is a part of patient recovery: with Rati-Fi, post-care instructions and videos are available to the patient and healthcare professionals on the secure Patient CareSite that provides patients with a reliable and repeatable source of information – reducing memory dependency and potentially reducing the frequency of team calls clinical and readmission.
Blockdrive
Rati-Fi uses Blockdrive, a private blockchain platform that:
- exists in the cloud (see step 3 above)
- stores data using advanced encryption
- prevents the alteration of transaction records (and hacking)
- makes backup data immediately available (in case of data corruption and server interruption).
Blockdrive, therefore, improves data traceability, both for patients and for doctors. He declares to do so by:
- security (Blockdrive leverages the cloud / blockchain technologies of Amazon, Microsoft, Google and Oracle)
- speed (transactions and transactions are available via immediate distribution)
- elimination of manual processes (reconciliation between several isolated registers and administrative processes decreases or disappears)
- fraud reduction (this occurs as a result of timestamp entries and sharing a common, immutable ledger)
- risk reduction (elimination of individual points of error through the use of the distributed network node approach).
The effect, for the medical profession, of reducing the revision time, perhaps even half, because professionals avoid spending valuable time on the sorting and verification of data for auditors.
"Rational Surgical Solutions is a well-known leader in the mHealth space for patient education, risk mitigation and clinical efficiency,"Watch Harry Curtin, CEO of Blockdrive."The addition of the Blockchain capability to their Rati-Fi platform is one of the best use cases for this technology in the healthcare industry we have seen so far."
About Rational
Rational is a private company that has been developing software since 2015. Rati-Fi is a health technology platform that combines patient education and informed consent.
The goal of Rational is to improve the whole care experience from the beginning to the end. Developed by doctors who have seen the need for greater efficiency and better communication, the objectives of the Rati-Fi system help:
- mitigate the risk
- increase revenue
- improve patient results.
Enterprise Times: what does this mean?
Blockchain has made some forays into the medical world. These have not been deep so far (probably in part because of the conservatism of the medical profession in general).
The Rati-Fi approach is interesting because its focus is so specific and explicit. Not only are the problems related to blockchain performance largely irrelevant, but the immutable record on the blockchain is available to the patient and the doctor. As almost always, when both sides benefit, bureaucracy and the legal dimension have the opportunity to decrease.
This could be a turning point, though less for blockchain and more for patients and doctors. For Enterprise Times, it explores a different way of exploring blockchain as a secondary complement rather than a primary driving force.
