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Access to ‘cloud’ Visual Outcomes software and services on AWS cloud resources via the internet.

Each of the local PCs/laptops/tablets have application installed locally.

And each access via the internet the organizations database and all services in AWS cloud hosted environment of Visual Outcomes.

Optimal Bandwidth Internet Connection for users on all local devices

Internet access provider back up plan for an unexpected access event

(have back-up such as smart phone ‘hot spot’ temporarily used or ‘dongle’)

Alternative internet access device is the recommended business backup plan

Be able to access internet from another internet set up provider. This is made known to users as the business back up plan; all have internet access backup steps (alternative internet provider “dongle” name and password ready for them to hook up if needed).

Temporary local data collection

Visual Outcomes provides a service of local data capture for larger organizations as part of their ‘back up plan’ services in the event of certain elements of internet outages ( enquire helpdesk@visualoutcomes.com)

Local client machines

PCs/laptops/tablets running the Visual Outcome application

Requirements for devices running Visual Outcomes application

Windows operating system – Windows 10 or later

Windows ‘Pro’ recommended for networks /VPNs

- ask Visual Outcomes Help Desk for advice

Windows OS virtualized is supported; not recommended

For client machines accessing Visual Outcomes:

i. Processor i7

ii. 4GB memory (RAM)

iii. Windows operating system (WOS) Windows 10 or up

- All windows requirements kept up to date by customer locally

- Windows OS virtualized can be supported (is not recommended)

iv. .Net 4.6.5 or above framework is to be kept up to date on all local client machines that are running the Visual Outcomes application

v. SSD for the operating system (C:drive) with no less than 20GB free space

vi. Latest internet browser version up to date (Microsoft edge or chrome)

Monitors and Screen sizes for best user experience

vii. Reception/front desk and admin users have 24”-26” (wide screens)

viii. Client Self-Arrival

(Client Kiosk use) for use in the Reception area

- either own smart phones, iPad tablet, PC or laptop set up kiosk

ix. Arrival list Monitor on the wall

- Display for all in Reception are or treatment area 32”- 48” (big)

x. Clinical users prefer 15- 17” laptop

- touch screens & folding screen to be mobile in the clinical areas

xi. Clinical users can use a 11-12” tablet screen

- smaller screen not as good for long consultation notes recording

Other comments

All front desk and admin and business office operators best to have larger monitor or multiple monitors. Visual Outcomes has many windows, and these users will often have several areas open and in use.

Standard users ( Clinicians and others) best to have min of 15” screen size to optimally use their “layout” log in of a “role based” window set up for ease of access in their daily work to most used features and functions

Standard reception desk users like a widescreen format (26” monitors)

Lowest resolution to be 1024/768 – the higher the better for users

Clinical users like a bigger screen when recording detailed notes at desk

Clinical users when in a “mobile session” or moving in a treatment area prefer a 13- 15” folding laptop or WOS tablet/ devices that are also fairly robust portable and lightweight as they will move them between areas

- Laptops with folding screens and touch screens are preferred

(15” is better than 13.5”)

Local Device Protocols

User Access Controls

Data Access Security

Protection of Customer Data (personal health information

PHI)

Customer is responsible for data security and protection of customer data on local devices. Customer is to have current practices and insurance policies to guard against inappropriate data access and local device cybersecurity risks.

Customer is to ensure all operating systems across local devices with Visual Outcomes installed are embedded with firewalls and anti-virus protection software (such as Windows or Mac OS X), and that they maintain up to date a commercially licensed separate firewall or anti-virus protection software.

Check your current insurances cover all data security, breaches of privacy laws, personal health information compromise and all cybersecurity risks.

Insurances to cover any unauthorized access to the customer data via local devices including via software co-installed on the same local PC as Visual Outcomes and as part of clinic network/ remote set-ups.

Customer to lead and educate their users as to cybersecurity risk management behaviors e.g. deleting suspicious emails and not opening attachments.

Customer to have in place an active protocol as to user password management protocols that are followed by all ‘local device users’ accessing VO application.

Any adverse comments as to local devices and users?

Mac users and the set up of WOS 10 on their MAC computers

- Macs running in a parallel Windows mode will be OK

- not recommended as some items of concern for Mac users

Mac users happy to use their Mac with Visual Outcomes

- Visual Outcomes does not support the conversion software

see below FAQ (MAC users 2021)

Tablets less than 13” may require a stylus to select VO icons

- 10” tablets used e.g. Touch screen must use stylus /finger too ‘big’!

- But Stylus is not advised if the user does not own the device....

- Or have damage agreement with users (e.g. teaching clinics) as stylus can get lost or damaged if dropped repetitively.

Teaching clinics

- Students can lose stylus and drop tablets – a hard case needed.

- Some larger organization/university clinics dispensed with tablets as styluses were being lost or damaged with regularity and then seen as too costly.

- One comment heard by us from a teaching clinic supervisor, “..was far better to have a folding PC ( bulk purchase order was made each cohort) and a “ small rental to ownership” agreement with students as a good financial model of ownership for all student devices”.

Other Comments?

Overall comment is that 15” folding laptops are the best option for all

- Effective for all types of users from private practice to clinical supervisors/ clinicians

- Can fold it and use as a touch screen and leave on small shelves installed for mobile sessions in treatment areas.

- Can still use it on a desk for complex clinical review and recording notes after the mobile session as required

Printers and Scanners

- set up by customers for WOS on each PC

Bar code readers

- ask VO help desk for current specifications

All other questions /clarifications?

Send email to helpdesk@visualoutcomes.com

MAC USER FAQs (Feb 2021)

Q: Does Visual Outcomes work on a MAC computer?

A: Visual Outcomes only runs as an application on a Windows Operating System (WOS)

There are some Visual Outcomes features and functions that can be accessed via the inbuilt web-based portal of Visual Outcomes. These are accessed without a PC/WOS and can be accessed via any internet browser from any device. However the application is always also a local installation for the user to access all the data/complete information, as a a rich experience via the PC (WOS) for their professional and business role to be optimized in their Visual Outcomes application.

Q: What is the difference when I choose between a MAC computer and a personal Computer /PC?

A: It is often generally said the difference is about the different personal work profile of a person who uses a MAC and a person who likes a PC.

Generalizing, people like a MAC when they use fast moving visual graphics in their working day e.g., documenting of a creative composition as is seen with the processes of filmmakers, artists, web designers and the like. These people it seems will prefer the Apple computers (MAC).

And it is said that the people more involved in a office or business environment, prefer to have the information at their fingertips and want to see all the facts of transactional data from edits to audits; if working with more structured documents and data entry the person will prefer the PC (WOS).

So, if you are running a business, with financial or mathematical data queries, complex analyses or data driven decision-making requirements in your work, you want the precision of data collection and style of data entry found in a PC WOS application.

Q: What should I do if I have a MAC computer and are now using Visual Outcomes?

A: Visual Outcomes is a healthcare data management platform (Windows Operating System based application)

Our recommendations are

1. First choice for is that Visual Outcomes as a WOS application, best installed on PC not on Mac

2. Second choice is to decide the best approach for installing a WOS on the Mac you use

WE CAN ONLY MAKE RECOMMENDATIONS for MAC users installing a virtual WOS or such.

Mac Users install software for Windows Operating System WOS on their MAC computer.

There are experiences/recommendations in many forums on the net to be searched.

Some links to review as to +/- of what /why and how of installing WOS on your MAC

Windows 10 https://support.apple.com/en-au/HT201468

https://support.microsoft.com/en-us/topic/how-to-install-windows-10-on-mac-4cbe5c9c-cd37-87e1-043c-27e8f764b12d

https://www.parallels.com/pd/windows-on-mac/

https://en.wikipedia.org/wiki/Parallels_Desktop_for_Mac

https://en.wikipedia.org/wiki/Boot_Camp_(software)

https://www.quora.com/Is-it-worth-getting-Bootcamp-on-my-Mac

https://support.apple.com/en-au/boot-camp

https://support.apple.com/en-au/HT204923

https://discussions.apple.com/thread/8187586

Ask others in your industry as to successful installation approaches for your MAC model. And ask a local IT service company if they can take the role /responsibility for the process of a WOS installation and its upgrade /management on your MAC computer for you.

All other questions /clarifications? Send email to helpdesk@visualoutcomes.com

Request a Demo

Latest News

Patient or Client in 2021?

What we call the person is not as important as the relationship we have with them and most importantly, the outcome of that relationship.

Since the earliest days of medical care, a person was seen as in a doctor patient relationship. The person was called patient as the Latin origins of the word implied; one who endures or is suffering. Indeed, the trust was in the doctor and the knowledge and skills they had to change the suffering of that person.

The word patient is still relevant today. Arguably, a person who arrives unconscious following an automobile accident to the local emergency department is closest to the origins of the word patient. They may have a next of kin ready to decide for them or another person with them, but the presumption is that they are needing care and that is decided by the person with the knowledge and skills entrusted with their needs. This person is very ill, or so sick or injured that they are deemed a more passive recipient of care.

If the person arrives and sees themselves as not “sick”, are they a patient?

As an example, if informed by their healthcare professional they have a chronic health condition with test results indicating added health risks they are an active participant when informed this way. This become more of a ‘client’ relationship with the healthcare system; their healthcare professional has made them ‘armed and active’ with this information.[i]. But they must act for their health status to change; they have an active participant role. Their own decisions and behaviors are determinants in their healthcare outcomes, nothing will change if it is a passive relationship with their healthcare professional.

There is an argument that the term ‘patient’ is a more respectful one, whereas the term ‘client’ is one of that is fiduciary in nature; logic being that the healthcare exchange is not a financial one[ii]. However, the modern healthcare system and its relationships or encounters do serve the economics of its financial management.

It can be said that the current healthcare experience of the more developed societies is more complex. There are new levels of healthcare relationships with more “forks in the road” to be navigated; no longer only a trust relationship of doctor-patient exchange.

There is a possibility that this increasing complexity may require some new measures of trust for the person as they build a relationship with the healthcare system. A transparency of information and a measure of accountability may engender a new trust for the person in their journey through the healthcare system.

Finally, there is no consensus as to an alternative word for patient. What do you think?

We will continue to explore these relationships for a person in their total experience of healthcare in 2021 in this weekly blog.

[i] Shades of grey: patient versus client. Ratnapalan, S. CMAJ.2009 Feb 17;180(4):472 doi:10.1503/cmaj.081694
[ii] Patient, client or customer: what should we call the people we work with? Brinkman, J.T April 2018 retrieved from www.opedge.com
[iii] For whom do you care – patients or clients? Bonsall, L. April 13 2016 blog retrieved from www.nursingcenter.com/april2016

by Dr Sue-Ellen McKelvey PhD MBA DC DO

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Enterprise clinics and Visual Outcomes

All in one platform

Visual Outcomes is a 10-year established healthcare platform with full inventory management and a global reach of practice management features and practitioner-specific operational functionalities.

Visual Outcomes is dedicated to achieving successful outcomes for all, measured by client-centric outcomes tracking alongside clinical outcomes and pathology tracking with client feedback online.

Visual Outcomes is about the Quadruple Aim: business owners and clinician satisfaction alongside client /patient satisfaction, with great treatment outcomes and efficiencies of healthcare costs.

Many advantages of Visual Outcomes as a unified healthcare data management platform

Full inventory management in the same platform
Clinical flows and online bookings for locations and a virtual clinic
Remote health care management including telehealth
Online clinic access/ portal for clients of the clinic
Engaged and active clients are decision makers in their own journey
Medical and non-medical processes accommodated as a team approach
Team care plans shared online: the client as part of the team
Individual health journeys online exchange; client-centric outcomes tracking
Enterprise business development management services; dashboard reporting
Data integrity in Visual Outcomes delivers to IPO level of financial requirements

Clinics

Online bookings for telehealth and in clinic appointments

Clients can upload information to their own clinical file online

Practitioners see what clients uploaded, pre consult and during consultation

Use Telehealth and virtual consultations as a booking option online

Remote online questionnaires and management of client programs

Online ordering of supplements

Individual programs managed
Order online repeats
Self-record journey > testimonials
Bookings online
Virtual appointments
Client-centric models of interoperability
Record securely and with client consented management planning of crossovers

Full Dispensary

On the shelf products

Quality control of batches delivered and re traceable

Ranges of prescribed formulae

e-prescribing

Ordering online

Full inventory management

All automated as stock ordering /receiving/ barcodes/ min and max stock levels

All stock take management and profit/sales analysis and reporting

Enterprise Business Services of Visual Outcomes

Set goals for specific clinics and identified ‘teams’ in Visual Outcomes

Create Value: analyze the utilization profile of bookings and clinical throughput

Observe in daily reports attendances cancellations and ordering levels

Marketing analysis to set email campaigns e,g, highest sales across client profiles

Set rewards with a dashboard of KPIs

Focus on each of the clinics /dispensary profitability and quality improvements

Select reports to be deidentified and used for staff/practitioner motivation daily

Set up automated stakeholder reporting on a weekly /monthly or quarterly basis

Peer reviews across practitioner-types/ clinic standards and goal setting/ KPIs and reward in dashboards across the groups

Financial entitlements calculated according to agreed algorithms in the platform

Reports for individuals as to the agreed method of calculated entitlements

All data is identified as from the transaction within the Visual Outcomes platform

Keep entitlements calculations transparent to minimize disagreements and optimize the relationships of business owners and clinic staff/teams of workers

Tailored reporting and data analytics with a ‘Topic- in focus’ for online business sessions

Meeting with stakeholders regularly online as enterprise business team

Review dashboards of ‘real time’ data from KPIs to client patterns and profitability progress

See daily/weekly updates to see that the goals and vision of the organization is on track

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Welcome 2021

Here we go into a world of uncertainty where we are still unsure daily as to what is normal.

What is for sure, is we are increasingly aware of the importance of data security and more remote online healthcare. 2021 requires vigilance in the choices made in a world of online healthcare and related services increase. As the world of 2021 embraces the use of more and more online sessions. Visual Outcomes is supporting dynamic vigilance as to cybersecurity and user access risk management. We announce the new release this week with a booking schedule now for upgrades to this latest version over the next 6 weeks. Please read the below highlights and attached document.

Telehealth

2020 was a tumultuous year of challenge and change. Many individuals who resisted remote healthcare as too “distant” embraced the safety of home-based care and these online sessions. There is wide acceptance of remote care as now a normal type of appointment; just online. Payers accept it as a valid service. Clients themselves are particularly notable in their acceptance of these sessions as follow ups and check-ins with them as to health changes and personal health programs. Request a demo and latch this facility on to your Visual Outcomes platform.

Online bookings – new clients book directly in your website

In 2021, you have the option of adding ‘NEW to the Clinic’ bookings as you want them booked. The set up of services follows what times and days you want to drive those bookings. When Visual Outcomes web-based portal (VOiSite) is implemented you automatically have practitioners seeing their appts and existing clients can book online. Now, you can add NEW to the Clinic bookings online directly, not via a third-party software. This is your own secured booking system. Please review the attached new features document.

Payments online – Stripe secured credit cards managed only by your client (patients).

Stripe payment is a secured system; credit card information is not kept in Visual Outcomes. Stripe is a secured online payment method for clients to pay invoices, products, and services.

Customer data protection (User password security and TFA)

Visual Outcomes has increasing required authentication online and optimizing password changes.

Visual Outcomes supports your risk management of unauthorized access to customer data:

1. Password change standards enforcing a complexity-type of user password

(Password audit service is available for your user password change protocol management)

2. Two Factor Authentication (TFA) adds access security for existing users on web-based portal (VOiSite) as a client(patient), online practitioner or other authorized personnel.

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Check us out

New Visual Outcomes release coming

A Sensible and Secure Messaging System for the Australian Health Sector

Australians who prefer a collaborative team approach to their health have faced this barrier for many years. Secure, yet efficient, electronic communication around their chosen healthcare team has not been available. Too many systems not talking to each other, resulting in frustration all round, not to mention real inefficiencies.

Visual Outcomes has always championed the clinician and client team approach - around you and with you, the patient.

Your Visual Outcomes online portal already channels you in, boosting your voice. And now we have been working with the Australian Digital Health Agency, the Australian Health Department’s 'make it happen’ agency. to enable:

searching via a federated directory to send messages, rather than through multiple individual directories,
standard messages that will provide interoperability, and message exchange, with different secure messaging software systems, and
encryption standards ensuring that messages are exchanged securely.

The outcome is to be smooth communication among your practitioners and related health organizations important to your personal journey.

The government’s strategy here has been to bring as many parties together as possible to consistently embed interoperable standards for secure messaging systems.

In our anticipated Visual Outcomes new release (Version 20.10.30) planned for October 2020 the platform is there, in place. As the digital health industry moves to align with these secure messaging standards, Visual Outcomes will have it available for all practices wishing to share secure messaging.

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