Houston-based NurseDash is the Uber of staffing nursing shifts in medical facilities. Photo via nursedash.com

It's no secret that there's a shortage of nurses nationwide — and in Houston, the situation is no different. As baby boomers reach old age, the need for healthcare is only becoming more dire. Most facilities see a turnover rate of between 30 and 180 percent among nurses, leaving jobs open and shifts in need of being covered. Ideal staffing is a 5:1 patient-to-nurse ratio, but many sites are getting by with more like 8:1.

The solution for most healthcare facilities, whether they're hospitals, doctors offices or nursing homes, is to contact agencies to fill those spots. But agencies charge a high percentage for placement and lack transparency, says Andy Chen, former CFO for Nobilis Health Corporation. That's why he and Jakob Kohl created their app, NurseDash.

"Historically, some local agencies will promise you that they'll have somebody for you at 7 a.m. tomorrow, then start calling their people. They promise they'll send somebody, but they don't even know who it is," says Chen.

"The other thing is [facilities] would typically call multiple agencies so you're kind of on the hook with first-come-first-serve basis. And they were incentivized to say, 'Yes I've got somebody for you,' then find the person rather than finding the right candidate for that particular shift," adds Kohl, a principal at Everwise Healthcare and an attorney.

The two men were convinced that they could do better. They wanted to make sure that high-quality, accredited nurses could match with the medical sites where they were the perfect fit, for shifts that worked for both of them. NurseDash is the platform that makes the idea a reality.

NurseDash launched in 2017 and is the product of Belgian designers and developers in Russia. The project manager for the app is in New York, but official headquarters in Houston's Galleria area, where a staff of five works with the team spread out around the world.

Since its debut, NurseDash has attracted 40 facilities in Houston, including hospitals, surgery centers, and senior living, and about 400 nurses. Chen says he isn't sure just what to call his technology yet, but compares it to the ride hailing of Uber or Lyft and calls it "a virtual bulletin board."

The healthcare site posts shifts that it needs to fill. Nurses who fit the requirements see the availability and can choose what suits their schedules, then apply within the app. Everything takes place within the app, including payment and asking questions about the job. Nurses have already been vetted before they're able to apply, with comprehensive credentialing including license checks and drug screenings. The percentage that NurseDash takes from the transaction is about 30 percent less than an agency would take, says Kohl.

It's clear why medical facilities need such a service, but how does it benefit the nurses? It depends on where they are in their careers. Experienced nurses can pick up extra shifts on top of their full-time jobs, if they so desire. Practitioners returning to the game after having children can find times that work with their busy schedules. And fledgling nurses can use the opportunities to get a foot in the door at hospitals where they'd like to work full-time someday.

"They can work on their schedule, on their terms," says Kohl.

NurseDash has already expanded beyond Houston to northeast Ohio, which the founders say has a similar competitive dynamic to the Houston market. The next goal is to hit the rest of the top 10 largest cities in the United States. The next markets, says Kohl, will roll out at the request of major hospitals with locations both in Houston and those other cities. Ultimately, the goal is to become the go-to marketplace for nurses across the country. One shift at a time, NurseDash is making healthcare better.

Patients about to undergo brain surgery can use VR to see what their surgeon is about to do to their brain. Courtesy of Methodist

5 new technologies enhancing health care at Houston Methodist

game changers

While hospital systems might have a reputation for being slow adaptors to new technologies, Houston Methodist is single-handedly trying to change that theory. From artificial intelligence to virtual reality, the hospital system is making big moves innovating and introducing cutting edge tools and systems.

Houston Methodist's Center for Innovation, which has really developed in the past few months, is lead by Roberta Schwartz — executive vice president, chief innovation officer, and chief executive officer of Houston Methodist Hospital. She says Methodist has always lead the way within health care innovation in Houston.

"I think we're an industry that is transforming itself. We're either going to be disrupted or we're going to do the disruption ourselves," Schwartz tells InnovationMap in a previous interview. "There's nobody who knows health care better than we do, so if we're going to transform the industry, I want that transformation to come from the inside."

Here are five different new programs the hospital has introduced to enhance patient care.

An automated recruiting tool named Mia

Photo via houstonmethodistcareers.org

Hospital recruiting has always posed a problem for a few reasons, but one challenge has been the lack of HR resources available at all hours of the day or night. To help rectify this issue, Methodist has introduced Mia, a 24/7 chatbot that can answer HR questions from potential applicants.

"We find that we are communicating with night nurses at 1 am asking about benefits," Schwartz says. A lot of the people we are trying to recruit are working at night when we don't have HR staff in the office all night long."

Methodist is one of five in the country to launch the recruiting chatbot. The initial pilot is focused on recruiting medical surgical nurses and medical assistants. In just four months, Mia has chatted with over 800 prospective employees resulting in over 20 hires.

Pre- and post-op automated information

Photo via caresense.com

A crucial time for patients is immediately before and after surgeries or procedures, but doctors and medical staff usually has the most trouble keeping track of patients during these times.

CareSense automated program offers reminders and monitoring questions that better connects the patients with the hospital. In the three months the pilot has been running, nearly 500 Houston Methodist surgical patients reported extremely high satisfaction and over 75 percent of patients are engaged with the program.

Currently, CareSense works with Houston Methodist patients undergoing certain total joint replacement, colorectal, spine, and cardiac procedures. The technology can send texts, emails, website, and video links before and after the procedure. Early data has seen a reduction in missed appointments, lower surgical cancellations, and increased patient compliance. Up next is an expansion into various clinical areas, including mental health, interventional radiology, and oncology.

Virtual reality technology for brain surgeries

Patients about to undergo brain surgery can use VR to see what their surgeon is about to do to their brain. Courtesy of Methodist

Houston Methodist Hospital is channeling a Magic School Bus episode with new VR technology that allows neurosurgical patients and their family members to essentially walk through their brains ahead of their surgeries.

The patient wears a virtual reality headset and gets a 360 degree view of their brain, and the neurosurgeon can walk the patient through the surgery process. According to a release from Houston Methodist, the technology is the first of its kind that combines fighter jet flight simulation with patients' anatomy scans from MRI, CT, and/or DTI processes to make a 3D model.

Virtual urgent care

Screenshot via App Store

Houston Methodist recently went mobile, Schwartz says. About 77 percent of patients are interested in virtual access to physicians, according to the Advisory Board's 2017 Virtual Visits Consumer Choice Survey that included over 5,000 patients across the country — and 19 percent of patients have already engaged with doctors virtually.

"We live in a technology-driven age where people want easy access to services and they are open to seeing a provider via video. With virtual urgent care, a patient can get help for minor illnesses from the comfort of their own home," says Schwartz in a release.

The new MyMethodist app provides a platform for patients to contact doctors virtually, as well as medical records, test results, bill payments, prescription services and more. Some of the conditions included in virtual treatment are cold/flu symptoms, pink eye, skin infections/rash, allergies, cough/fever/headache, and upper respiratory infections.

Scheduling tool partnership with Next Level Urgent Care and Blockit

Photo via nextlevelurgentcare.com

In an emergency situation, a patient might opt for an urgent care center over a hospital visit. Houston Methodist wants to connect the dots in that case in order to best serve its patients. A partnership between Blockit, Next Level Urgent Care, and Methodist has emerged to allow for easier access to follow-up appointments with orthopedic specialty physicians, and an urgent care patient might leave the facility with his or her follow-up visit already scheduled. In the pilot program's first five months into this pilot, over 120 urgent care patients engaged with the program and made follow up appointments from the facility.


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California-based healthcare co. expands to Houston with new bioskills lab

med skills

Axis Research & Technologies, a California-based healthcare innovation solutions and medical research company, has expanded into the Houston area via a new 10,800-square-foot bioskills lab in Shenandoah last month.

The facility includes a main lab that’s configurable into a single space with over 20 stations, two more lab suites for specialized bioskills training, a conference room for presentations and a large multipurpose area.

Medical professionals can simulate a fully functional operating room in the lab for training and education. It also has the capability of handling cadaver specimens.

The company says the new facility aims to serve surgeons, medical device companies, hospitals and research institutions.

Axis was attracted to Houston thanks to the Texas Medical Center and other world-class medical groups, according to a release from the company. The facility in Shenandoah will be near medical facilities in The Woodlands.

“We are thrilled to expand into the Houston market,” Jill Goodwin, COO of Axis, said in a news release. “This new facility was driven by demand from our clients who have expressed a need for a high-quality bioskills lab in Houston. We repeatedly heard this feedback at the most recent American Academy of Orthopaedic Surgeons (AAOS) conference, which reinforced our decision to bring Axis to the region.”

Axis hosted its first lab event at its Houston-area venue on Feb. 22. The facility is currently accepting bookings for medical trainings, research collaborations and use of its bioskills lab.

“Our goal is to create an environment where groundbreaking medical advancements can take place,” Goodwin added in a news release. “Houston is home to one of the largest medical communities in the country, making it a perfect fit for our expansion.”

Axis' other bioskills labs are located in Nasvhille; Irvine, California; and Columbia, Maryland.

Texas institute grants $12M to bring leading cancer researchers to Houston

cha-ching

Rice University has recruited a prominent Swedish cancer researcher thanks to a $6 million grant from the Cancer Prevention and Research Institute of Texas.

It’s among $68 million in research grants recently awarded by the state agency, and six recruitment grants totaling $16 million to bring leading cancer researchers to Texas.

A news release from the Cancer Prevention and Research Institute of Texas (CPRIT) describes Pernilla Wittung-Stafshede of the Chalmers University of Technology in Gothenburg, Sweden, as “an accomplished and highly gifted biophysical scientist tackling complicated biological questions regarding the role of metals and metal dysregulation in various diseases. She pioneered a new research field around the role of metal ions in the folding and function of metalloproteins.”

Metalloproteins account for nearly half of all proteins in biology, according to the National Institutes of Health. They “catalyze some of the most difficult and yet important functions in [nature], such as photosynthesis and water oxidation,” the federal agency says.

Wittung-Stafshede, a professor of chemical biology and life sciences at Chalmers, is a former professor at Rice.

Aside from the money for Wittung-Stafshede, Houston recruitment grants also went to:

  • University of Texas M.D. Anderson Cancer Center: $2 million to recruit Rosalie Griffin of the Mayo Clinic
  • Baylor College of Medicine: $2 million to recruit Dr. Nipun Verma of the Yale University School of Medicine
  • Baylor College of Medicine: $2 million to recruit Xin “Daniel” Gao of Harvard University and the Massachusetts Institute of Technology

In Houston, cancer research grants were given to:

  • Baylor College of Medicine: $7.8 million
  • M.D. Anderson Cancer Center: $20.7 million
  • Rice University: $ 1 million
  • University of Houston: $1.2 million
  • University of Texas Health Science Center at Houston: $4.5 million

“The awards … represent the depth and diversity of CPRIT funding for cancer research in Texas,” says Kristen Doyle, CEO of CPRIT. “These grants develop new approaches to preventing, diagnosing, treating, and surviving cancer for all Texans.”

See the full list of awards here.