MyCareFriend Menu

What it does

Four jobs, and one rule that governs all of them.

MyCareFriend reads the clinical records you already keep, checks them for the faults that quietly ruin reporting, works out the measures you are accountable for, and shows you where the gaps are. The rule that governs the whole thing is that it will not give you a figure it cannot stand behind.

Running

It reads your records

Records come across from your existing system into one shared structure, so that a visit recorded in one place and a result recorded in another can finally be counted together. Nothing is written back. Your system stays the record of truth.

Today: proven against test records. No live practice is connected yet.

Running

It checks them first

Before anything is counted, the records are examined for the faults that make reporting wrong rather than merely late. Dates that contradict each other. Values that could not have come from a person. Entries that were never really filled in. The same patient arriving twice under two identities.

Today: running on every batch, findings recorded with the record they came from.

Running

It works out your measures

Two to begin with: patients returning to hospital within thirty days, and diabetes control. Each one shows the number of patients it covers, the period it covers, and how it was worked out.

Today: useful for managing your own performance. Not yet suitable for filing with an agency.

Running

It watches itself

If a scheduled update stops arriving, or a check starts failing more than it used to, that is raised as an issue with a timestamp. It reports what it found. It does not quietly correct your records and tell you afterwards.

Today: running continuously.

The rule

An unavailable measure is a result.

Suppose a quarter of your inpatient stays have no discharge date recorded. A readmission rate can still be produced from the rest, and it will look entirely normal. It will also be wrong, and nobody reading it will know.

Here, that measure does not get written. The screen says it is unavailable and gives the reason, and the underlying records are listed so somebody can go and fix them. The next time the measure runs, it either has what it needs or it says so again.

This is inconvenient by design. A blank space with a reason attached sends somebody to do work. A confident wrong number does not.

Readmission within 30 days

Unavailable

Insufficient records to establish the patient group

Example of the unavailable state. Not a figure from any practice.

Readmission within 30 days

7.5%

3 of 40 index stays · discharges in the last 12 months, ending 30 days ago · all causes

Example of a reported figure, computed from generated test records. The window closes 30 days early so every stay has had its full follow-up period. Every number in the product carries this line.

Connecting to your system

The honest version of what this involves.

Every certified record system in the United States is required to provide a way for software like this to read from it. That requirement is the reason a small practice can be served at all.

What that requirement covers

Clinical information. Visits, conditions, medicines, results, allergies. It is the same across systems, which is why we do not need a different product for each one.

What it does not cover

Anything about your billing, your schedule, your staffing or your finances. Those live behind arrangements that cost more than most small practices will ever agree to. This is why we are building the route through spreadsheets and documents, and why we regard it as the main path rather than a fallback.

You have to ask for it

Access is granted by whoever administers your record system, not by us. We cannot arrange it in advance, and any vendor who tells you they already have a connection to your system is describing something other than what happens. We will tell you exactly what to ask for and who to ask.

It is slower than anyone admits

Published research on organisations doing this deliberately, with technical staff, found a wide range before the first successful read. Plan in weeks. Anyone quoting you an afternoon has not done it.

We name no record system on this page. Which ones we have worked with, and what each involves, is a conversation to have about your specific situation rather than a table to publish.

What we have not done

The list we would want to see.

No security attestation
We hold none. When we do, this page will name the auditor, the standard and the date, and you will be able to ask for the report.
No agency ready measures
The two measures are not risk adjusted and do not apply the exclusions a submission requires. Use them to manage. Do not file them.
No live connection yet
Everything demonstrated runs on generated records. The first real connection will be made with a design partner, deliberately and slowly.
No patient information held
None has ever been loaded. None will be until the agreement governing it is signed and the controls behind it are checked by somebody other than us.
No second factor at sign in
Sign in is protected against repeated guessing, but a second factor is not available yet. It is required before any real patient information is accepted.
No customers
Nobody is using this in practice today. When somebody is, they will be named here with their permission, and you may call them.

If that list did not put you off, we should talk.