Improving patient care has long been a key focus of medical technology, encompassing patient sign in, health screening, health alerts, medical record keeping and taking clinical measurements.

For the average consumer, patient self-check-in has become one of the most visible health care advancements, as care giver organizations find it improves patient care while boosting staff efficiency and helping address a critical shortage of health care employees.

The impact of digitization on the health kiosk market will remain high, according to a market research report from Transparency Market Research, due primarily to enhanced user experience and increased cost savings. The incorporation of digital signage in health care facilities is also spurring demand.

The report pegs the annual growth rate of health care kiosks at 18% through 2027.

Eye clinic reaps benefits

Keith Froleiks

Rockland Eye Physicians & Surgeons in Rockland County, New York introduced patient check-in kiosks in 2012 and has found the Clearwave patient engagement technology improves both patient care and staff efficiency. Most patients do not need assistance using the kiosks.

Keith Froleiks, Rockland's chief financial officer, told Kiosk Marketplace in a phone interview that the goal from the beginning was to improve patient care and staff efficiency, not to reduce labor. The practice has two Clearwave patient check-in kiosks in both its West Nyack and Garnerville, New York locations.

In addition to patient check-in, the Clearwave digital platform integrates with other clinic functions, further improving the organization's efficiency: patient scheduling, insurance eligibility, patient communications, medical records and practice management.

In 2020, Rockland introduced the mobile check-in feature that the Clearwave platform offers, which further improved the check-in operation, said Froleiks.

"It (patient self-check-in) pushes the data collections from the front desk to the patient," Froleiks said. "There's software behind the scene as well which allows now for pre-check-in via your home device or your computer so it's done ahead of time."

Patients are notified by text to check in online prior to their appointment and are instructed to text the office when they arrive.

Improved information flow

The kiosks have helped the practice gather more up-to-date credit card and insurance information, Froleiks said.

Faster insurance processing, in turn, has helped to reduce collections. "My turning over to collections is a lot less now," he said.

"I'm also able to do a little bit of marketing if I so desire," Froleiks said. "I don't like to do a lot (of marketing) because I want people off the kiosk, but if somebody wears glasses and they're between 25 and 50, I can ask them, 'Would you be interested in talking to the doctor about Lasik (eye surgery).' If 'yes,' I've got a marketing opportunity."

Kiosks don't replace jobs

The kiosks have not reduced labor, which in Froleiks' view is for the better.

Employees initially thought the kiosk was going to replace them, Froleiks said, but this has not been the case.

"You've still got to have a human face," he said. "Not everything can be done by a machine. It's a tool for the front desk to get better information.

"You still have to have a live body with a good brain at the front desk to either interpret the data and or at least see the 'flags' to say, 'Hey, I've got to update this in the patient management system if the kiosk interface can't do it.' It (the kiosk) can't do everything. There's only so much programming you're going to be able to really do."

Someone still has to review the information the patients enter into the kiosk.

Providers aren't all the same

Not all patient check-in platforms are user friendly, however. Froleiks stated in a customer testimonial that before working with Clearwave, another platform he used had issues with its daily payment reconciliation process and scheduling interface.

"There are a lot of different departments affected by the patient intake process from registration, patient care, healthcare information systems, business office and more," said Edward Roberto, account executive for kiosk solutions at Frank Mayer and Associates Inc.

"We are continuously learning about and evaluating all technological options that can provide value to a self-service solution," Roberto said. "There are options that are more software-integrated, using wireless connectivity to an individual's mobile device for navigation. There are also hardware integrations using motion sensors and computer vision, and then some very basic PPE solutions using disposable/recyclable PPE product such as FreeStylus."

Health care facilities can measure the time savings the technology provides by tracking the total number of patient forms completed prior to patient visits, payments collected prior to the visit date, the amount of wait time prior to the visit, said Jimmy Juelg, product owner at Healthmark Group, a Dallas based software-driven provider of health information management solutions.

Managers can also glean feedback from patient satisfaction surveys.

"Self check-in kiosks allow greater workflow efficiency for providers and staff, reduce costs and safeguard PHI (protected health information)," Juelg said.

Photo: LinkedIn

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