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Startup Insider: How a Collaboration Between Dreamit Health and The Children's Hospital of Philadelphia Led to Haystack Informatics

The Huffington Post The Huffington Post 16/03/2016 David Ongchoco

Startup Insider is a series of articles with the goal of helping aspiring founders and entrepreneurs understand the ins and outs of starting a startup. I recently got the chance to interview multiple startup companies that have gone through the Dreamit Ventures Accelerator program. You can sign up to stay up to date with this series here.

The first company I got a chance to interview through this feature series collaboration with Dreamit Ventures was Haystack Informatics. Haystack Informatics is a visual analytics platform that helps hospitals detect, investigate and report patient privacy breaches by insiders. Haystack was born out of a collaboration between The Children's Hospital of Philadelphia (CHOP) and Dreamit Health.
I got a chance to speak with the two co-founders of Haystack: serial entrepreneur Adrian Talapan and CHOP's Chief Medical Informatics Officer Bimal Desai on how everything started for Haystack.
2016-03-09-1457543185-2302208-ScreenShot20160309at12.05.58PM.png © Provided by The Huffington Post 2016-03-09-1457543185-2302208-ScreenShot20160309at12.05.58PM.png The Haystack Informatics team during their launchQ: What was the inspiration behind your idea?
Bimal: It basically started with a discussion I had with the privacy officer at CHOP. A patient's right to privacy is protected by federal law, so in a hospital, this means we have to monitor whoever accesses paper and electronic records. Hospitals typically split this task across the groups charged with information security and privacy/compliance, and every hospital in the country faces a huge challenge when monitoring privacy of electronic health records (EHR) since it's extremely hard to track all the different access events.
This is why we designed Haystack. I was experimenting with some open source visualization tools and it became very clear that you could analyze access log data to basically determine inappropriate behavior. When you analyze EHR access log records, the data organize into social networks. Patients and providers in these clusters of activity tend to work together, as you would expect in a care team. Our bet was that we could get enough information from EHR access logs to discern if a trusted insider was trying to snoop on a patient's record, if people were trying to commit medical fraud, or if people were trying to commit medical identity theft.
The entire application is very intuitive, very visual. It helps privacy officers detect and report privacy breaches a lot better than other tools for this.
Q: How did you guys meet each other?
Bimal: Adrian and I were introduced through Dreamit Health Philadelphia. Adrian has a very analytical and technical mind and is a fantastic entrepreneur. I am a practicing pediatrician and have a masters degree in biomedical informatics, with a decade of domain expertise dealing with healthcare data structures. We very quickly had a prototype and wireframe diagrams setup. Adrian and I hit it off pretty quickly. We had a similar vision that this had to be dead simple for the privacy officers. The two of us delved into this whole idea of robust visual analytics and this idea of taking very, very complex data and turning it into something that was intuitive, streamlined, and useful.
Adrian: Before I met Bimal, I was helping Dreamit look at possible ideas coming out of CHOP that could be turned into separate commercial entities. CHOP had an internal competition to surface potential ideas that could be turned into actual products. The premise was that there are so many world-class people and researchers at CHOP but a lot of their research is understood in that specific academic environment. But what if there was something we could do and commercialize quickly, using a "start-up" mentality, so when we looked at these ideas, that's when I got to meet Bimal.
He had already started on the idea and he had a very slick Powerpoint deck that was very convincing on the topic of privacy. Up until that point, I didn't really think about that aspect of healthcare. But if you think about it, you go to a hospital now and your health data is basically open for any employee to see. The law says there should be protections in place, but that's hard to do.
2016-03-07-1457364590-9554830-Haystackscreenshot.png © Provided by The Huffington Post 2016-03-07-1457364590-9554830-Haystackscreenshot.png The Haystack Informatics Platform
Q: What are some of the milestones and memorable moments you guys have had?
Adrian: The first time we saw our product working, that was incredible. It was one of the first milestones. Then obviously, getting the first customer. Reaching a billion records was also very exciting. Graduating from Dreamit was also a milestone in itself.
Bimal: The first time we completed a cloud installation was very exciting. One of the early validations we had was when I made a few dozen calls to privacy officers around the country to get feedback on our wireframe mockups and to see if they might want to be pilot sites. I remember I was talking to one of them, and at the end of my presentation, I asked what do you think? And she told me "when I saw those wireframes, I was jumping out of my seat!" It was so compelling for her that somebody finally understood her specific information needs as a privacy officer and was able to address it in a very thoughtful way. That showed me that we were on to something.
Q: What are some of the biggest lessons you guys have learned?
Bimal: You have to identify a real problem to solve in healthcare. You have to find something that is a real sore spot, whether on the patient care or administrative side, then you have to apply some insight on how it can be done differently.

You also have to be really careful in healthcare where to draw the line, where to say "no, we need to slow down because healthcare is different". One of the pieces of advice that most start-up entrepreneurs give is to launch and iterate. Even if your first release is a catastrophic failure, it's okay since you can iterate. However, the problem is that in healthcare, you're dealing with real patients and real issues. You can't just launch and iterate. For example, there have been cases of patient harm due to software errors. If you're talking about a medical device or something that's mission critical, it has to work 100% of the time. So it's a balance between being nimble and being appropriately cautious.
Adrian: I think from my perspective, the reason why we were able to get Haystack moving quickly was that we were able to combine a start-up's agility with Bimal's deep expertise in healthcare. Startups could make hospitals really nervous, but the fact that we could bring innovation from outside as part of Dreamit and work with people like Bimal, who has the sufficient level of knowledge and influence to actually help the project move forward, was very effective.
We also had top-down support from executives and the Privacy and Compliance Office at CHOP. That worked really well. Without that, it would have been very difficult to get the data and the level of commitment from CHOP to do what we needed to do.
You can learn more about Haystack Informatics here.
2016-03-07-1457364547-7697578-Haystackatwork.JPG © Provided by The Huffington Post 2016-03-07-1457364547-7697578-Haystackatwork.JPG The Haystack Informatics team at work---About the Author---
David Ongchoco is a student entrepreneur and avid storyteller from the Philippines studying at the University of Pennsylvania majoring in what he likes to call, LIFE. He is currently working on expanding his for-purpose organization YouthHack. It's David's goal to make an impact in the lives of as many people possible while constantly learning new things every single day. If you have any interesting startup stories, David can be reached via Twitter @DOitChoco.


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