Show HN: Health Scout – An app I wrote for a mother traveling with a sick child
itunes.apple.com
itunes.apple.com
Also, does it include a notification centre widget?
Unfortunately, these updates aren't in real time. I'm hoping I can provide people live data through my app through a feedback/reporting mechanism. It took a fair bit of time to extract all the data available and I had to do some aggregation myself.
The app doesn't yet include a notification centre widget but that's a great idea! I'm putting that on the list of potential feature adds :). Thank you!
> to keep there data up to date
Should be "their data". You should also fix this in the app description: should be "about what their options are", not "about what there options are".http://www.nhs.uk/NHSEngland/AboutNHSservices/Pages/NHSservi...
The data comes from http://www.medicare.gov/. If you dig deep enough you'll see that the government does extensive surveys on each hospital and tries to catalog everything.
Two important deficiencies in the data that I am thinking about:
(a) Data is updated in real time. (b) There is no existing mechanism for Health Scout to help updating the gov data.
I agree the above will take some work and I intend to try through Health Scout :)
- Can you show hospitals without average wait times? I just tried the app and it doesn't show me my preferred ER because medicare.gov doesn't have any wait time listed for it. That might weed out good ERs for no reason. (It's my HMO's hospital. I would travel 2 extra miles in nearly all cases for ER staff that have direct access to my medical records, the easy insurance situation, and the super easy followup with my doctors.)
- A way to search ERs by manually entering a location, not just showing the nearest. Unfortunately, my parents have a habit of calling me rather than calling 911 or just going to the nearest ER. While 99% of the time it's the ER near their home, sometimes I need to look it up. They're averse to learning any new app :(
(1) I will add in the functionality to show nearby hospitals without average wait times. It seems easy enough and very useful without search functionality. FWIW, if the government doesn't report wait times, I default to the average ER wait time for your state. If there is no average ER wait time for your state, then I use the national ER wait time reported by the gov. May I ask where in the country you are located?
One thing to note, I explicitly query for hospitals within a 10 mile radius. I figure if it's more than 10 miles out, it's probably not worth the drive. Maybe I should rethink that assumption...
(2) The search functionality is definitely coming in an update. I've heard that it would be useful from numerous people.
Ahh, I did see that in the app after I wrote my comment, but that was the only thing I could think of that might affect the search results :/ I'm in San Francisco. 10 miles would cover most ERs in the city ;) but in more specific terms, the particular hospital I can't find is Kaiser SF, only ~2 miles away from me. I see hospitals 5+ miles further away in my list... so.
I wouldn't mind a view that opts out of wait times altogether too, or sort by travel time only. Most times I go it's serious enough that I rarely wait more than a few minutes, so I don't pay attention to wait times. And I definitely do a mental sort when presented with the ER a couple blocks away with the 20 minute wait, or the 20 minute away hospital with the super short wait time...
OSM has http://wiki.openstreetmap.org/wiki/Tag:amenity%3Dhospital
amenity=hospital
name=Royal London Hospital
emergency=yeshttps://www.mapbox.com/blog/coffee-directions/ has a "coffee finder" that will give directions, but replace "coffee" with "emergency room" and it suddenly has a much greater impact.
At a glance the rest look okay, but I converted one of the results into a 24 hour clinic (which is a better semantic match for urgent care than hospital+emergency=yes).
(I've been correcting the data in my region. I have the idea to do some analysis for the entire country and incite people to clean up their areas. The Medicare dataset mentioned in this thread really makes that easier.)
I think Health Scout is very useful but definitely shouldn't be used in life and death situations. Maybe I should make the disclaimer even more prominent...
That might not be what plays out in court, but the problem there is people aren't reasonable.
I guess advertising the locations of hospitals and what hours they are open could be less fraught than advertising emergency rooms, but I'm not a lawyer.
For example: You've arrived in a new city. Open the app, see locations for ERs. Drive to each and familiarize yourself with the surroundings.
Okay, now that you've done that, good. Second, you need to put up a disclaimer screen or modal that happens on launch or viewDidLoad that requires user to agree to your terms of service/disclaimer/privacy policy in order to use the app. If they don't agree, they can't use the app. Period.
As it is now, I can access your app without seeing any messages or disclaimers on the accuracy of the information.
People can be litigious jackasses and may want to find somebody to blame for their grief or problems. With the false perception that every app makes millions of dollars, make sure you are not a target for lawsuits by at least doing the above steps ASAP.
Other than that, great job on the app!
It has a pretty good amount of useful data if you're interested in searching around :).
To answer your second question: I'm not. For the V1 of the app, I'm relying on the government data being valid. However, I'm currently building an in-app feedback form that will allow users to (a) report real-time wait times if they are in the hospital, and (b) report closed ERs / incorrect addresses etc.
Great job!
I mean if you're in allergic shock or diabetic coma they'll treat you immediately, but if it takes an uninsured person 8 hours on average to be treated for a simple cold, then that doesn't really fit the theoretical use case for the app?
Also, how do the emergency services work in the US? If you dial 911 and ask for an ambulance, will you not be taken to the nearest ER anyway? (Asking as an ignorant Brit!)
Unless you're in real trouble, its often cheaper and simpler to have someone drive you.
How EMS works in the US generally follows this path:
You get sick.
You then dial 911.
A dispatcher talks with you, routes your call to an ambulance company, and provides us with some information on what's going on. If the environment is no danger to you, they should generally tell you to stay put. Depending on the nature of the emergency, they'll have some first-responder/stopgap measures they'll want you (or bystanders) to do. If you have crushing chest pain for example, they'll explain how to place yourself into a recovery position (in case you vomit while unconscious), they'll ask for a nearby bystander (in case they have to instruct them how to perform CPR), and they'll do their best to keep you calm and aware of your situation. What they don't want you to do (even if you're 10 minutes away from a hospital) is try to move yourself there because:
If you become unconscious on the way to the hospital, it becomes so much harder to find you (rather than if you had stayed in a static location that you've described).
By moving, you might move from a safe environment to a more dangerous environment (sidewalk to middle of the street).
When the ambulance arrives, the medic will perform their own assessment of your condition. If you're alert, they'll ask you questions, ask you to chew some aspirin, place you on a heart monitor. If you've become unresponsive at this point, then slightly more drastic measures are taken.
When they load you into the ambulance, they'll make a determination (based upon their assessment) of where to take you. The nearest ER may not have the proper resources to deal with or handle your condition.
I'm unsure how emergency departments in hospitals outside of the US work, but here, not all EDs can provide the same level of care. If you're having an MI (heart attack), and you need cardiac care (a facility that can crack your chest open), it's far faster for the medic to assess you then immediately take you to the correct place.
As a contrary example:
If you happen to make it into an ED on your own foot-power and manage to explain what's going on to the triage nurse, then they still have to call in an ambulance to transport you to a hospital which can provide an adequate level of care. In some hospitals, they won't even begin to treat you (because of liability issues...it's horrible).
TL;DR. Some ERs cannot provide a certain level of care (Trauma Centers, Cardiac Centers, Psych, etc) and thus the closest ER may not be the correct ER to go to.
In general, if you're ever in doubt, it's best to call 911. Let the professionals handle it.
I'm downloading it right now.
This is very relevant to me, my wife and I are planning a 3 week Europe trip for next summer with our two small children.
Have you thought about the legal ramifications if someone depended on your app and the info was outdated causing a lot of ache?