It's natural that people working in healthcare would follow the trajectories of giant-sized IT vendor companies that are eating everything in their sight and making high-profile waves in the market. But what about once-small vendors whose core offerings are taking them places fast? The Los Angeles-based Zynx Health, founded in 1996 (and since 2004, a subsidiary of the Hearst Corp.), has lately seen its core product-evidence-based and consensus-based physician order sets-in demand as never before, given the forward evolution of the meaningful use process under the federal Health Information Technology for Economic and Clinical Health (HITECH) Act. For instance, a draft requirement under Stage 2 of meaningful use is for the use of evidence-based order sets (as of press time, the industry was still waiting for the final Stage 2 requirements to be issued); and the emergence of accountable care organizations under healthcare reform is adding yet another market opportunity.
IN MEDICINE, AS IN EVERY OTHER AREA, IF YOU HAVE THOUSANDS OF OPPORTUNITIES TO MAKE A MISTAKE, YOU WILL DEFINITELY MAKE A MISTAKE. -SCOTT WEINGARTEN, M.D.
In fact, as Zynx is one of two companies currently dominating the evidence-based order sets area (the other being ProVation Medical, a Minneapolis-based division of Wolters Kluwer), it is poised to capitalize tremendously on developments in the federal healthcare policy sphere. And with more than 1,700 contracts with hospitals and medical groups-a figure that is growing by the week-the shift towards evidence-based, automation-facilitated delivery of patient care is putting Zynx Health into a growth mode for the foreseeable future.
A considerable portion of the credit for Zynx's current market prospects must go to Scott Weingarten, M.D., the company's CEO and co-founder. Weingarten, an internal medicine physician by background, says the idea for the company emerged out of experiences he was having with his patients while still in clinical practice. “Like all other doctors, I went to school for a long time and thought that I was well-trained, and I cared deeply about each and every one of my patients. I certainly tried very hard, and worked very long hours,” he says. “But in medicine, as in every other area, if you have thousands of opportunities to make a mistake, you will definitely make a mistake.” Weingarten particularly recalls one situation, in which he neglected to perform a preventive care procedure that might have averted a particular problem for a patient. “Fortunately, that patient did OK,” he recalls, but it was primarily because of luck, and I said, we shouldn't have to rely on luck.”
Over time, Weingarten's concern over having made a mistake evolved forward in his mind into the idea for what became Zynx. He gathered a few colleagues together to begin to build a decision support solution based on culling evidence from the clinical literature and embedding it into electronic physician orders.
The timing of Weingarten and his colleagues turned out to be exquisite. The company's first significant go-lives, during the 2002-2003 period, coincided with an important “aha” moment in the industry, as leaders of patient care organizations who were trying to develop evidence-based order sets from scratch began to realize how incredibly time-consuming and resource-intensive the process of developing, maintaining, and updating such order sets could be. The rest, as they say, is healthcare IT history.
PHYSICIAN BUY-IN, AND MORE
Customers are very enthusiastic, as they are able to get physician buy-in for computerized physician order entry (CPOE) more easily when offering evidence-based order sets, and particularly when engaging their doctors in adapting and customizing those order sets to meet their organizations' individual concerns.