Symmetric Health Solutions provides data enablement solutions for healthcare operations. Hundreds of hospitals – from large IDNs to community systems – use Symmetric’s innovative software and data solutions to enable improvements in supply chain operations, business integration, clinical workflow, and patient safety. Symmetric makes it easy for healthcare organizations to understand their medical products information. This includes the full product lifecycle from approval, clearance, authorization, manufacturing location, and labelling to hospital purchases, usage, substitution, and recall or discontinuation. Each night Symmetric refreshes, audits, cleanses, and combines data from over 100 data sources, including:
- Canada Medical Devices Active License Listing
- NDC Directory
- VHA NAC
- Medical Device Approval Documentation (510k, PMA)
- Medical Device Registrations & Listing
- Medical Device & Pharmaceutical Recalls and Adverse Events
- NHS Supplies Catalogue
- Italy Medical Device Registration
- Manufacturers publicly posted website, catalog, and crosswalk Information
- Company M&A activity RSS feeds
- US city, state, and federal company registration information
- Mapping changes, updates, and deletions to hundreds of hospitals’ item, contract, and vendor masters as well as purchase order and invoice data
Our application is built on cloud platforms which provide data volume and user scalability. Utilizing the latest in machine learning, natural language processing, and optical character recognition, we have built thousands of processes to cleanse and combine data sets into a single source of truth by entity, shown alongside the primary source data. Symmetric’s product suite offers everything from lightweight access without implementation to deep data integration into ERP and EHR systems as well as industry disruptive track and trace solutions. Our application’s interface allows for users to upload supply data sets in csv or Excel file format for ad-hoc analysis (e.g. item adds, new contracts) which may not yet exist in any system. Within minutes, our matching process aligns user data to ours to show what matched, and what requires human validation with our supervised learning review workflow. These reviews teach both our algorithms and users about the quality and contents of both their and our data sets which informs further analysis and reporting. Users can customize reports and feeds with our 350+ product attributes to feed into ERPs, EHRs, or download to excel or csv.
Symmetric’s yard stick and focus for enhancing product information is substitutability. Predicting product clinical equivalence requires normalizing hospital supply data to standard manufacturer records (e.g. UDI-DI), adding all vendor or distributor relationships, enriching all relevant attributes (e.g. size, shape, features), understanding product dependencies (e.g. equipment, kits), and capturing clinical intended usage. This was the major focus of our Single Source of Truth design solution in last year’s SCANH competition. We tackle each of these points by automating and standardizing the collection of clinical feedback on product comparisons in our standardization savings and back order application workflows, utilizing additional human reviewed product comparison sources (e.g. graph database of FDA substantially equivalent mappings OCR’d from 510-k approval documents), and continuously expanding our product attribute information as predictions match clinical confirmation.
The pandemic highlighted the strengths of Symmetric’s ability to quickly bring in additional data sources and collaborate with a global mindset. For example, Symmetric is web scraping EUA’s and mapping them to the FDA’s registration listing. When working with global health organizations, we identified many new country data sets that were critical to add such as Canada’s thorough compilation of technical n-95 mask reviews. Lastly, our complete company data pulls and verification approaches, used for vendor and manufacturing mappings, proved a powerful asset for verifying vendors new to healthcare.
Eastern Health Vision:
Our vision for Eastern Health is to continue building out our contextual product substitution methodology and healthcare provider community for data quality and product substitution feedback. The intent for this communal approach is to not only for use within the healthcare organization but also with peers and data creators on sourcing quality item data efficiently. Our current, single-page reports combine unmatched user data with extremely pointed, well-explained corrective actions (e.g. impossible packaging strings, item data values on manufacturer websites not in GUDID, duplicate identifiers for the same supply, possible vendors, product substitute comparisons, etc.) and are viewable in excel or our application. We believe that a collaboration with Eastern Health would establish demand on both data suppliers and consumers to fill-out and map the contextual product substitution graph for healthcare. All this work can then be combined with supply chain “signal” data, such as real time scans from Eastern Health and other Symmetric community member systems to provide unmatched visibility & prioritization of industry-wide data integrity, interoperability, and safety.
Symmetric Business Model:
Symmetric’s business model is subscription services with the most inexpensive tier being data access and UDI synchronization. We believe accurate data should be as publicly accessible as possible through GUDID and other soon to be published registries such as EUDAMED. By having an accurate combined data set, we are showing that automated approaches to something as difficult and time consuming as prepopulating back-order substitute products is not only possible but could happen in minutes. The value of this level of accuracy and collaboration around mastering data is telling from the diversity of our customers that range from small rural hospitals to academic medical centers, regional health systems, children’s hospitals, and large IDNs.