One to One Health

Scaling care delivery

Ian Harman · VP, Product & Engineering; Chief Privacy Officer · October 2023–June 2024

When demand grows, you still have to keep the promise that brought customers to you, and your clinicians feel every minute the paperwork takes. At One to One Health, I planned for the full care experience while giving clinicians something useful sooner: AI-prepared notes that gave back an average of 4.5 minutes of charting per encounter.

When I joined One to One Health, patients valued the care and clinicians enjoyed delivering it. But each new client asked more of a team already relying on manual processes, spreadsheets, and knowledge held by a few people.

We could staff for a new client and still wait for that client’s patients to begin using the care. Eligibility and onboarding delays stood between the capacity we had paid for and the people it was meant to serve. Adding clinicians could not, by itself, resolve that delay.

Eligibility and onboarding belonged in our product plan alongside clinical care. I set that direction for the full product suite and hired the founding engineers. We also needed to give clinical and operations staff something useful before that wider plan could deliver.

I chose clinical documentation as a place to start. I designed and developed the initial AI infrastructure to prepare clinical notes for provider review. Charting time fell from 22 to 17.5 minutes across all encounters, an average of 4.5 minutes back per encounter, while clinician and patient satisfaction were maintained or improved.

As a founder, I make room for a larger ambition while meeting immediate needs. An early improvement has to help customers or staff and bring that ambition closer. That is how I choose where to begin an engagement.

Giving the product plan a team and a budget.

Our wider plan needed an engineering team, investment, and care with the systems that held patient information. I hired the founding engineers and held Chief Privacy Officer responsibility. I also negotiated a 17% reduction in IT spending.

Clinical and engineering colleagues helped shape the product and achieve these results. I had to connect what One to One Health needed next with what we could build, the people we needed to hire, and the resources available to us.

About this account and these results

I draw this account from my November 2023 product manifesto, and the figures are my reported career results. Charting time is not total patient contact time. My manifesto set out a wider operating plan; this account does not claim that all of it shipped or that the note workflow resolved the separate onboarding delays.

Where is growth putting pressure on your team?

We can look at what is holding your company back and decide which investment would make the greatest difference.