Why does the Healthcare Industry need Quality Engineering?
The healthcare sector is changing at an unprecedented scale with the adoption of new technologies, devices, and methodologies. It is progressively becoming an all-encompassing service underpinned by the seamless delivery of a superior patient experience. Further, patients want their healthcare experience to be defined by five E’s – Experience, Empathy, Efficiency, Economy, and Empowerment. And this can only be achieved by embracing advanced technologies and creating a strong digital network enabling greater communication, coordination, and decision making. However, these technologies and the software driving them can have quality challenges, compromising the outcomes. It is only through the rigorous application of healthcare software testing guided by quality engineering that such challenges can be effectively addressed. In fact, quality engineering should focus on the following areas:
·
Data
centralization, accuracy, transformation, and integrity across platforms
·
Data
confidentiality and sensitivity, as per regulatory mandates
·
Scalability
and device stability
·
Availability
of services 24 x 7
·
Identifying
systemic faults
·
Network
and device security and adhering to policies protecting patient privacy
(HITECH, HIPAA)
·
Risk
compliance
With
software development (in healthcare and elsewhere) embracing Agile and DevOps methodologies
to facilitate faster releases, healthcare
software testing has taken a shift-left approach. Consequently, healthcare QA
testing is executed parallel to development for quick identification and
remediation of bugs. The sprint-based QA process tests the entire end-to-end
system to deliver Continuous Integration (CI) and Continuous Delivery (CD)
outcomes. Since there is more focus on ensuring continuous releases, the
testers often face challenges in executing regression testing in time. This necessitates
the shifting of QA (Quality Assurance) to QE (Quality Engineering), thereby
reimagining the healthcare domain testing process. Accordingly, QE tools and
methods are used during the ideation, development, and implementation phases to
integrate the Voice of the Customer or VOC into the product design.
The
testing of innovative products or devices in a highly regulated environment
such as healthcare is a challenge of sorts. However, by integrating quality
into the design process a la quality engineering, the quality of medical
devices can be raised significantly. QE reduces the chances of bugs or glitches
getting into the development process, thereby minimizing the effort of testers
in ensuring CI and CD. In other words, the organization is better placed to
meet the challenges of market pressures and regulation. Let us discuss a few
case studies to understand the role of QE for healthcare
testing services.
Case study 1 – Telehealth services
The
pandemic has brought into sharp focus the utility of telehealth or telemedicine
services. Embedded with AI-enabled chatbot functionalities, these services help
patients to connect with physicians and other healthcare professionals in
real-time. Hence, the functioning of these chatbots should be top-notch given
the fact that the lives of patients are dependent on them. With QE, systematic
faults in the chatbots can be eliminated, smart automation frameworks can be utilized
to facilitate the self-healing of scripts, and strict vigilance in terms of FDA
regulations can be maintained.
Case study 2 – Remote health monitoring
Health
apps and wearables are gaining importance in the healthcare sector for
communicating or transmitting vital information related to patients in real-time.
It may include monitoring sleep patterns, heart rate, or blood sugar through
easy-to-use IoT-based devices. These vital pieces of information help doctors
and paramedics to understand the condition of a patient in real-time and offer a
timely cure. However, since these devices are interacting in real-time and do
not have developers or testers monitoring their functioning, re-engineering healthcare application testing takes
precedence. Accordingly, emphasis is laid on monitoring delays in connecting to
devices, validating communication through the operating systems, analyzing
production logs through AI, and incorporating (and testing) features such as voice
recognition, among others.
Case study 3 – Robotic process automation
Healthcare
workers often have to spend hours executing routine repetitive tasks such as
documentation. However, automating parts of such tasks can ultimately benefit
the workers and allow them to focus on more pressing issues. By incorporating
quality engineering into the healthcare
QA testing process, automated scheduled batch jobs can be created and
data sensitivity of patient records can be ensured.
Conclusion
Since the
healthcare sector deals with patients who need a human touch in the delivery of
services, the quality of products and the means of delivery should be
top-notch. Here, quality engineering as a part of digital
transformation testing in healthcare can ensure the development of a
patient-centric approach, giving both patients and healthcare professionals a
seamless experience.
Resource
James
Daniel is a software Tech enthusiastic & works at Cigniti Technologies. I'm
having a great understanding of today's software testing quality that yields
strong results and always happy to create valuable content & share
thoughts.
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