healthcare drchrono devops server scaling

Healthcare DevOps Challenge

The ability to consistently create and deploy reliable 
software to a platform that scales horizontally.
 ~ Jesse Robbins

What we are looking for

Looking to join a healthcare company with a mission to change the world? You just found the right place.

With over 4 million patients, 70 registered physicians our goal is to get medical records in the hands of patient and doctor around the world. Join us in making this change happen.

At drchrono we understand that DevOps is a cultural movement, with the goal of being to help people and functions work together to deliver more, better, and faster.

We are scaling fast and need amazing people with DevOps experience, more can be found here. Also read this, this is a great overview of what we are looking for. We are hiring for a number of roles, you can find a list of career descriptions here.


drchrono devops rack chronoplex hardware

The DevOps Challenge

Fill out the challenge below for us to get some insight into your skill set and where you would fit best.

The challenge questions are not timed. We want to see how you deal with problems, asses and analyze issues and scaling.

[wufoo username=”drchronoplatform” formhash=”porhjqi1vdbxcs” autoresize=”true” height=”4679″ header=”show” ssl=”true”]

Daniel Kivatinos Article by Daniel Kivatinos, COO and cofounder, drchronoDaniel drives direction, brand vision, and business strategy for drchrono. Daniel’s focus has been in the technology space since 2001, as a software engineer and entrepreneur. Daniel holds an M.S. in Computer Science and a B.S. in Computer Science & Psychology from Stony Brook University.

 

Healthcare Hacker Challenges

Healthcare Hacker Challenge #1

Child Immunization Schedule for Web

Are you looking to learn Django? This challenge is good for people who want to learn Django, it is more procedural work instead of creative work, but will get you thinking about web development. If you are coming in to do a drchrono Django Healthcare Hackathon, this one is great to show off the last day of the hackathon when we do a code review. You can show your thinking, how you built your app, how fast you learned Django and how you leveraged our healthcare Restful API.

Tech Stack to Use
Python, Django, JavaScript, Twitter BootStrapped and anything else you think would be needed.
Some fun tools you can use to hack away on the project you can use

 

Description

Generally medical doctors who see children, Pediatricians have a child immunization schedule or chart, on paper or software. The goal of your project is to build out a working immunization schedule for a doctor account leveraging the drchrono API. Be sure to signup for a free drchrono account here then request access to the API here. We would just need your username to turn on the API.

Once you complete the project you can email me a link to it working or shoot a screencast and post it on youtube. I would love to see it! You can find me at daniel[@]drchrono[dot]com.

Below are a few example child immunization charts, you can base your immunization schedule off of these below –
Recommended Childhood Immunization Schedule Recommended Childhood Immunization Schedule

Two Hard Challenges To Think About

1. If you can think about how to administer in combinations that is a bonus!

Things get even more interesting when you administer immunizations with combinations. This is an example from eziz.org –

drchrono-immunization-schedule

2. Doctors are always looking for the best way to administer shots, sometimes what is above doesn’t work. e.g.: say a baby doesn’t come into the doctor for the first two years of life to get immunizations, the above charts won’t work.

“Adults are just obsolete children.” ~Dr. Seuss

… if you finish the first part, there are also adult immunizations! More here on adult immunization schedules.

Other Healthcare Hacker Challenges

Here are two programming challenges that you can also work on as well, if you complete either of these, let me know! You can find me at daniel[@]drchrono[dot]com.

The drchrono iOS – Swift & Objective-C Healthcare Hackathon

The drchrono hacker team

healthcare hackers.

If you haven’t done so yet, please take the “drchrono hacker challenge” before moving forward. If you have already taken the challenge then read on. We are hiring for a number of roles, you can find a list of career descriptions here.

The Hacker Challenge

We have a lot of talented hackers take the “drchrono hacker challenge” in many different languages, there are a lot of programming languages. You can take the challenge in any language. We love all languages and each have their benefits, but we give preferential treatment to the languages most relevant to working at drchrono.

Our preferential languages to use in the challenge are: Objective-C, PythonJavascript, Erlang. Also if you know Swift, let us know, the challenge doesn’t support Swift.

Other languages frequently used for webdev are also impressive to use to use for the challenge: Ruby, Clojure, Go, Perl (to some degree), C/C++ (to some degree).

We don’t use these in drchrono, but will be impressed if you test well using them: Rust, OCaml, Haskell, Lisp, Lua, Racket, F#, D, Scala, PHP.

The languages least relevant to drchrono are: C#, VB.NET, Java.

Our reasoning: The healthcare hackathons consists of mainly Objective-C and Swift. So our preference is you take the drchrono hacker challenge in something related to what you will be doing here. You can give the challenge a try in the language you know best, then take the challenge again in Objective-C, that will impress us. We are ok with you learning and taking our challenge a few times if needed.

We’re looking for well-rounded web developers, ideally with experience in all layers of the stack.

If you really want to impress us, take our “Hard Hacker Challenge“.

The Cram Period

Once we call you in for a healthcare hackathon, you will have a chance to learn as much iOS — Objective-C and Swift as possible before coming in to impress us with your skills. (We also do Django / Python hackathons for people who are looking to join the front/backend team)

Swift is very different then Objective-C, but knowing either one of these is a skill we are looking for. Think of Swift as a more direct programming language then Objective-C.

iOS developers are blessed with infinite power from Apple’s Cocoa Touch framework and a thriving thrid-party open source ecosystem. The downside is that with great power comes great, uh, complexity. Being a successful iOS engineer is as much about mastering Apple technology as fighting with complexity. Cocoa Touch and the Objective-C developer community at large has established many conventions and patterns such as delegation, MVC, GCD, etc. Learn them. They will help you find clarity from complex structures. But good developers limit them with the goal of simplicity in mind, always. ~ Daniel D. from the engineering team.

drchrono hacker team at work

engineering team at the chronoplex.

For those of you who don’t know Objective-C or Swift very well we recommend taking as much time as possible before coming in to learn as much iOS programming as you can. I can’t stress enough that knowing iOS programming will make it a successful hackathon for you.

I would recommend learning iOS Programming ~ 4-6 hours a week to really get prepared. Our stipulation is that when you come you are ready to hack away on an iOS idea.

Here are a couple of good resources to get you started, we develop for iOS 8 with a little iOS 7:

Apple Developer Documentation

Read These

Understand the Difference Between Objective-C & Other Languages

Advanced Concepts

Great Learning & Courses

For iOS Esoterica

Focus on making a small apps instead of just reading docs, show us what you built when you meet us in person!

Optional: Impress us by learning the drchrono Application Programming Interface API also if you have time, it isn’t required but it would be great to see what you think about it and what you can do with it. Work on one of these projects and show it off to us when you are at the chronoplex. Doing one of these projects is a great way to learn Django, learn about healthcare, leverage an API and will for sure impress us during your code review the last day of your healthcare hackathon … more about the hackathon below. Learn a bit about RESTfuls API with this tool.

drchrono-stackoverflow-leaderboard-728-90-superhero-dark

The Healthcare Hackathon

The drchrono hackathon is 3 days, so you have only so much time here in the chronoplex to do something impressive.

definition: hack·a·thon
An event, typically lasting several days, in which people
meet to engage in collaborative computer programming.

Generally the 1st day is getting acclimated, meeting the team, getting use to the Mac, the development environment, and the software we load onto it for you. Not to mention learning a bit about Mountain View. We are a startup and there are about ~35 people on the team, say hi to people as they walk by! Let people know who you are, what you are working on. Talking to people will give you fun insight into our culture, team and some fun conversation.

It is ok to bring your own laptop to the hackathon, it is also ok to use Google, StackOverFlow and the like for the hackathon. Of course you will have the Internet as well while you are here.

who you will be meeting :)

who you will be meeting.

If you want to have an extra day to explore, just let us know and we will add an addition date onto your hotel room, on drchrono’s dime. You can look around and be a tourist for a day.  Apple is about 30 minutes away, Y Combinator is about 15 minutes away and Google is next door to the chronoplex. San Francisco is just a CalTrain ride away. Just let Barbara our office manager know before you come out so we can book the extra day for you!

The “chronoplex” address –

328 Gibraltar Dr, Sunnyvale, CA, 94089

For a successful hackathon, we give you an idea, a code base to work, and you start hacking from there on the idea. Show us progress and take feedback to make refinements. Use your imagination and our suggestions to implement the idea. In order to do this, you’ll definitely have to know how to do a Objective-C and a little Swift, which typically involves coding in:

  • Objective-C and Swift ( not related to this hackathon )
  • Git + Bash (awesome if you know it but not essential)

The Code Review

At the end of the hackathon on the last day before you leave, we will do a code review to see how well you did on the task at hand, code quality and functionality. We review code to see how well you think on your feet, hacking away, and to see if the actual “thing” you built works and how much progress you made. We want to see what you’re thinking was, the issues you ran into and why you did what you did.

Also during the code review the team would love to see other projects you have worked on if you have them. We love looking at side projects, past work at other companies and any side apps. This helps us see how you program, tackle problems and see what you’re interested in.

The code review generally takes an hour.

The healthcare hackathon is the main determinant if we hire, the code and if we are a good culture fit.

Some insight from hackathon candidate and why it is worth going for the hackathon.

Our Culture

We see every developer we hire as artists, generally, the developers work when they are most productive, though being at the chronoplex is critical, we are a startup, we all need fast feedback loops and communication, as the platform is created, this applies across all teams from sales to customer success.

We try to minimize the meetings also to two per week with the developer team so you can focus on what is most important, building the platform.

We need a few good superhero's

Getting Hired

If the engineering team loves your code, we hit it off and you feel like drchrono is your future home … we will make you an offer fast within a matter of days. We are looking for the right people over just hiring anyone and seeing you in action hacking away and meeting in person speaks volumes on both sides.

After the healthcare hackathon, generally the decision is made in about 10 days if not before then, at this point we will give you an update on everything and if all goes well, we will make an offer!

~ Life is short, build stuff that matters.

Note: Thanks to the drchrono engineering team for reading drafts of this.

Daniel Kivatinos Article by Daniel Kivatinos, COO and cofounder, drchronoDaniel drives direction, brand vision, and business strategy for drchrono. Daniel’s focus has been in the technology space since 2001, as a software engineer and entrepreneur. Daniel holds an M.S. in Computer Science and a B.S. in Computer Science & Psychology from Stony Brook University.

 

The drchrono Django Healthcare Hackathon – Learning Django 101

The drchrono hacker team

healthcare hackers.

If you haven’t done so yet, please take the “drchrono hacker challenge” before moving forward. If you have already taken the challenge then read on. We are hiring for a number of roles, you can find a list of career descriptions here.

The Hacker Challenge

We have a lot of talented hackers take the “drchrono hacker challenge” in many different languages, there are a lot of programming languages. You can take the challenge in any language. We love all languages and each have their benefits, but we give preferential treatment to the languages most relevant to working at drchrono.

Our preferential languages to use in the challenge are: Objective-C, PythonJavascript, Erlang. Also if you know Swift, let us know, the challenge doesn’t support Swift, but just mention to us that you have used Swift.

Other languages frequently used for webdev are also impressive to use to use for the challenge: Ruby, Clojure, Go, Perl (to some degree), C/C++ (to some degree).

We don’t use these in drchrono, but will be impressed if you test well using them: Rust, OCaml, Haskell, Lisp, Lua, Racket, F#, D, Scala, PHP.

The languages least relevant to drchrono are: C#, VB.NET, Java.

Our reasoning: The healthcare hackathons consists of mainly JavaScript and/or Django-Python. So our preference is you take the drchrono hacker challenge in something related to what you will be doing here. You can give the challenge a try in the language you know best, then take the challenge again in Python, that will impress us. We are ok with you learning and taking our challenge a few times if needed.

We’re looking for well-rounded iOS developers, ideally with experience in all layers of the stack.

If you really want to impress us, take our “Hard Hacker Challenge“.

The Cram Period

Once we call you in for a healthcare hackathon, you will have a chance to learn as much Django as possible before coming in to impress us with your skills. (We also do iOS — Objective C and Swift Hackathons for people who are looking to join the iOS team)

Django is a web development framework built on Python, to be a successful Django developer you have to know the in’s and out’s of Python.  It is possible to learn both the language and framework together, but it’s much easier to pick up Python first, and then learn Django by following their build-an-app tutorial.  A good Django dev is a good Python dev, but a good Python dev is not inherently a good Django dev. ~Nick S. from the engineering team

drchrono hacker team at work

engineering team at the chronoplex.

For those of you who don’t know Django we recommend taking as much time as possible before coming in to learn as much Django as you can. I can’t stress enough that knowing Django will make it a successful hackathon for you.

django: built by perfectionists with deadlines

I would recommend learning Django ~ 4-6 hours a week to really get a handle on it. Our stipulation is that when you come you are ready to hack away on our stack.

Here are a couple of good resources to get you started, we use the lastest version of Django and Python (2.x):

Free Resources

Great Learning & Courses

Focus on making a small apps instead of just reading docs, show us what you built when you meet us in person!

Optional: Impress us by learning the drchrono Application Programming Interface API also if you have time, it isn’t required but it would be great to see what you think about it and what you can do with it. Work on one of these projects and show it off to us when you are at the chronoplex. Doing one of these projects is a great way to learn Django, learn about healthcare, leverage an API and will for sure impress us during your code review the last day of your healthcare hackathon … more about the hackathon below. Learn a bit about RESTfuls API with this tool.

The Healthcare Hackathon

The drchrono hackathon is 3 days, so you have only so much time here in the chronoplex to do something impressive.

definition: hack·a·thon
An event, typically lasting several days, in which people
meet to engage in collaborative computer programming.

Generally the 1st day is getting acclimated, meeting the team, getting use to the Mac, the development environment, and the software we load onto it for you. Not to mention learning a bit about Mountain View. We are a startup and there are about ~35 people on the team, say hi to people as they walk by! Let people know who you are, what you are working on. Talking to people will give you fun insight into our culture, team and some fun conversation.

It is ok to bring your own laptop to the hackathon, it is also ok to use Google, StackOverFlow and the like for the hackathon. Of course you will have the Internet as well while you are here.

who you will be meeting :)

who you will be meeting.

If you want to have an extra day to explore, just let us know and we will add an additional date to your hotel room, on drchrono’s dime. You can look around and be a tourist for a day.  Apple is about 30 minutes away, Y Combinator is about 15 minutes away and Google is next door to the chronoplex. San Francisco is just a CalTrain ride away. Just let Barbara our office manager know before you come out so we can book the extra day for you!

The “chronoplex” address –

328 Gibraltar Dr, Sunnyvale, CA, 94089

 

For a successful hackathon, we give you an idea, a code base to work, and you start hacking from there on the idea. Use your imagination and our suggestions to implement the idea. In order to do this, you’ll definitely have to know how to do a little frontend + backend work, which typically involves coding in:

  • HTML + JavaScript + CSS
  • jQuery (Angular.JS is awesome but not essential)
  • Python + Django
  • Git + Bash (awesome if you know it but not essential)
  • Objective-C and Swift ( not related to this hackathon )

The Code Review

At the end of the hackathon on the last day before you leave, we will do a code review to see how well you did on the task at hand, code quality and functionality. We review code to see how well you think on your feet, hacking away, and to see if the actual “thing” you built works and how much progress you made. We want to see what you’re thinking was, the issues you ran into and why you did what you did.

Also during the code review the team would love to see other projects you have worked on if you have them. We love looking at side projects, past work at other companies and any side apps. This helps us see how you program, tackle problems and see what you’re interested in.

The code review generally takes an hour.

The healthcare hackathon is the main determinant if we hire, the code and if we are a good culture fit.

A real email from a hackathon candidate after a code review.

drchrono-thank-you-email

Some more insight from another hackathon candidate and why it is worth doing.

Our Culture

We see every developer we hire as artists, generally, the developers work when they are most productive, though being at the chronoplex is critical, we are a startup, we all need fast feedback loops and communication, as the platform is created, this applies across all teams from sales to customer success.

We try to minimize the meetings also to two per week with the developer team so you can focus on what is most important, building the platform.

We need a few good superhero's.

Getting Hired

If the engineering team loves your code, we hit it off and you feel like drchrono is your future home … we will make you an offer fast within a matter of days. We are looking for the right people over just hiring anyone and seeing you in action hacking away and meeting in person speaks volumes on both sides.

After the healthcare hackathon, generally the decision is made in about 10 days if not before then, at this point we will give you an update on everything and if all goes well, we will make an offer!

~ Life is short, build stuff that matters.

Note: Thanks to the drchrono engineering team for reading drafts of this.

Daniel Kivatinos Article by Daniel Kivatinos, COO and cofounder, drchrono
Daniel drives direction, brand vision, and business strategy for drchrono. Daniel’s focus has been in the technology space since 2001, as a software engineer and entrepreneur. Daniel holds an M.S. in Computer Science and a B.S. in Computer Science & Psychology from Stony Brook University.

 

Mobile Healthcare Trends

Mobile Healthcare TrendsConsumer Accountable Care – Today’s mobile devices allow consumers to become more accountable for their care. As high deductible healthcare plans become more popular, consumers are empowered now more than ever with access to reviews of physicians and can also track comparison of prices for healthcare procedures. Education about how to manage their own health is now easier, so patients are savvier and more informed with access to more apps and websites.

Here are a few examples of some popular tools and apps that consumers are using to be more responsible and own their health:

Less is Now More – As physicians get paid less, physicians are finding tools to do more with less. For example, with just an iPad a physician can run its practice, accessing and managing patient data. According to a recent article in The USA Today, as the demand for healthcare goes up and as a shortage of 45,000 primary care physicians is predicted by 2020, more non-physicians are doing some of the work, such as nurse practitioners, pharmacists and physician assistants. Quality metrics software pushed through EHRs can also simplify digital health and assist with reimbursements, as well as quality and efficiency standards.

There is so much data coming at physicians on paper, they generally skim a medical record, sometimes missing key information. Organizing all of the data in a digital format flagging the most critical, relevant data pertaining to a patient is a key time saver. The reality of the situation is that with paper medical records this workflow isn’t possible.

Better Connections – As healthcare companies collaborate more, healthcare connections via Application Programming Interfaces (APIs) will allow more diversification from where the data is coming from, with more healthcare moving to the cloud. We will see new trends and insights from this combination of data that were not possible before. For example, epidemics, pandemics, genetics, drug and health trends can be tracked and reviewed in real time.

Older non-cloud based architectures shield data into silos and over the next several years we will see less and less non-cloud based infrastructures. One of the primary ways medical data is still being moved today is via the fax machine, which is archaic and hard to manage. Smartphones and tablets like the iPad and iPhone are becoming more powerful as a business tool, with more health apps managed from devices in the medical facilities. We predict more and more patients will track their personal health data through smartphones over the next year.

Data, Data and More Data – As more data is moved to the cloud, an improvement in decision-making will have to happen. Here are a couple instances where more streamlined data can really make a difference:

  • Clinical trials – Right now, clinical trial researchers are hard pressed to find good qualified candidates, but as more data is available, clinical trial drug companies and patients will be able to connect faster then ever before.
  • Real-time dynamic decision insights – Having massive amounts of data reviewed by super computers to see new insights is a reality and this will help in dynamic medical settings for improved decision-making. One example of this is the IBM Watson super computer, which has an API and is said to be able to diagnose at the level of a second or third year medical student, so that healthcare companies and institutions can leverage the data to get a broader picture of a patient.

Moving to Meaningful Use Stage 2 – The medical community is transitioning to Stage 2 and mobile EHR providers are making sure that their platforms for the iPad, iPhone and cloud are updated and ready to take advantage of the new government standards that go into effect on October 1, 2014. Stage 2 includes advanced clinical processes and interoperability standards allowing for a more consistent flow of data between health plans, patients and providers. Consistent data will allow for a smooth transition of care, more continuous care, less unnecessary repetition for the patients and using technology to remedy issues in our healthcare industry. It’s important for the medical community to work with a trusted EHR provider that will offer a seamless transition to the next phase.

Meaningful use Stage 2 is all about doctors and patients being able to communicate better, this is something that is much needed to streamline process and improve inefficiencies in the medical industry.

Genomics – This is a promising new field of digital health technology and many new apps are being developed to cover this area. Genomics offers better preventative tests to predict and personalize a person’s healthcare. For example:

  • Personalized medicine – As we begin to understand more about genomics of each individual person, medicine can become more personalized based on that one person. This also includes learning about new cybernetics, such as regenerative medicine for artificial organs.
  • Predictive diagnostics – Genomics will allow us to be more aware of things we are more susceptible too and how to create preventative care plans.

This was a post I wrote on Electronic Health Reporter.

Q & A: Careers at a digital healthcare company

start-your-career-drchrono

If you are looking for an amazing place to work, drchrono might just be for you.

How did we find and hire our first few employees?
Our very first hires were people we found who were looking for jobs in the recession back in 2009 when we started drchrono. When times are bad, hiring tends to be amazing as talented people are looking for jobs.

Getting out there is key, talking, getting booths and socializing at conferences we met some of our best employees early on as well. Don’t underestimate where you can find good people who believe in an idea, talent is everywhere, you just need to keep your eyes open and get out there.

A key for our company early on was and still is having an inspirational mission. What is our mission? We are trying to make the world a better place by fixing healthcare. Healthcare in the US is broken, very broken, it is hard for doctors to get paid for work, it is hard for patients to see what they are paying, and the healthcare industry today is mainly driven by paper and fax machines. In todays day and age this just shouldn’t be, healthcare can be better. Our goal is to fix what is wrong with healthcare by using disruptive tech, and thinking in innovative ways. Our mission naturally attracts people who are trying to make a difference. People motivated by a mission.

Which positions are the hardest to fill and why?
Generally brilliant software developers are the hardest people to find and positions to fill, we are picky and only want amazing talent at drchrono so it makes it even harder. My cofounder Michael and I are software developers, so we keep the bar high and only look for these best people we can find in Silcon Valley.

Silicon Valley has a shortage of amazing engineers due to all of the startups that are flocking here, starting here and raising capital in the Valley.

We don’t look at an engineers degree, but past projects to tell us what they are made of and can do. It isn’t the developers school but a persons past projects and software built and speed of development that gets them hired.

What are the qualities of an ideal startup employee?
We look for people who want to change the world, not just get a paycheck. We look for people who have done amazing work, they think like a startup of one, building or doing something that makes them standout from the crowd. We want people who are go getters who get things done.

A fun “whois” hack

If there is that one customer you need to talk with, that one investor you need to email, that one partner you want to connect with, there is a way to get their contact info in a fun way.

The secret way to get directly to them is to simply go onto the companies domain (granted this sometimes works, sometimes doesn’t), do a whois lookup and wala, you have a direct email address and direct phone number, there is a fun hack for you!

Bodies Don’t Equal Success in a Startup

people

Take a look at the number of employees Kozmo.com and govWorks.com had. Take a look at the funding that Pets.com had, all failures.

It isn’t the amount of people you have in a startup company that makes it successful. It also isn’t the nice office space or the amount of funding you have, it is more than just that. Overhead can create massive problems if you grow without the right plan, the right culture, the right vision, the right team.

The problem with true hyper-growth… It’s the problem like baking a cake in three minutes. You’re in the kitchen and you have sugar, flour, egg on the ceiling. What the hell are you doing?

Marc Andreessen at a Y Combinator talk, spoke about how startups are like baking a cake, you have to put the ingredients in at the right time and timing has to be just right, if any of it is mixed up then the cake will not come out right. Andreessen said at his early days at Netscape days they were hiring around 100 people per week.

It isn’t all the glitz, press and funding that creates success. What makes a company successful? Passion, a great dedicated team, execution, timing, bad or lack of competition, good idea. It is critical to have growth. That growth can be exponential user growth or sales. When the right company with all of these elements gets funding sometimes magic happens, it is hard work but the company grows like crazy.

Look at Apple, it had exponential sales in the early days, a lot of sales. Look at Instagram, it was exponential user growth, a lot of users. Or even CraigsList, they are a very small team, but everyone has heard of them. Growth is what creates a healthy company. If a company is to survive it needs growth.

When your first starting out you might hire a few people but keep making sales and users happy. Sales, support and growth are essential.

The right people in your company are what make it successful, people are everything, but counting the number of bodies in a startup doesn’t mean the company is successful, it is the quality and passion of the people who are there working day in and day out on the company that make a great company.

There’s nothing wrong with staying small. You can do big things with a small team.
~Jason Fried, 37signals founder