Transcript Mobile Device Apps: What to Have at Your Fingertips

Mobile Device Apps:
What to Have at Your Fingertips
Ryan B. Jacobsen, PharmD, BCPS
Clinical Pharmacy Specialist & Clinical Coordinator
Clinical Assistant Professor
University of Iowa Hospitals & Clinics and College of Pharmacy
Disclosure
Dr. Jacobsen reports no actual or potential conflicts of
interest associated with this presentation
Dr. Jacobsen indicates that off-label use of medication will
not be discussed during this presentation
Objectives
Review the most popular
software applications (APPs)
for clinical practice
Review some popular
software applications (APPs)
for patient engagement
Outline
Background on APPs and handheld technology
Clinical practice (“Point of Care”) APPs
Patient engagement/education APPs
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029126/pdf/ptj3905356.pdf
Demand for Access
Communication: voice calling, video conferencing,
text, email
Hospital Information Systems: electronic health
records, clinical decision support systems, laboratory
information
Informational resources: textbooks, guidelines,
medical literature, drug references
Clinical software applications: disease diagnosis aids,
medical calculators, risk stratification
Mosa AS, Yoo I, Sheets L. A systematic review of health care apps for smartphones.
BMC Med Inform Dec Mak. 2012 Jul;12:67
Mobile Platforms
Android
Apple (iOS)
Windows (Microsoft)
Other
http://www.idc.com/prodserv/smartphone-os-market-share.jsp
Health Care Professionals
87% use smartphone or tablet at work
~80% of physicians use iPhone
~66% of physicians own tablet & 54% use in practice
80% of physicians age 55 & older use smartphone
Chase J. Ipads and other drugs. Medical Marketing & Media: The Interactive Guide. 2013:10-11.
APPs
Software applications (APPs)
Not all of them are available in all platforms or
operating systems
Some are free, some cost $$$
Some are:
Great
Okay
Fun/entertainment
Bad
Limitations. . .
A word of caution
Lack of oversight with respect to standards and
content
Security and patient privacy
Impact on provider-patient relationships
Impact on education
Diagnostic or therapeutic efficacy claims
Blurred lines between personal and professional use
Best approaches to use
Android OS
Numerous APPs<Apple iOS
Often lag behind Apple iOS but improving
Most of the popular medical APPs are available
play.google.com
www.imedicalapps.com
Apple iOS
iPhone, iPad, iPod touch
Very popular among healthcare professionals
>1.2 million APPs
Apps for Health Care Professionals on iTunes
iTunes
Reference Apps
Nursing Apps
Medical Education Apps
Imaging Apps
EMR and Patient
Monitoring Apps
Patient Education Apps
Personal Care apps
http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ConnectedHealth/MobileMedicalApplications/ucm255978.htm
App Title
Category:
Platform:
Cost:
Pro’s
Con’s
Please feel free to share your experience with any
of the APP’s throughout this presentation
UpToDate
Category: Medical Reference
Platform: iOS, Android
Cost: $495/year (*free with
institutional access)
Pro’s: comprehensive (10,000
conditions), evidence-based,
“up to date”
Con’s: $$$, updated quarterly
*http://www.imedicalapps.com/2013/07/uptodate-free-iphone-ipad-hospital-subscription/
Medscape
Category: Medical Referencemultipurpose
Platform: iOS, Android
Cost: Free
Pro’s: clinical reference (4,400
conditions), drug info, interaction
check, medical news, CME
Con’s: some user info may be
shared with Pharma, not the most
up to date, advertisements
Epocrates
Category: Drug Reference & More
Platform: iOS, Android
Cost: Rx (free), Pro ($99/yr),
Essentials ($159/yr), Essentials
Deluxe ($199/yr)
Pro’s: Drug Interaction check, Pill
identifier, Drug info, easy to use,
multiple features
Con’s: “free”-some adds (Pharma),
$$ for added features
Epocrates
Rx-Free:
Drug interactions, Pill ID and pictures, Drug Info,
Formulary, Pricing estimates, Calculators, Tables, AHRQ
ePSS, BMI tool
Pro:
Infectious Disease treatment guide, Brand Name OTC
drugs, Alternative Meds, IV compatibility checker
Essentials:
Disease monographs, High-res disease images,
hundreds of diagnostic and lab tests
Essentials Deluxe:
ICD-9 Codes and CPT codes, Medical Dictionary
LexiComp
Category: Drug reference
(primarily)
Platform: iOS, Android
Cost: $175-$215 or >>
Pro’s: comprehensive
medication reference,
trusted resource
Con’s: $$$
Omnio
Category: Multipurpose
Platform: iOS, Android
Cost: Base software Free. Addon references for $$.
Pro’s: multiple popular
references available for
purchase, one App for all-inone functionality, customizable
Con’s: interface takes practice,
can get expensive
Johns Hopkins ABX Guide
Category: Infectious Disease
Platform: iOS, Android
Cost: $29.99
Pro’s: Uses same IDSA
treatment rec’s as Sanford,
detailed info-signs, symptoms,
labs
Con’s: $$
Qx Calculate
Category: Medical Calculator
Platform: iOS, Android
Cost: Free
Pro’s: user interface, free
Con’s: sometimes too fancy
Kidometer
Category: Pediatric reference
Platform: iOS
Cost: $4.99
Pro’s: reference of age-based
norms
Con’s: last updated 2012, only iOS
Alternatives: PediQuikCalc,
PediSTAT, Pediatric Quick
Reference
Pediatric Quick Reference
Category: Pediatric quick
reference
Platform: Android only (was
pulled from iOS)
Cost: Free
Pro’s: dosing meds, easy to
use
Con’s: double-check dosing
ASCVD
Category: Risk calculator
Platform: iOS, Android
Cost: Free
Pro’s: simple, easy to use,
patient education, statin
intensities, guideline info
Con’s: “controversial” risk
calculator
CORE
Category: Clinical Orthopedic
Exam (CORE)
Platform: iOS, Android
Cost: $39.99
Pro’s: very descriptive, exam
signs, special tests for each joint,
link YouTube videos
Con’s: $$
VisualDx
Category: Dermatology
Platform: iOS, Android
Cost: $199.99 essentials;
$299.99 complete
Pro’s: search by topic,
variety of pics, handy
Con’s: $$$
PreopEval14
Category: pre-op
evaluation tool
Platform: iOs
Cost: Free
Pro’s: easy to use,
evidence-based
Con’s: not on Android
Eye Emergency Manual
Category: Eye reference
Platform: iOS, Android
Cost: Free
Pro’s: a lot of content,
easy to use
Con’s: ?
CDC Vaccine Schedules
Category: Immunization
reference
Platform: iOS, Android
Cost: Free
Pro’s: up to date, useful
info
Con’s: interface
AHRQ ePSS
(electronic preventative services selector)
Category: Screening tool
Platform: iOS, Android
Cost: Free
Pro’s: easy to use, links to
A LOT of info
Con’s: links to A LOT of
info
Patient Engagement
APP’s
Medication reminders/adherence
Diaries: diet, activity, pain, other
Education
Disease management
Wearable Biometrics
FitBit, FuelBand, iWatch
Glucometers, home blood pressure
Evidence is needed to guide whether or not
improvements in patient outcomes
MyFitnessPal
Category: Calorie counter,
weight loss tool
Platform: iOS, Android
Cost: Free
Pro’s: easy to use, great
features, web & mobile access
Con’s: ?
Healthy Children
Category: Patient Information
Platform: iOS, Android
Cost: Free
Pro’s: Developed by American
Academy of Pediatrics, simple to use
Con’s: App is somewhat “buggy” or
slow
Register on website then log in.
www.healthychildren.org
Change Talk: Childhood Obesity
and Motivational Interviewing
Category: training & patient
education
Platform: iOS, Android
Cost: Free
Pro’s: innovative, important
topic
Con’s:
The Future is Now
iPhone Otoscope
The Future is Now
Wireless blood pressure monitor
The Future is Now
Wireless Scales
n=348
30 day hospitalization rate vs. control: Hazard ratio=0.52,P=0.01
Mortality rates vs. control: Relative Risk=0.33,P=0.04
J Med Internet Res 2015;17(4):e101
The Future is Now
Diabetes management
The Future is Now
http://www.imedicalapps.com/2015/01/new-study-shows-innovative-use-smartwatch-diagnosis-tremors/
“10 best medical apps released in
February & March”
IM Essential Flashcards
OB Wheel
Pepid Elements
FDA Drug Shortages
ACEP Toxicology Section
Antidote App
TriagePic
CDC Tickborne Diseases
DementiAssist
Hip Decide
Chest X-Rays Free
http://www.imedicalapps.com/2015/04/best-health-medical-apps-february-march/10/
Other APPs
Dynamed
Micromedex
AGS iGeriatrics
QxMD Read
Chronic Pain Tracker
Journal Club
AF Guide (Afib)
MedPage Today
MediBabble
Dropbox
Generics
Evernote
Others?
Don’t let technology be a replacement for good patient interaction and human touch
but rather utilize it to make you a better health care professional and to help your
patients better achieve their health care goals.