Transcript How I use my PDA

Saving Lives, Saving Money--PDAs in Healthcare
Kelli Bravo, Director of Marketing, Skyscape, Inc.
Steven L. Romiti, MD, ED Director, Northeastern Regional
Hospital
Agenda

Introduction

Market Trends

Improved Efficiency examples

Case Studies

Questions
Mobile Health Presentation
2
Can Modern Technology
give us a New Way to
Look at
Medical Information?

30,000 – 75,000 patients die each year due to medical errors

Physicians spend 30% of their time on administrative tasks

Most physicians carry index cards or scraps of paper in their pockets
with patient information

30% of physician return-phone calls come from pharmacies
Mobile Health Presentation
3
Healthcare’s Critical Problem

Every day mobile knowledge workers e.g. physicians,
healthcare professionals, services, have to make business- and
health-critical decisions – while on the go

They require actionable information to be provided in context
for making informed decisions- rapidly and effectively

Today’s critical problem – Information is not actionable




Information
Information
Information
Information
is distributed over several different sources
changes rapidly
is not aggregated in the “correct context”
is not structured for rapid decision making
Mobile Health Presentation
4
Decision Making At Point-of-Care
THINK
REFER
Mobile Health Presentation
ACT
5
The High Level Benefits of PDAs

Improved decision-making – Supports decision making “as fast

Critical Information in Context - Provides the right

The Power of Medical Reference in your Pocket - Carry

Instantaneous access to Information without Training -

Single Unified Interface - Integrate reference information with

49% of hospitals recently surveyed intend on
introducing mobile technologies within two years
as medical practitioners can think”
information when and where it is needed
large volumes of reference information in handheld devices
Retrieve most information quickly and easily
transactions in a completely intuitive manner
Mobile Health Presentation
6
Rapid Physician Adoption
PDA Use Highest
Amongst Specialists:
- Infectious Disease specialists: 66%
- Cardiologists: 61%
- Oncologists: 50%
- Neurologists: 50%
- Psychiatrists: 50%
- Internists: 44%
The Rowin Group
A survey of physicians based
on three focus groups and 600
questionnaires
67%
of ACP-ASIM
members
will use PDAs
by the end
of 2002
Majority use
PDAs for
REFERENCE
Mobile Health Presentation
7
State of the Software
Very
Encouraging
!
Clinical
Calculator
s
Medical
Records
?
Charge
Capture
EPrescribin
g
Reference
Software
Mobile Health Presentation
8
Useful, Intuitive Products
Mobile Health Presentation
9
Extensive & Growing Portfolio
Specialties
Cardiology
Dentistry
Dermatology
Emergency Medicine
Endocrinology
Gastroenterology
Hematology
Infectious Disease
Internal Medicine
Nephrology
Neurology
OBGYN
Orthopeadics
Pediatrics
Pulmonary Medicine
Rheumatology
Sports Medicine
Toxology
Representative Titles
The Washington Manual of Medical Therapeutics
Physicians’ Desk Reference
Griffith’s 5 Minute Clinical Consult
The Medical Letter
The 5-Minute Infections Disease Consult
The 5-Minute AHA Cardiac Consult
The 5-Minute Emergency Medicine Consult
The 5-Minute Sports Medicine Consult
NeoFax
Drug Facts - A2zDrugs
Drug Interaction Facts - iFacts
Mosby’s Drug Consult
Nelsons’s 2002-2003 Pocket Book of
Antimicrobial Therapy
Bartlett, 2002 Pocket Book of
Infectious Disease Therapy
The Johns Hopkins Hospital
2002 Guide to Medical Care of
Patients with HIV Infection
Mobile Health Presentation
10
What can Mobile Solutions do for you? – Today!
Get hardware you believe will last at least for a year and a half
 Focus on the handheld solutions that…






Help reduce errors (thereby improve quality patient care)
Are intuitive to use
Provide immediate value to your daily activities
Save you time
Medical References
 A great place to start – mature and stable technologies
 Get trusted titles

Who from?
 Several in the market
 Skyscape provides the right solution
Mobile Health Presentation
11
Where to Save Time & Money?

A patient ask you about a possible drug interaction you are
unfamiliar with, you?
 Tell her you will get back to her, look it up and call back later
 You step out of the room and look it up
 You prescribe the medication knowing the pharmacy will look it up
 You pull out your PDA, get the answer, convey it and build a stronger
relationship with this patient! Saving yourself 2 pharmacy call backs
and 1 patient call back while reducing the chance for errors.
Mobile Health Presentation
12
Saving Time, Saving Money –
Potential Time & Cost Losses

Researching





Unfamiliar drug interactions
Unfamiliar diseases
All available drug options
Formulary options
Follow up calls from




Pharmacy regarding a drug interaction question
Pharmacy regarding illegible prescription
Patient/pharmacy with confusion on dosage from pharmacy vs. prescribed
Patient/pharmacy when prescribed drug not covered by payer
Reading lists of FDA updates/institution updates
 Searching for

 A patient chart
 The medical journal that has new information relating to one of your
patient’s conditions
 ICD9 codes
Dealing with billing/admin issues
 Lugging heavy texts to your other office/hospital/group…

Mobile Health Presentation
13
Saving Time, Saving Money –
Potential Time & Efficiency Savings
Action
Time
Savings
Savings
Instant access to detailed clinical information
5 – 20 min
Critical patient life saved
Instant access to drug databases
5 – 20 min
Time to return 2 patient phone calls
Instant access to drug interaction data
5 – 20 min
Time enough to visit with another patient;
extended time with same patient
Instant access to FDA updates, linked to the drug
you are prescribing
5 min
Improved prescribing and fewer calls from
the pharmacy
Ability to prescribe & give orders right from your
PDA
5 – 10 min
Fewer errors; fewer calls from pharmacies
Ability to check formularies from your PDA
10 – 20 min
Fewer calls from patients & pharmacies
when prescription not covered by payer
Instant access to dosages
5 min
Fewer errors
Ability to get messages
5 min
Alerted of patient changes or hospital
updates
Instant access to Journals linked by drug and
disease
15 min
Up-to-date information instantly available
for a patient you are treating
Ability to enter diagnosis, ICD-9 and procedure
codes in HIS
10+ min
Fewer errors, fewer billing follow ups, faster
payment
Instant access to patient history
15 min
More quality time with patient and time to
visit another patient
Clinical references, drug books and interaction
guides are all integrated on your handheld
10 min
Information where you need it; No more
book carrying; No more back pain!!
Mobile Health Presentation
14
Case Study I – Context-Sensitive Clinical, Drug Database
and Drug Interaction information
Mobile Health Presentation
15
How I use my PDA - Steven L. Romiti, MD

How I use my PDA
 Double checking to ensure I’ve included all details of a workup
 Determining a diagnosis when it’s a toss up between 2
 Verifying that I’m asking all the right questions
 Drug database information access when prescribing
 Checking interactions while prescribing
 Patient Communication – let them see the data concerning them
Mobile Health Presentation
16
What I use on my Palm M505 PDA – Steven L. Romiti, MD

Content
 Clinical References
•
5-Minute Clinical Consult published by LWW powered by Skyscape
 Drug Databases
•
•
A-Z Drug Facts published by Facts and Comparisons powered by Skyscape
Physicians’ Desk Reference from Thomson powered by Skyscape
 Drug Interaction Guides
•
Interaction Facts published by Facts and Comparisons powered by Skyscape
Calendar
 Address Book

 Personal
 Work - Hospital Referral lists

Other

Memory Requirements
Mobile Health Presentation
17
Thanks!
Kelli Bravo
Steven Romiti, MD
Mobile Health Presentation
18