Transcript PDAs/Smart Phones and Medical Records in Health Care

PDAs/Smart Phones and Medical
Records in Health Care
Mary Z. Mays, PhD
Associate Dean and Professor
Innovation Institute for Health Professions
Disclosure
 I wish…
5/19/2010
2
Objectives
 Evaluate the merits of currently available
PDAs and smartphones suitable for use in
clinical settings
 Evaluate currently available PDA and
smartphone applications for clinical
logging, electronic medical records, and
electronic personal health records
5/19/2010
3
Relationship to Simulation
 Reality is: mobile devices are everywhere
• Retrieval of information at point of care
• Documentation of care
 Low cost EMR software “apps”
• $0 to $10, up to $140
• iPad as eClipboard
 Documentation of simulation
5/19/2010
4
What’s mobile?





Not a computer
Pocket size
Wifi or cellular radio
Proprietary USB port
“Smart”
•
•
•
•
Internet browser
Calendar, task list, email, text
Camera
Bluetooth
 Instant on and fast interaction
 Touch screen or buttons
 Enterprise or consumer
 Apps !!!
5/19/2010
5
What’s available
• PDAs
–
–
–
–
–
5/19/2010
iPod Touch
iPad
Palm original
Windows CE
Windows Mobile
• Smartphones
–
–
–
–
–
–
–
Android
BlackBerry
iPhone
Treo Palm OS
Palm Pre
Symbian
Windows Mobile
6
How do you choose?
 Have one? Use it
 If not, choose the app then the device
 Choosing for an organization? $99 Genius
5/19/2010
7
eRecord
5/19/2010
www.petervintonjr.com
8
eRecord




Bogged down in history
Hype vs reality
Interoperability (www.hl7.org)
Privacy (www.hhs.gov)
5/19/2010
9
Medical records on a cell phone?
5/19/2010
10
Fun facts
 Cell phones are within 6 feet of the owner
24 hours a day
 Adults more likely to give up sex for a
week than cell phone
 Cell phone more personal than credit card
or computer password
5/19/2010
11
I know…
5/19/2010
12
I know…
Total Apps
Approved: 226,600
Total Available
Apps: 194,842
as of 5/3/10
5/19/2010
13
“There’s an App for that!”










http://appshopper.com/ (my favorite)
http://www.appleiphoneschool.com/
http://www.appvee.com/
http://www.appshouter.com/
http://iphone.iusethis.com/
http://www.whatsoniphone.com/
http://www.appcraver.com/
http://www.theiphoneappreview.com/
http://www.iphoneappreviews.net/
http://www.appreview.com/
5/19/2010
14
Evaluate apps







Source of the information
Longevity of company
Free frequent updates (to information)
Quick to open
Focus on task
Uses device features (e.g., spinner, shaker)
Layout
5/19/2010
15
Evaluate eRecord apps
 Encrypted database
• On the phone
• On the server
 Secure transmission
 Data backup
5/19/2010
16
Provider-managed records




No endorsement (“random” examples)
Manufacturer info (no kickbacks)
They come and go
iPhone/iTouch/iPad
5/19/2010
17
5/19/2010
18
iChart
• Complete system
• Write prescriptions
– built-in drug reference
w/drug interaction
checking
• Track labs and studies
• Lookup and capture
CPT4 and ICD9 codes
• Write SOAP and
Procedure notes
w/built-in menus for
fast note generation
5/19/2010
• Includes Web-based
datacenter application
– Clinic and Hospital
scheduler
– Billing report tool
– Prescription manager
– Note editor
w/templates
19
iChart EMR
5/19/2010
20
iChart EMR
$140
5/19/2010
21
Mediforms EMR
• New for iPad;
expansion promised
• Enter and track your
patient's medical
history.
• Enter and track each
patient visit including
Chief Complaint,
Review of Symptoms,
Physical Exam, and
Assessment and Plan.
• Touch each "code" to
add to history or
encounter.
5/19/2010
22
http://www.softwareadvice.com/medical/electronic-medical-record-software-comparison/
5/19/2010
23
Allscripts Remote
• Enables healthcare
providers to remotely
control their Allscripts EHR
from any location
• Access to real-time patient
summary information
• Fast communication to local
emergency rooms
• Convenient ePrescribing to
the patient’s pharmacy
• Medication refill
management
• Allergy lists combined with
drug interaction checking
• Lab results verification
• Sign chart notes
5/19/2010
24
Curas EMR Mobile
• Allows access to patient
information stored in
eClinicalWorks
• View your schedule
• View progress notes
• View and update patient
medications
• Fax prescriptions
• Order and view
labs/imaging tests
• Create, view and assign
telephone encounters
• Enter Out of Office
charges
5/19/2010
25
Care 360 Mobile
• Mobile companion to
Care360 from
Quest Diagnostics
• Access comprehensive
patient health record
• Easily assess patient
progress
• Manage Medications
• Review lab results
• ePrescribing system
• Manage caseload anytime,
anywhere
• Gain insights from practicewide trends and patterns
• Reduce repetitive tasks,
paperwork and chart pulls
5/19/2010
26
5/19/2010
27
Patient Tracker
• Patient Tracker is for
storing data about
patients you are
actively following in
the hospital
• “Patient Tracker is for
personal reference
and isn't an EMR
app.”
5/19/2010
28
Patient Tracker
5/19/2010
29
iCare Tracker
• iCare Tracker is a
simple yet powerful
patient tracker for
physicians, nurses,
therapists, EMS or
anyone that interacts
with multiple
patients.
5/19/2010
30
Patient-managed records




“health record” generated 1000 hits
Track personal health records
Track family health records
Track personal health and fitness
5/19/2010
31
Questions?
5/19/2010
32
School of Nursing and Health Professions
To provide dynamic
education that focuses
on inquiry and
innovative practice
relevant to an ever
changing health care
system
Web: brandman.edu/nursing
Email: [email protected]
Phone: 1-800-581-4100
5/19/2010
33