pdas/smart phones and medical records in health care mary z. mays, phd associate dean and professor...
TRANSCRIPT
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PDAs/Smart Phones and Medical Records in Health Care
Mary Z. Mays, PhDAssociate Dean and Professor
Innovation Institute for Health Professions
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Disclosure
I wish…
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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
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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
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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 !!!
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What’s available
• PDAs– iPod Touch– iPad– Palm original– Windows CE– Windows Mobile
• Smartphones– Android– BlackBerry– iPhone– Treo Palm OS– Palm Pre– Symbian – Windows Mobile
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How do you choose?
Have one? Use it If not, choose the app then the device Choosing for an organization? $99 Genius
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eRecord
5/19/2010 8www.petervintonjr.com
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eRecord
Bogged down in history Hype vs reality Interoperability (www.hl7.org) Privacy (www.hhs.gov)
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Medical records on a cell phone?
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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
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I know…
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I know…
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Total Apps Approved: 226,600
Total Available Apps: 194,842
as of 5/3/10
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“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/
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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) Layout5/19/2010 15
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Evaluate eRecord apps
Encrypted database• On the phone• On the server
Secure transmission Data backup
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Provider-managed records
No endorsement (“random” examples) Manufacturer info (no kickbacks) They come and go iPhone/iTouch/iPad
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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
• Includes Web-based datacenter application– Clinic and Hospital
scheduler– Billing report tool– Prescription
manager – Note editor
w/templates
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iChart EMR
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iChart EMR
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$140
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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.
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http://www.softwareadvice.com/medical/electronic-medical-record-software-comparison/
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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
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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
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Care 360 Mobile• Mobile companion to
Care360 fromQuest Diagnostics
• Access comprehensive patient health record
• Easily assess patient progress
• Manage Medications• Review lab results • ePrescribing system• Manage caseload
anytime, anywhere• Gain insights from
practice-wide trends and patterns
• Reduce repetitive tasks, paperwork and chart pulls
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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.”
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Patient Tracker
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iCare Tracker• iCare Tracker is a
simple yet powerful patient tracker for physicians, nurses, therapists, EMS or anyone that interacts with multiple patients.
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Patient-managed records
“health record” generated 1000 hits Track personal health records Track family health records Track personal health and fitness
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Questions?
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School of Nursing and Health Professions
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Web: brandman.edu/nursingEmail: [email protected]: 1-800-581-4100
To provide dynamic education that focuses on inquiry and innovative practice relevant to an ever changing health care system