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…
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
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
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 !!!
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
How do you choose? • Have one? Use it • If not, choose the app then the device • Choosing for an organization? $99 Genius
eRecord • Bogged down in history • Hype vs reality • Interoperability (www.hl7.org) • Privacy (www.hhs.gov)
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
I know… Total Apps Approved: 226,600Total Available Apps: 194,842 as of 5/3/10
“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/
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
Evaluate eRecord apps • Encrypted database • On the phone • On the server • Secure transmission • Data backup
Provider-managed records • No endorsement (“random” examples) • Manufacturer info (no kickbacks) • They come and go • iPhone/iTouch/iPad
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
iChart EMR $140
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.
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
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
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
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.”
iCare Tracker • iCare Tracker is a simple yet powerful patient tracker for physicians, nurses, therapists, EMS or anyone that interacts with multiple patients.
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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