PDAs/Smart Phones and Medical Records in Health Care

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…

5/19/2010

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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 www.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/ 5/19/2010

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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

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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/iPad5/19/2010

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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: nursing@brandman.eduPhone: 1-800-581-4100

To provide dynamic education that focuses on inquiry and innovative practice relevant to an ever changing health care system