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Mobile Device Apps: What to Have at Your
FingertipsRyan B. Jacobsen, PharmD, BCPS
Clinical Pharmacy Specialist & Clinical CoordinatorClinical Assistant Professor
University of Iowa Hospitals & Clinics and College of Pharmacy
DisclosureDr. Jacobsen reports no actual or potential conflicts of interest associated with this presentation
Dr. Jacobsen indicates that off-label use of medication will not be discussed during this presentation
ObjectivesReview the most popular software applications (APPs) for clinical practice
Review some popular software applications (APPs) for patient engagement
OutlineBackground on APPs and handheld technology
Clinical practice (“Point of Care”) APPs
Patient engagement/education APPs
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029126/pdf/ptj3905356.pdf
Demand for Access
Communication: voice calling, video conferencing, text, email
Hospital Information Systems: electronic health records, clinical decision support systems, laboratory information
Informational resources: textbooks, guidelines, medical literature, drug references
Clinical software applications: disease diagnosis aids, medical calculators, risk stratification
Mosa AS, Yoo I, Sheets L. A systematic review of health care apps for smartphones. BMC Med Inform Dec Mak. 2012 Jul;12:67
Mobile PlatformsAndroid
Apple (iOS)
Windows (Microsoft)
Other
http://www.idc.com/prodserv/smartphone-os-market-share.jsp
Health Care Professionals
87% use smartphone or tablet at work
~80% of physicians use iPhone
~66% of physicians own tablet & 54% use in practice
80% of physicians age 55 & older use smartphone
Chase J. Ipads and other drugs. Medical Marketing & Media: The Interactive Guide. 2013:10-11.
APPsSoftware applications (APPs)
Not all of them are available in all platforms or operating systems
Some are free, some cost $$$
Some are:Great
Okay
Fun/entertainment
Bad
Limitations. . . A word of caution
Lack of oversight with respect to standards and content
Security and patient privacy
Impact on provider-patient relationships
Impact on education
Diagnostic or therapeutic efficacy claims
Blurred lines between personal and professional use
Best approaches to use
Android OSNumerous APPs<Apple iOS
Often lag behind Apple iOS but improving
Most of the popular medical APPs are available
play.google.com
www.imedicalapps.com
Apple iOSiPhone, iPad, iPod touch
Very popular among healthcare professionals
>1.2 million APPs
Apps for Health Care Professionals on iTunes
Nursing Apps
Imaging Apps
Patient Education Apps
Personal Care apps
Reference Apps
Medical Education Apps
EMR and Patient Monitoring Apps
iTunes
http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ConnectedHealth/MobileMedicalApplications/ucm255978.htm
App TitleCategory:
Platform:
Cost:
Pro’s
Con’s
Please feel free to share your experience with any of the APP’s throughout this presentation
UpToDateCategory: Medical Reference
Platform: iOS, Android
Cost: $495/year (*free with institutional access)
Pro’s: comprehensive (10,000 conditions), evidence-based, “up to date”
Con’s: $$$, updated quarterly
*http://www.imedicalapps.com/2013/07/uptodate-free-iphone-ipad-hospital-subscription/
MedscapeCategory: Medical Reference-multipurpose
Platform: iOS, Android
Cost: Free
Pro’s: clinical reference (4,400 conditions), drug info, interaction check, medical news, CME
Con’s: some user info may be shared with Pharma, not the most up to date, advertisements
EpocratesCategory: Drug Reference & More
Platform: iOS, Android
Cost: Rx (free), Pro ($99/yr), Essentials ($159/yr), Essentials Deluxe ($199/yr)
Pro’s: Drug Interaction check, Pill identifier, Drug info, easy to use, multiple features
Con’s: “free”-some adds (Pharma), $$ for added features
EpocratesRx-Free:
Drug interactions, Pill ID and pictures, Drug Info, Formulary, Pricing estimates, Calculators, Tables, AHRQ ePSS, BMI tool
Pro:Infectious Disease treatment guide, Brand Name OTC drugs, Alternative Meds, IV compatibility checker
Essentials:Disease monographs, High-res disease images, hundreds of diagnostic and lab tests
Essentials Deluxe:ICD-9 Codes and CPT codes, Medical Dictionary
LexiCompCategory: Drug reference (primarily)
Platform: iOS, Android
Cost: $175-$215 or >>
Pro’s: comprehensive medication reference, trusted resource
Con’s: $$$
OmnioCategory: Multipurpose
Platform: iOS, Android
Cost: Base software Free. Add-on references for $$.
Pro’s: multiple popular references available for purchase, one App for all-in-one functionality, customizable
Con’s: interface takes practice, can get expensive
Johns Hopkins ABX Guide
Category: Infectious Disease
Platform: iOS, Android
Cost: $29.99
Pro’s: Uses same IDSA treatment rec’s as Sanford, detailed info-signs, symptoms, labs
Con’s: $$
Qx CalculateCategory: Medical Calculator
Platform: iOS, Android
Cost: Free
Pro’s: user interface, free
Con’s: sometimes too fancy
KidometerCategory: Pediatric reference
Platform: iOS
Cost: $4.99
Pro’s: reference of age-based norms
Con’s: last updated 2012, only iOS
Alternatives: PediQuikCalc, PediSTAT, Pediatric Quick Reference
Pediatric Quick Reference
Category: Pediatric quick reference
Platform: Android only (was pulled from iOS)
Cost: Free
Pro’s: dosing meds, easy to use
Con’s: double-check dosing
ASCVDCategory: Risk calculator
Platform: iOS, Android
Cost: Free
Pro’s: simple, easy to use, patient education, statin intensities, guideline info
Con’s: “controversial” risk calculator
CORECategory: Clinical Orthopedic Exam (CORE)
Platform: iOS, Android
Cost: $39.99
Pro’s: very descriptive, exam signs, special tests for each joint, link YouTube videos
Con’s: $$
VisualDxCategory: Dermatology
Platform: iOS, Android
Cost: $199.99 essentials; $299.99 complete
Pro’s: search by topic, variety of pics, handy
Con’s: $$$
PreopEval14Category: pre-op evaluation tool
Platform: iOs
Cost: Free
Pro’s: easy to use, evidence-based
Con’s: not on Android
Eye Emergency Manual
Category: Eye reference
Platform: iOS, Android
Cost: Free
Pro’s: a lot of content, easy to use
Con’s: ?
CDC Vaccine Schedules
Category: Immunization reference
Platform: iOS, Android
Cost: Free
Pro’s: up to date, useful info
Con’s: interface
AHRQ ePSS(electronic preventative
services selector)Category: Screening tool
Platform: iOS, Android
Cost: Free
Pro’s: easy to use, links to A LOT of info
Con’s: links to A LOT of info
Patient Engagement
APP’sMedication reminders/adherence
Diaries: diet, activity, pain, other
Education
Disease management
Wearable BiometricsFitBit, FuelBand, iWatch
Glucometers, home blood pressure
Evidence is needed to guide whether or not improvements in patient outcomes
MyFitnessPalCategory: Calorie counter, weight loss tool
Platform: iOS, Android
Cost: Free
Pro’s: easy to use, great features, web & mobile access
Con’s: ?
Healthy ChildrenCategory: Patient Information
Platform: iOS, Android
Cost: Free
Pro’s: Developed by American Academy of Pediatrics, simple to use
Con’s: App is somewhat “buggy” or slow
Register on website then log in. www.healthychildren.org
Change Talk: Childhood Obesity and Motivational InterviewingCategory: training &
patient education
Platform: iOS, Android
Cost: Free
Pro’s: innovative, important topic
Con’s:
The Future is NowiPhone Otoscope
The Future is NowWireless blood pressure monitor
The Future is NowWireless Scales
J Med Internet Res 2015;17(4):e101
n=34830 day hospitalization rate vs. control: Hazard ratio=0.52,P=0.01Mortality rates vs. control: Relative Risk=0.33,P=0.04
The Future is NowDiabetes management
The Future is Now
http://www.imedicalapps.com/2015/01/new-study-shows-innovative-use-smartwatch-diagnosis-tremors/
“10 best medical apps released in February &
March”IM Essential Flashcards
Pepid Elements
ACEP Toxicology Section Antidote App
CDC Tickborne Diseases
Chest X-Rays Free
OB Wheel
FDA Drug Shortages
TriagePic
DementiAssist
Hip Decide
http://www.imedicalapps.com/2015/04/best-health-medical-apps-february-march/10/
Other APPsDynamed
AGS iGeriatrics
Chronic Pain Tracker
AF Guide (Afib)
MediBabble
Generics
Micromedex
QxMD Read
Journal Club
MedPage Today
Dropbox
Evernote
Others?
Don’t let technology be a replacement for good patient interaction and human touchbut rather utilize it to make you a better health care professional and to help your patients better achieve their health care goals.
