PDAs/Smart Phones and Medical Records in Health Care

Mary Z. Mays, PhDAssociate Dean and Professor

Innovation Institute for Health Professions

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

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

“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

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

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/

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