PDAs/Smart Phones and Medical Records in Health Care

1. PDAs/Smart Phones and Medical Records in Health Care Mary Z. Mays, PhD Associate Dean and Professor Innovation Institute for Health Professions

2. Disclosure • I wish…

3. 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

4. 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

5. 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 !!!

6. 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

7. How do you choose? • Have one? Use it • If not, choose the app then the device • Choosing for an organization? $99 Genius

8. eRecord www.petervintonjr.com

9. eRecord • Bogged down in history • Hype vs reality • Interoperability (www.hl7.org) • Privacy (www.hhs.gov)

10. Medical records on a cell phone?

11. 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

12. I know…

13. I know… Total Apps Approved: 226,600Total Available Apps: 194,842 as of 5/3/10

14. “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/

15. 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

16. Evaluate eRecord apps • Encrypted database • On the phone • On the server • Secure transmission • Data backup

17. Provider-managed records • No endorsement (“random” examples) • Manufacturer info (no kickbacks) • They come and go • iPhone/iTouch/iPad

19. 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

20. iChart EMR

21. iChart EMR $140

22. 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.

23. http://www.softwareadvice.com/medical/electronic-medical-record-software-comparison/http://www.softwareadvice.com/medical/electronic-medical-record-software-comparison/

24. 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

25. 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

26. 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

28. 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.”

29. Patient Tracker

30. iCare Tracker • iCare Tracker is a simple yet powerful patient tracker for physicians, nurses, therapists, EMS or anyone that interacts with multiple patients.

31. Patient-managed records • “health record” generated 1000 hits • Track personal health records • Track family health records • Track personal health and fitness

32. Questions?

33. School of Nursing and Health Professions To provide dynamic education that focuses on inquiry and innovative practice relevant to an ever changing health care system Web: brandman.edu/nursingEmail: nursing@brandman.eduPhone: 1-800-581-4100