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iPads used to bolster physician training, speed up patient care

Providing personal mobile computers to medical residents reduces delays in patient care, enhances their access to electronic records and helps them to train, according to research published in the Archives of Internal Medicine .

When researchers surveyed the residents in 2011, three out of four said that the iPads allowed them to finish tasks faster, gave them more time for direct patient care, and helped them participate in educational activities. The hospital spent about $650 on each iPad, including insurance, protective covers, straps, and software. The tablets had access to the hospital’s wireless network but were not allowed to store records. They were also password-protected.

Before getting the iPads, the residents reported that increased workloads and limited work hours created work compression and competition between work and their education goals. In particular, they reported spending most of their time updating medical charts, documentation, and ordering tests—at the expense of direct patient care or education.


Medical residents at the University of Chicago using iPads

The research also showed that the implementation of electronic health records (EHRs) actually increased time away from a patient. Interns spent more time searching for a computer or working on the computer at the expense of time at the bedside.

“Residents face a vast and increasing workload packed into tightly regulated hours,” said the study’s first author, Dr. Bhakti Patel, a pulmonary critical care fellow at the University of Chicago School of Medicine. “They spend much of their time completing documentation and updating patient charts. This study indicates that personal mobile computers can streamline that process.”

When residents were asked how their work was affected by having an iPad, nearly 90 percent said they routinely used it for clinical duties; 78 percent said it made them more efficient; and 68 percent reported that it averted patient care delays.

Researchers also collected data from the hospital’s EHR system, comparing intern order placement for a three-month period prior to issuing the iPads and after. The iPads helped residents submit 5 percent more orders before 7 AM rounds, when they update senior physicians about overnight admissions. And they placed 8 percent more orders before handing off their responsibilities and leaving the hospital by 1 PM, as required by duty-hour rules.

See Full Article (MacWorld): Here

iPad Ranks As First Choice For Doctors But IT Still Nervous About Privacy Issues

Healthcare was one of the first fields to adopt the iPad after it launched two years ago. As with other fields, the initial use of the iPad in healthcare came from doctors and other professionals buying their own iPads and bringing them into their practices or along with them on rounds – a move that predated most of today’s BYOD planning.

A recent study of mobile technology in healthcare clearly shows that the iPad is the number one device used by doctors, nurses, and other healthcare workers with significantly greater use than Android or BlackBerry devices or even the iPhone.

“Based on our conversations, they are feeling the pressure from the physicians and staff to support those devices,” Manish Rai, head of industry solutions for Aruba (the company that conducted the study) said of the 130 healthcare IT professionals surveyed.

Overall the study shows the 85% of healthcare organizations allow and support the use of personally owned devices. The iPad is clearly the most common personally owned device with 83% of organizations supporting it. As for other devices:

  • 65% support the iPhone and/or iPod touch
  • 52% support personal BlackBerry devices
  • 46% support some version of Android devices

With physicians and other staff leading the effort for support of personal devices, it isn’t surprising that the iPad is topping the list. The device’s larger screen real estate makes it more useful for accessing data like electronic records, medical images, and reference material. It also makes the iPad a good choice for illustrating conditions and treatments to patients. It also presents less of a barrier to doctor/patient interaction that other electronic devices like laptops – a concern among some bioethicists.

How are mobile devices being used?

  • 58% are using virtualization technology for secure application access (this mirrors the overall high use of Citrix and other VDI solutions in healthcare due to the need compliance HIPPA and other privacy regulations)
  • 8% provide complete access to their hospital network on personal mobile devices outside of a VDI or similar solution
  • 24% provide some form limited access to hospital applications
  • 30% support VOIP calling (video or audio-only) or medical imaging on picture archiving and communication systems

The results definitely show that healthcare IT professionals are willing to support physician needs when it comes to mobile device, but that their is a distinct concern for data security and privacy – not surprising given the regulatory issues when it comes to healthcare.

See Full Article (Cult of Mac): Here

How Google affects your memory (Infographic)

Image via OnlineColleges

 

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Patient check-in moves to the Apple’s iPad

Just three weeks after its iPad-native EHR made news for gaining ONC-ATCB-certification, drchrono has launched an iOS app to replace paper-based patient check-in.

Image via Healthcare IT News

Company execs say the OnPatient app can be downloaded to the iPad for free and integrated into a medical practice as a standalone application – the patient check-in software also integrates with with the drchrono’s iPad EHR.

“The OnPatient check-in app digitizes the waiting room and eliminates significant barriers to mass adoption of patient check-in technology,” said Michael Nusimow, co-founder and CEO of drchrono. “Proprietary check-in hardware is prohibitively expensive and integration with existing EHR systems is too complex. We designed the OnPatient app to be intuitive for both physicians and patient users to create a better patient check-in experience.”

On-Patient features customizable templates that enable physicians to eliminate paper forms and clipboards in the waiting room. Upon download, the OnPatient app allows patients to:

  • Complete family medical history and demographic information
  • Complete insurance information
  • Snap a profile photo
  • Sign the HIPAA consent form with a digital signature

The information auto-populates directly into the drchrono EHR platform. On subsequent visits, patients do not have to complete duplicate forms, they need only review their information and make any necessary changes on the iPad.

That saves “time and money” says Nusimow. “Putting in insurance info and all that minutiae takes a lot of time.” With medication and allergies pre-entered, “the next time [patients] go to the doctor, they can just engage with the doctor.”

Surinder Saini, MD, a gastroenterologist in Fountain Valley, Calif. who was an early user of the app, says OnPatient “has benefited my practice in many ways.” Patients like it too, he says. They enjoy the novelty of being “given an iPad to register in the office,” and they “love to enter information” on the app.

Officials say OnPatient meets all industry security standards ensuring the privacy and safety of patient data.

See full Article (HealthcareITNews): Here

 

 

 

GE Healthcare releases Centricity Advance Mobile for Apple iPad

GE Healthcare today announced the release of Centricity Advance – Mobile, a native Apple iPad application designed for primary care physicians in small practices. With Centricity Advance – Mobile, clinicians utilizing GE Healthcare’s Centricity Advance, a complete web-based EMR and practice management system, won’t be tethered to their desktops. As Centricity Advance customers, they can walk with their iPad® wherever they like while continuing to interact with the patient and the patient record.

Image via GE Healthcare

Centricity Advance – Mobile phases out cumbersome paper note-taking when physicians are away from their computers, allowing them to enter information in a way to which they’re accustomed. It also provides true anytime, anywhere access to the information they need, formatted for the device they’re viewing it on. Centricity Advance – Mobile unleashes the power of mobility and turns the iPad into a fully untethered digital “notepad” that the clinician can use when completing summary notes.

“This is the missing piece,” said Dr. Medhavi Jogi, Houston Endocrinologist and Centricity Advance – Mobile user, in the press release. “Now I can use my iPad exactly as I’d use a notepad and I don’t miss a single point of communication with the patient. Better still, it eliminates the perceived barrier that some patients feel when I’m sitting at a computer entering data. It’s a much more natural form of interaction.”

Centricity Advance – Mobile frees clinicians from cords and breaks down perceived communication barriers around EMR. The mobile application enables immediate response to patient requests, such as prescription refills and emailed questions, and allows a physician to attend to tasks even when away from the office. In addition, physicians can now use their iPad to order, digitally sign and route a new prescription to a pharmacy.

“We are pleased to be able to offer our Centricity Advance users a new medium for interacting with the patient record and the patient, representing the true value of healthcareIT,” said Mike Friguletto, Vice President and General Manager of GE Healthcare IT’s Clinical Business Solutions, in the press release.

See Full Article (MacDailyNews): Here

 

UC-Irvine medical school shifts to digital curriculum

UC Irvine School of Medicine wants to change the way the physicians of tomorrow learn, so it’s giving each member of its incoming class of 2014 a 16-gigabyte, 3G wireless iPad tablet computer. And if that’s not cool enough, each iPad comes pre-loaded with all of the necessities for the first year of coursework and access to hundreds of medical applications, including digital stethoscopes and ultrasound units.

Image via UCI

UC Irvine officials say it’s part of a new technology iMedEd Initiative to “revolutionize” the School of Medicine and promote individualized and small-group learning for “a richer medical school experience.” The school will be the first in the nation to employ a completely digital, interactive learning environment for incoming students with its comprehensive iPad-based curriculum.

With certain applications, students will be able to listen to a patient’s heart while simultaneously recording its tones and compare them to a library of more than 3,000 heart sounds characteristic of specific conditions to gain a better understanding of cardiac physiology and pathology.

The School of Medicine is also working with diagnostic ultrasound maker SonoSite Inc., which has committed nearly $3 million to integrating the technology into the UCI curriculum. The highly sensitive ultrasound units are an effective, noninvasive way to examine inside the body. Students eventually will be able to preserve patients’ ultrasounds on their iPads for later review and consultation.

“In the future, physicians will literally carry a library’s worth of information on a tablet computer in the pocket of their white coat or suit jacket,” said Dr. Ralph V. Clayman, dean of UCI School of Medicine. “The age of electronic medicine is upon us, and both patient and practitioner will benefit. UCI’s iMedEd curriculum is a step in that direction.”

See Full Article (OC Metro): Here