Mobile Information and Coordination for Health Care

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Mobile Information and Coordination for Health
Care

• James J. Cimino, Elizabeth S. Chen, Lawrence K.
  McKnight, Peter D. Stetson, Jianbo Lei, Eneida A.
  Mendonça
• Department of Biomedical Informatics
• Columbia University
• New York, New York, USA

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Opportunities for Error
Clinical Alerting
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Opportunities for Error
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Mobil Access to Information
Patient Data
Clinical Alerting
Health Information
Coordination
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Study of Information Needs - Methods

• Surveys
• Focus groups
• Observational studies
• Nurses and physicians studied

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Study of Information Needs - Results

• Mobile access to patient data
• Coordination of care
• Interactions and alerts
• Health information resources

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Study of Information Needs - Solutions

• Mobile access to patient data PatCIS
• Coordination of care Virtual Whiteboard
• Interactions and alerts Event Monitoring
• Health information resources Infobuttons

• Mobile access to patient data
• Coordination of care
• Interactions and alerts
• Health information resources

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Mobile Access to Patient Data PatCIS

• WebCIS desktop-based access to patient data
• Web browser on phone/Palm Pilot combination
• Different screen layout
• Slower access
• New security problems

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PatCIS Architecture
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Coordination of Care Virtual Whiteboard

• Database of users and schedules
• Clinicians patient lists in WebCIS
• Web server application manages messages among
  team members

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Interactions and Alerts Event Monitoring

• Rule-based monitoring system
• Waits for trigger events
• Evaluates logic to determine warnings
• Medical Logic Modules (Arden Syntax)
• Web-based, insitution independence Vigilens
• Push is possible with Palm Phones
• Not yet developed for integrated with PalmCIS

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Health Information Resources Infobuttons

• Links between clinical data and on-line resources
• PubMed searches
• Microbiology results and Medline
• Culture sensitivity tests and Micromedex

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Wireless Palm-based Error Reduction
PatCIS
Patient Data
Clinical Alerting
Vigilens
Health Information
Infobuttons
Virtual Whiteboard
Coordination
Coordination
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Discussion

• Poor information access ? uninformed decisions
• Ineffective communication ? poor care
  coordination
• Wireless, hand-held technology can help
• Technical problems solved
• Security problems solved
• Evaluation is the next step

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Conclusion

• Wireless hand-held communication and access to
  information work.
• But do they work well?

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Acknowledgments

• National Aeronautics and Space Administration
  (NASA)
• Health Resources and Services Administration
  (HRSA)
• New York Presbyterian Hospital (NYPH)
• Suzanne Bakken (SB, PhD)

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