Future Healthcare

1
Future Healthcare

• The
• Smartphone Ripple
• By
• Lorraine Gdanetz, RN

2
Objectives

• Describe future healthcare
• Discuss future hardware and software
• Describe and evaluate usability
• Describe and review of information system
• Discuss advantages and disadvantages
• Discuss legal and ethical issues
• Describe nursing competencies

3
Future Healthcare

• By 2014 complete implementation of electronic
  health records
• Electronic health records will save hundreds of
  billions of dollars
• In U.S. today 99 of physicians use the internet
• Fewer than 25 of physicians have electronic
  medical records

I thought I moved slow!
(Waegeman, 2008)
(manhattanResearch, 2009)
4
Smartphone Technology
Now we are moving!
( Dolan, 2009)
5
The Smartphone Generation

• Mobile
• access to EMR at any time
• Connected
• to EMR interface

Catch me if you can!
6
First stand-alone EMR for the iPhone was
launched in September of 2008.

• The popularity, convenience, and technology of
  Smartphones will allow professionals to access
  Electronic Medical Records at any time or place
  changing the face of healthcare forever.

Keep moving!
(Dolan, 2009)
7
CareTools iChart for iPhone

• iPrescribing
• Prescriptions can be sent directly and securely
  to patients pharmacy
• iBilling
• A tool for organizing diagnosis and procedure
  codes using ICD9 codes
• iLab Reports
• A lab and study organizer, labs can be reviewed
  and signed
• iNotes
• Create and review clinical notes

Patient records in the palm of your hand
(Berg, 2008)
(Caretools), 2008
8
iNotes Usability

• Quick patient data entry
• Document patient photos
• Automated note integration
• Automated dictation
• Customize documentation templates
• Sharing of patient information

Information management at the point-of-care
(Berg , 2008)
(Caretools, 2008)
9
Database Management System (DBMS)

• Set of software programs
• Controls creation and maintenance of an
  organizations database including access by end
  users
• Organize, store, manage and retrieve data in a
  database

(Macios, 2009)
10
Review of Database Management System

• A clinical system
• Accessed by all healthcare providers
• Documentation, billing, physician ordering,
  scheduling, access to lab results, digital images
  and patients medical records
• Local Area Network and Point of Care
• Health Level 7 (HL7)

Now we are Connected!
(Berg, 2008)
11
Advantages Mobile Technology Use for EMR

• Documentation at point-of-care
• Enhanced communication between patients,
  physicians, hospitals and pharmacies
• Capture real-time financial information
• Streamline work flow
• Ability to interface with larger servers
• Error reduction

(Zabrek, 2008)
(Dolan, 2009)
12
DisadvantagesMobile Technology Use for EMR

• Currently requires Web and Broadband access
• Applications only available for iPhones and iPod
  touch
• Privacy issues
• Limited remote access
• Interface issues
• Old patient record incorporation

(Berg, 2008)
(Dolan, 2009)
13
Mobile EMR TechnologyEthical and Legal Issues

• Medical records must be kept in unaltered form
  and authenticated by creator
• Preservation of content and structure
• Economic stimulus package aims at offering
  incentives to physicians that adopt EMR

(mHealth Initiative, 2009)
14
Mobile EMR and Nursing Competencies

• Proficiency in E-mail and mobile phone text
  message technology
• Skilled use of internet to locate and download
  information
• Competent in computerized monitoring systems
• Identify the basic components of a computer and
  mobile phone system
• Perform basic troubleshooting of applications
  used
• Participate in the selection, design,
  implementation, and evaluation of the systems

(McGonigle Mastrian, 2009)
15
Functions and Responsibilities ofInformatics
Nurse Specialistin use of Mobile EMR

• Responsible for Education
• Manages and evaluates the system
• Develops the application to meet nursing needs
• Will use Evidence Based Research in development
  of system
• Will manage data reliability and integrity

(McGonigle Mastrian, 2009)
16
Conclusion Future Healthcare

• Federal mandate for EMR by 2014
• Physician use of mobile phones 100
• Smartphone applications for use by practitioners
  to allow mobile access to review and create EMR
• Need for Informatics Nurses and Informatics Nurse
  Specialist

I am catching up to you!
Oh No!
(mHealth Initiative, 2009)
17
References

• Waegemann, C.P. (2008). Cellphone EMR Can you
  cure me now?. Emergency Physicians Monthly,
  Retrieved 06/05/2009, from http//epmonthly.com/in
  dex2.php?optioncom_contenttaskviewid228pop1
  
• Dolan, P.L. (05/25/2009). Can a surge in
  physicians' use of smartphones ripple to health
  IT adoption?. American Medical News, Retrieved
  06/05/2009, from http//www.amaassn.org.ezaccess.l
  ibraries.psu.edu/amednews/2009/05/25/bil20525.htm
  
• (2009). mHealth Initiative. Retrieved 06/05/2009,
  from mHealth Initiative INC. Web site
  http//www.mhealthinitiative.org/
• (2009). manhattanRESEARCH. Retrieved 06/05/2009,
  from Taking The Pulse Physicians and Emerging
  Information Technologies Web site
  http//www.manhattanresearch.com/Products/Strategi
  c_Advisory/ttp/

18
Macios, A. (03/16/2009). The 411 on cell phone
applications in healthcare. For The Record,
21, Retrieved 07/13/2009,from
http//www.fortherecordmag.com/ftr_coverstory.shtm
l (2008). Caretools. Retrieved 07/13/2009, from
Caretools.com Web site
http//www.caretools.com/about_technical.html
Zabrek, E. M. (2008). Robust and affordable
medical apps. Smartphone Magazine, 1(2),
87-89. Berg, T (07/22/2008). Digital medical
record system for iPhone. Retrieved
07/13/2009, from eNewsChannels Web site
http//enewschannels.com/2008/07/22/enc3434_170851
.php McGonigle, D., Mastrian, K. (2009).
Nursing informatics and the foundation
of knowlege.Sudbury Jones and Bartlett
Publishers, LLC.