Maximizing Your PDA Investment& Planning for the FutureMarch 17, 2008
Allison Weich
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Who is More Likely to Own an MP3 Player?
A. U.S. Physician
B. 18-34 Year Old Male
C. 18-34 Year Old Female
Resource: Manhattan Research
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Can you envision this?
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The Zen of PDAism
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“Tip of the Iceberg”
Connect the Dots between the Mobile Device, Cell Phone, Desktop & Web
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Welcome to “e” Electronic Evolution in Mobile Healthcare!
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Agenda
Historical Preview
Quick review of the what, when and how of the handheld devices (or PDAs)
ROI
Can you expect to save time?
Enhance efficiencies? Improve quality of
care?
Handhelds in Healthcare
Rapid adoption by healthcare professionals
Case Studies
What is available today Who is doing what
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How Did We Get Here?
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Then (August 3, 1993)…
Processor: Motorola processor running at 20 MHz.
Memory: 640k RAM and 4 MB ROM.
Display: reflective LCD display has a resolution of 336x240 in black & white.
Expansion: One PCMCIA Type II card slot
Ports: LocalTalk compatible serial port, as well as a low-power, half-duplex, infrared transceiver that transmits at 9600 baud at 1 meter.
Battery: 6V AAA alkaline batteries which last 14 hours, and a 4.8V NiCd battery which lasts 4 hours.
Remember when?
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Now!
State-of-the-art processors 400MHz+ speed
128 MB Program Memory Storage cards up to 2GB!
Over 100 books in your pocket!
16-bit color Phone/wireless
integration Voice Recording Digital & Video Camera MP3 player
It’s not just an ADDRESS BOOK
any more!
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Spectrum of Devices
Two Piece Wireless data PDA
Integrated Wireless data PDA with telephony
Voice-centric PDA with data capability
Traditional PDA
Traditional mobile phone
PhonesCommunicatorsPhone PDAHandhelds Campus PDA
PDA Phone
SmartPhones
High-endMobile phonePIM capability
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Critical Problem
Health Professionals Every day mobile knowledge workers have to make critical decisions – while on the go
Unfortunately…
Information-is distributed-changes rapidly-not aggregated in-context-not structured for rapid decision making
Actionable Information
Need to have TRUSTED & UP-TO-DATE information in-context for making informed decisions – rapidly and effectively
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Handhelds & Healthcare – Perfect Partners
Critical Need in Healthcare
Need for Point of care access – current technologies are inadequate
Quick access to large volumes of information for better decision support
Platform is Right
Form factor is suitable New devices pack
power! Handy & mobile Non-intrusive to the
Physician Workflow
Applications are Available
Personal Information Management
Medical References Evidence Based Data Clinical Calculators Decision Support Tools Guidelines Billing and Coding ePrescribing EMR (subset)
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Rapid Healthcare Practitioner Adoption
Physicians are four times more
likely as other consumers to own
PDAs. 45% of North American physicians
own PDAs, compared with 11% of
the general population. Almost two-thirds, or 62%, of
physicians less than 43 years old
own PDAs, while 31% of physicians
above age 43 have themSource: 2004 Forrester Research Inc.Majority use
PDAs for REFERENCE
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… including Specialists
The Rowin GroupA survey of physicians based on three focus groups and 600 questionnaires
PDA Use - Specialists:
- ID specialists: 66%- Cardiologists: 61%- Oncologists: 50%- Neurologists: 50%- Psychiatrists: 50%- Internists: 44%
Over 1600 medical practitioners polled by Skyscape:More than 78% have at least three medical references on their PDA88% use PDAs to check drug references
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The High Level Benefits of PDAs
Improved decision-making – Supports decision making “as fast as medical practitioners can think”
Critical Information in Context - Provides the right information including large volumes of references when and where it is needed
Instantaneous access to Information without Training - Retrieve most information quickly and intuitively
Single Unified Interface - Integrate reference information with transactions in a completely seamless manner
47% of hospitals recently surveyed have mobile initiatives (in progress or complete)
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Intuitive & Comprehensive
Quick Reference
Clinical Calculators, Tools
Charge Capture
e-Prescribing Patient Records
In-context
Alerts & Messages
Guidelines & Algorithms
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Wireless Alerts
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Context Oriented Linking & Messaging
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How to Go Mobile Today!
Focus on the solutions that… Help reduce errors (thereby improve quality patient care) Are intuitive to use Provide immediate value to your daily activities Save you time
Hardware Options Get hardware you believe will last at least for a year and a
half Consider Leasing if appropriate
Solution Options Medical References - a great place to start, minimal
paradigm shift Several applications to support Charge Capture, HIS
integration, Clinical Documentation, etc
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Case Studies
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Scenario - Academic Setting
University of Louisville 1st – 4th year medical students
Drexel University ACE, Co-op and BSN Nursing students
Vanderbilt University 7 nursing specialties
UTMB Nursing program
East Carolina University 3rd year students
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Product Mix
University of Louisville
Stedman’s Concise, 5MCC, A2Z Drugs
Drexel University Diseases & Disorders: Nursing Therapeutic Manual, Lab & Diagnostic, Drug Guide for Nurses, Nursing Procedures, Taber’s, Assessment across the lifespan
UTMB Nurses Pkt Guide, Nurse’s Fast Facts, Procedure manual, Drug Guide for Nurses, 5MCC
East Carolina University
Tabers, Drug Guide for Physicians, 5MCC
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Categories of Information Resources
Dictionaries Clinical References Drug Databases Drug Interaction Guides Lab & Diagnostics EBM Alternative Medicine Coding Calculators & Tools Board Review Material Guidelines
Dynamic Information Resources
Drug News & Alerts CDC FDA NIH AHRQ Societies & Colleges: ACC, ACP, APPI
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Scenario – Private Setting – (Adoption Rate) PDA adoption Institution wanted to validate that physician adoption was
creating measurable ROI Charge Capture Solution on Pocket PC devices In addition Physicians from 9 departments were given
PDAs with 5 references. At the end of 8 weeks, results from survey to find out:
• How often they used their PDAs• How much time physicians saved doing research using a
PDA• The % of medical errors avoided by using the PDA at the
point of care
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Scenario – Private Practice – (Determine ROI in Messaging)
Messaging Institution wanted to provide a network of physician users
with access to medical references and context sensitive messaging The solution was developed to assist physicians during
point-of-contact encounters with patients The project included a list of preferred drugs, a list of
pharmacies, and a messaging application Internal content management for all applicable
sections, internal / external security was also included. The solution provided bi-directional linking capabilities
between the messaging application and the drug reference applications
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Scenario – Institution – (Customization)
Corporate Directory for Handhelds Institution wanted to put its employee information on
handheld devices so that it was easily accessible when employees were on the go
The information • Was indexed by employee name for easy access & seamless
navigation • Included
– Contact information– Location, job title, and phone number
• Was regularly updated Security was also implemented via a password and
encryption on the handheld device
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How Often Do You Use Your PDA?
Survey from PDA Users (>400K) Survey Results based on responses from all specialties
100% Users Access PDAs at least 1-3 times per day!
6-10x Per Day36%
11-25x Per Day24%
4-5x Per Day19%
>25x Per Day11%
1-3x Per Day10%
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Immediate Benefits
Measure the following: Time Savings Improved Patient Care Improved Patient Satisfaction More Patient Encounters Faster Patient Discharges Improved Compliance to Procedures/Guidelines Improved Coverage/Communication between Peers Improved Physician Autonomy/Satisfaction
Set up Personal Expectations Incremental Functionality Institutional Goals
Your mileage may vary!
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5-10 min
5-20 min
Instant Access to detailedClinical Information
5-20 min
5+ min
5+ min
5 min
Instant access to drug databases, drug interaction tools
Prescribe & give orders
right from your PDA
Ability to get messages,
alerts10 min
Ability to enter diagnosis, ICD-9 and procedure codes in HIS Instant access to patient meds
& patient history
15 min
Ability to access
guidelinesCheckFormularies
PDA’s Save Time, Improve Efficiency
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A Full Range of Specialty Titles Are Available From a Number of Mobile/Medical Reference Suppliers
SpecialtiesCardiologyDentistryDermatologyEmergency MedicineEndocrinologyGastroenterology and HepatologyHematologyInfectious DiseaseInternal MedicineNephrologyNeurologyOBGYNOrthopeadicsPediatricsPulmonary MedicineRheumatologySports MedicineToxologyNursing
…many more…
Representative Titles Davis’s Drug Guide
Drug Interaction Facts - iFacts
Taber’s Cyclopedic Medical Dictionary
Nurse’s Manual of Lab & Diagnostic Tests
Diseases & Disorders: A Nurse’s Manual
Taylor’s Clinical Nursing Skills
Nurse’s Quick Check: Diseases
Nursing Drug Handbook
Mosby’s 2007 Drug Reference
Nursing Drug Handbook
Lippincott’s Review For NCLEX-RN
Stedman’s Concise Dictionary
Nursing Procedures
… many more …
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Latest Platforms…
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How About You?
Will YOU be part of the Mobile Healthcare Explosion?
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Quick Demo
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Quick Demo On Skyscape’s Emulator and Q&A’s