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  • 1
  • http://www.goldstandard.com/pages/CPMobile-Devices-Browsers.pdf
  • Blackberry 4.x and earlier – data connection required
  • Droid Incrediblehttp://www.androphones.com/available-android-phones.php
  • http://www.engadget.com/2010/02/15/windows-phone-7-series-is-official-and-microsoft-is-playing-to/
  • http://www.bloomberg.com/apps/news?pid=20601082&sid=aEmb1KZUMvZg
  • http://metrics.admob.com/wp-content/uploads/2010/04/AdMob-Mobile-Metrics-Mar-10.pdf
  • http://cell-phones.toptenreviews.com/smartphones/
  • http://www.billshrink.com/blog/6015/total-cost-of-ownership-motorola-droid-versus-iphone-3gs-versus-palm-pre/

Slide 1 Slide 1 Presentation Transcript

  • Supporting Your Practice with Portable Information Technologies
    Brent I. Fox, PharmD, PhDAssistant ProfessorDepartment of Pharmacy Care Systems
    Auburn University Harrison School of Pharmacy
  • Objectives
    Describe the need for portable information technologies to support pharmacy practice
    Describe evidence surrounding the use of software to support pharmacists’ decision-making
    Describe the selection factors to consider when adopting a portable information device
    Describe the array of portable information technologies available for pharmacists
    Identify 3 portable information device accessories for purchase consideration
    Develop a personal plan for device and software adoption
    2
  • 3
    Awareness: The Focus is on Safety
    Institute of Medicine (IOM)
    To Err is Human: Building A Safer Health System (11/99)
    Crossing the Quality Chasm: A New Health System for the 21st Century (3/01)
    Health Professions Education: A Bridge to Quality (4/03)
    Preventing Medication Errors (7/06)
  • Core Knowledge
    4
    Schiff AJHP 2002
  • Systems Failures and Attributed Errors
    • 1-7: 78% of errors
    • Limited information access
    • Information should be available to physicians, nurses, & pharmacists when and how it is needed
    (Leape, 1995)
  • Evidence-based Medicine
    Sackett et al. define evidence-based medicine as:
    "The conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients; EBM de-emphasizes intuition, unsystematic clinical experience, and pathophysiologic rationale as sufficient grounds for clinical decision making and stresses the examination of evidence from clinical research."
    Sackett, D.L. et al. (1996) Evidence based medicine: what it is and what it isn't. BMJ 312 (7023), 13 January, 71-72.
    6
  • Why Practice EBM?
    New types of evidence are now being generated which, when we know and understand them, create frequent, major changes in the way we care for patients.
    Although we need new information daily, we usually fail to get it.
    Our up-to-date knowledge and clinical performance deteriorate over time.
    Traditional CE does not work.
    A different approach has been shown to be more effective.
    David Nash, Wisconsin Quality and Safety Forum, 10/08
    7
  • EBM: Challenges
    There were 6000+ new articles published globally in the biomedical literature in 1992.
    There are limits to our human memory, and we humans have a limited ability to incorporate information into our decision-making.
    We have opinions, but these opinions may be based on conjecture.
    David Eddy takes the position that, "The complexity of modern American medicine is exceeding the capacity of the unaided human mind."
    Davidoff F, Haynes B, Sackett D, Smith R. Evidence based medicine. BMJ. 1995;310:1085-1086.
    Evidence-based Health Care program presented at the University of California, San Diego, June 2002.
    8
  • Our Commodity
    Any content
    Any device
    Any network
    Any time
    9
  • Software Types
    iPhone only
    2010
    10
    California Healthcare Foundation. How smartphones are changing health care for consumers and providers. http://www.chcf.org/~/media/Files/PDF/H/HowSmartphonesChangingHealthCare.pdf
  • Software Types: Medical Reference
    iPhone only
    2010
    11
    California Healthcare Foundation. How smartphones are changing health care for consumers and providers. http://www.chcf.org/~/media/Files/PDF/H/HowSmartphonesChangingHealthCare.pdf
  • Software Considerations: General
    Updating
    Download or Web-based
    Free/trial version
    UI/functionality
    *Features
    Pricing (multi-year)
    Linking across applications
    Space requirements
    Memory card support
    Electronic version of paper reference?
    A word about installation
    Data plan costs
    Drug interaction checking
    Severity scale
    Number
    Pharma or other support?
    Target users
    Charts & tables
    Notes
    Training and support
    All apps for all platforms?
    Tablets?
    Nonrenewal = stop?
    12
  • Software Considerations: Features
    Search
    Brand/generic
    Indication, ADR/SE
    NDC
    Drug class
    Other
    Patient education
    Images
    Pricing
    Calculators
    information
    Formulary integration
    IV compatibility
    International products
    Storage
    Administration
    Dosage forms and strengths
    Dosing (special populations)
    Other monograph content desired
    13
  • Epocrates
    Epocrates Rx
    Epocrates Essentials
    iPhone
    BlackBerry
    Palm WebOS
    Android
    Windows Mobile
    14
  • Clinical Pharmacology
    Website
    iPhone
    BlackBerry
    Windows Mobile 6
    Android
    15
  • Facts and Comparisons
    A to Z Drug Facts
    Unbound Medicine
    Silver
    Medications and updates
    Gold
    + Drug Interaction Facts
    Platinum
    + Review of Natural Products
    Android
    BlackBerry
    Windows Mobile
    Palm OS
    A to Z Drug Facts
    Skyscape
    iFacts
    Android
    BlackBerry
    iPhone
    Palm OS
    Symbian
    16
  • mobile Micromedex
    Revamped Jan 2010
    Wireless access via browser
    Includes
    DrugDex
    DiseaseDex Emergency Med
    DiseaseDex General Med
    AltMedDex
    Drug-Reax
    IV Index
    IdentiDex
    Lab Avisor
    Complimentary
    Data plan required
    iPhone
    BlackBerry
    17
  • Lexi-Comp
    Individual databases (20+)
    Packages
    Handheld (+ Online)
    Updates
    Palm OS
    Windows Mobile
    BlackBerry*
    iPhone
    Palm WebOS*
    Android
    18
  • Lexi Complete Suite
    Lexi-Drugs
    Lexi-Interact
    Lexi-Natural Products
    Pediatric Lexi-Drugs
    Lexi Poisoning and Toxicology
    Lexi-Lab and Diagnostic Procedures
    Lexi-Infectious Diseases
    Lexi-Pharmacogenomics
    Lexi-Calc
    Dental Lexi-Drugs
    Nursing Lexi-Drugs
    Lexi-PALS
    Nuclear, Biological, and Chemical Agent Exposures
    Lexi-Companion Guides
    Perioperative Nursing Lexi-Drugs
    Lexi-I.V. Compatibility
    Medical Abbreviations
    Griffith’s 5 Minute Clinical Consult
    Stedman’s Medical Dictionary
    Pharmacotherapy Handbook (from McGraw Hill)
    ++
    19
  • 20
  • Computer Hardware Array (large to small)
    Mainframes
    Minicomputers
    Micro-Computers
    IBM and Clones
    Apples
    Desktops
    Towers
    Mini-Towers
    Integrated
    Notebooks
    Tablets
    Convertibles
    COWs
    Air Panels
    Sub-notebooks
    UMPC
    Palmtop PDAs
    SmartPhones
    21
  • Personal Digital Assistants (PDAs)
    Shirt Pocket
    OS Options
    Screen Size
    Connectivity
    Storage
    Swappable Batteries
    Data Entry
    22
  • Pure PDAs…
    23
  • Smartphones
    Cellular Carrier
    Data Plans
    OS Options
    Data Input
    Storage
    Swappable Batteries
    Added Features
    24
  • Palm WebOS (and Palm OS)
    Legacy devices (T|X)
    WebOS
    Pre Plus
    Pixi Plus
    Elevation Partners
    Sprint, Verizon, AT&T*
    >2000 apps
    25
  • iPhone and iPod Touch
    26
    Apple
    Revolutionized smartphone market
    Integration with other Apple products
    AT&T
    185K apps
  • 27
  • Android
    28
    Open OS
    Google
    Many hardware manufacturers
    T-Mobile, Verizon, Sprint
    >50K apps
  • Windows Phone 7*
    Coming 4th qtr?
    Completely new
    Xbox LIVE and Zune integration
    Tiles (vs Start)
    Many hardware manufacturers
    AT&T, Sprint, Verizon, T-Mobile
    Apps?
    29
  • BlackBerry
    BlackBerry 6 (3rd qtr)
    Trackball
    Enterprise integration
    Data plan
    AT&T, Sprint, Verizon, T-Mobile
    Apps? (>2000)
    30
  • Mobile OS Comparison
    31
  • Features Comparison
    http://cell-phones.toptenreviews.com/smartphones/
    32
  • Types of Connections
    33
  • Selection Criteria
    Do you want 1 device or are you OK carrying 2?
    If 2, get a PDA from eBay or an iPod Touch
    If 1, read on….
    Status of current cellular contract
    If you can not get out, select among your carrier’s devices (next slide)
    If you can get out, next slide
    34
  • Selection Criteria
    If staying with your current provider, start with what you can afford
    Device
    Plan (voice and data)
    If switching carriers, consider coverage and price
    35
  • Selection Criteria: Features
    Interaction
    Touch screen vs Keyboard (Real/Virtual ) vs Both
    Wireless
    High speed data vsWiFi
    Camera
    Quality
    Flash
    GPS
    36
  • Selection Criteria: Features
    Bluetooth
    Apps
    Music/video
    Memory
    Battery life
    Form factor = test drive
    Verizon
    37
  • Cost of Ownership
    Caveat: 10/28/09
    38
  • 39
  • Accessories
    40
  • Additional Topics
    41
  • Patient Education
    42
  • Google Translate (34 languages)
    43
  • Innovation in Wireless Products is Accelerating!
    Apple iPhone, 3 Skype Phone, Amazon Kindle, Google….
    91% of mobile users keep phone within 1 meter reach 24x7
    15-25% of mobiles have GPS, 50% within 5 years
    Morgan Stanley – Web Trends 2007 –http://www.slideshare.net/misteroo/web2-139178?src=related_normal&rel=5944
    California Healthcare Foundation. How smartphones are changing health care for consumers and providers. http://www.chcf.org/~/media/Files/PDF/H/HowSmartphonesChangingHealthCare.pdf
    44
  • Where are Patients are Tuning In?
    45
    California Healthcare Foundation. How smartphones are changing health care for consumers and providers. http://www.chcf.org/~/media/Files/PDF/H/HowSmartphonesChangingHealthCare.pdf
  • Connecting with Your Patients in the Future
    Web 2.0
    Health 2.0
    PHR
    EMR/EHR
    National Records
    46
    Physician
    Practice
    Hospital
    Or IDN
    Inpatient EMR
    Clinical Data Repository
    Ambulatory EMR
    Electronic
    Medical
    Record
    Hospital
    Information
    System
    Payer EMR
    Member Clinical Summary
    Rx Claims History
    EHR
    Payer
    Patient
    Personal
    Health
    Record
    Managed Care
    Information
    System
    Pharmacy
    PBM
    PHR
    Clipboard
    PMR: Current Meds
    Pharmacy
    Management
    System
    Clinical Lab
    Information
    System
    Image
    Management
    System
    Pharmacy
    Lab
    Imaging
    PACS Archive
    Diagnostic Image Repository
    Prescription History
    Patient Lab History
    Blood Donor Repository
    Genetic Profiles
    California Healthcare Foundation. How smartphones are changing health care for consumers and providers. http://www.chcf.org/~/media/Files/PDF/H/HowSmartphonesChangingHealthCare.pdf
  • Questions
    Brent I. Fox, PharmD, PhDAssistant ProfessorDepartment of Pharmacy Care Systems
    Auburn University Harrison School of Pharmacy