Hello. I am David Meyer, Enterprise Architect at Amcom Software.Today we will be discussing Mobile in Healthcare: Present and Future.
A little background about why I am here todayAmcom Software has over 25 years of experience of delivering and managing healthcare’s unified mission critical communications by helping hospitals save lives and money by connecting data and peopleWe offer a complete package of end-to-end solutions in our portfolio including…FDA cleared clinical alertingSecure messaging for mobile devicesCall center softwarePublic safety application
This presentation will cover…Information that we learned through customer survey results such as…What?And predictions for the future of mobile in healthcare such as…What needs to be done about accountability? And…What is the future of mobile strategies in healthcare?
Just some background about the online survey results gathered from October 2010 and July 2011It was conducted to better understand how mobile devices are impacting the healthcare industryThere were more than 600 participants involved with providing feedback from hospitals of all sizes and a variety of positions within the organization
Survey results about smartphones from 2011 a consistent focus on facilities using smartphones.
What this shows is smartphones are a core element of hospital’s communicationsAnd doctors are already using smartphones in meaningful ways toAccess clinical systemsTexting to fellow physiciansAnd accessing other medical apps
Case In Point“Yes, we send SMS text messaging to some doctors, but they receive it like all other text messages.”“No we don’t. We have not deemed messaging to smartphones as a critical business need yet.”
Survey results about the use of pager within hospitals show around 20% are increasing their pager footprint while 75% are sustaining or decreasing their use of pagers.
Some key take-aways from this are…Pagers are a great insurance policy for times of disasterWide-area paging is already proven – for example they are impervious to cellular and wi-fi network cloggingAt $10 to $30 a pager, they remain inexpensive compare to smartphonesDoctors who have moved to smartphones are more likely to not go back to using pagersDiversity of devices makes it imperative to have a solution that integrates with all different types of mobile devices
Case In Point“The cost of pagers will keep them around for a long time.”“Doctors are finding it hard to carry around pagers. We want to free them up and have them only carry one item – a smartphone.”“Many doctors have smartphones already, so a way to cut costs is to gradually phase pagers out.”
Survey results for the different types of mobile devices used infacilities and what they expect two years from the time of the survey show…BlackBerry and regular mobile phone usage on the declineWinPhone at a small percentageOther mobile devices types slightly more than WinPhone, but steadyAndroid and iPhone steadily increasingiPhones being the staff’s preferred smartphone
Findings from these results show…Attempting to standardize on one smartphone is almost impossible due toThe rapid pace of innovationPeople bring their own deviceAnd different devices for different rolesSmartphones are not yet consolidating the other device manufacturersThere are other devices that need to get messages such as tablets, wi-fi only devices, voice badges, pagers, etc.Facilities will need to agree on a single system to deploy the right message to the right person
Case In Point“Considering for the future, but we need tablets to be more rugged without adding much weight.”“Tablets are already in use for medical applications only. Updates or upgrades are very likely.”“We are testing several in different areas at this time.”
Survey results for current and 2 year expected tablet usage shows…The vast majority of facilities are using and will be maintaining their high usage of iPad tabletsCurrently there are many Windows tablet users, but they expect this to shrink drematicallyBlackBerry’s Playbook, Samsung Galaxy, Cisco Cius and Avaya Flare are expected to be reduced to zero or near zeroAnd there is a group of other tablets that facilities expect to double over the course from last year to next year
Some of the key findings from this survey are…Hospitals have had varying results with integrating tablets into their workTablets will continue to struggle with facilities best practices.We think of how great they are for us, but in healthcare they have been challenging to integrate and use.BizTechReports’ researched 100 healthcare execs in 2011 to findTablets lack security and durability. CIOs surveyed encouraged alternative solutions.Facilities are receiving pressure to use what is considered “in” and putting aside security and risk management
There are existing use cases for tablets within healthcare today that need further improvement.Staff would like to be able to send a message from where they are at and not walk to the nearest nurse stationThey would like to share imaging with the patient, not transport the patient or huddle around a PCThe staff would like to enter notes while bedside with the patient; not record, transscribe, turn away from the patient.Also, the staff would like to look up on-call information and view schedules on-demand instead of jotting down a note for later or walking to a PC or calling an operator
Now let’s cover Mobile In Healthcare Predictions
First, here is the foundation of these predictions:These are based off research in 2010 and 2011 on smartphone use over 1200 respondents from various healthcare organizationsAdditional research was performed after the primary study on healthcare smartphone knowledge within these organizationsWe conducted 5 focus groups in 2011 around these organization’s communications changesBriefing with major external analysts groups on mobile communicationsAnd hundreds of conversations with customers and early adopters of mobile in healthcare
Prediction #1An incident involving compromised protected health information
Small practice in Arizona was fined $10,000 for texting each other PHIIn December of 2011 Ponemon Institute found a 32% increase in hospital data breaches81% of healthcare providers use mobile devices to collect, store and/or transmit some from of Protected Health Information49% admit they do not take measures to secure their mobile devicesAnd each data breach costs hospitals an estimated $2.2 million on average due to this negligenceIn 2011 RedSpin conducted a study of Protected Health Information since August 2009, breach notification regulations issued as part of HITECH Act385 reported, which are required when 500 or more individuals are affectedMore than 19 million patient health records where affected39% of breaches involved laptops, smartphones or other portable devices
The Joint Commission notified hospitals that:Texting is not acceptable due to the data not being encryptedThis could be resolved by using the right appOtherwise texting with poorly implemented security and potential lost of a device increases the probability for high visible breach of sensitive information – which is a justification for build the right app to solve these problems
Prediction #2Web is out, Apps are in
Apps…Are typically easier to deploy because it is up to the user to upgrade them on the mobile device through the App StoresThe user interface is much faster and more responsiveAdvanced functionality can be embedded into the mobile deviceAnd there has been exponential growth in using AppsWeb integrations tend to work across all platforms and are immediately deployed to all mobile devices, but their pros have already been experienced where we are still growing with AppsApps tend to have higher development costs per platform and there is a lagged adoption due to users who do not upgrade their AppWeb interfaces are slower than AppsAnother option for mobile applications are a hybrid approachLeverage deploying apps through their respective App StoresUse the native app for screens that require speed or advanced functionalityAnd focus on seemlessly transitioning between web interfaces to apps
Prediction #3CIO, SMIO and others will outline a clear mobile strategy to improve staff workflow, increase productivity and enhance patient safety through their comprehensive mobile strategies
In addition, they will tell you…Which types of mobile devices are being used by various functions within the organizationWhat are their requirements of the mobile integrationsFor example: Improving staff communications workflow to drive higher productivity and patient safety throughout the hospitalWhether it is email, voice or appsPHI or notIf they already have devices or notIf there is a need to integrate with other mobile devices on-siteAnd what wireless strategy is neededIf it is single or multi-providerThe different wi-fi networks they support
So now we knowThe diversity of mobile devices being used is increasingSmartphones are not going to disappear at allBut replacing pagers with smartphones will be a gradual process and might never be eliminated due to cost