Paton, C. et al.: Mobile Medicine 2.0 This slideshow, presented at Medicine 2.0’08 , Sept 4/5 th , 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 ( www.medicine20congress.com ) Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php

This slideshow, presented at Medicine 2.0’08 , Sept 4/5 th , 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team

Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009 ( www.medicine20congress.com )

Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php

Mobile Medicine 2.0 By Dr Chris Paton BMBS BMedSci Research Fellow, University of Auckland PhD Student, University of Otago Director, New Media Medicine Ltd Co-Authors: Alec Holt, Muzaffar Malik, University of Otago

Glossary PDA = Personal Digital Assistant Smartphone = PDA + Phone WiFi = Wireless Networks UMPC = Ultra-mobile Personal Computer Tablet PC = Tablet Personal Computer MCA = Mobile Clinical Assistant

PDA = Personal Digital Assistant

Smartphone = PDA + Phone

WiFi = Wireless Networks

UMPC = Ultra-mobile Personal Computer

Tablet PC = Tablet Personal Computer

MCA = Mobile Clinical Assistant

Doctor’s PDA and Smartphone Handbook Co-authored with Dr Mo Al-Ubaydli RSM Workshops Produced a series of online Video tutorials

Co-authored with Dr Mo Al-Ubaydli

RSM Workshops

Produced a series of online Video tutorials

Mobile Medicine Using mobile devices to help doctors and improve patient care PDAs and Smartphones (i.e. DIY) Tablet PCs (i.e. HIS/EHR) In-betweens (UMPCs, etc) Medical Devices Wireless Networking / Phone Networks

Using mobile devices to help doctors and improve patient care

PDAs and Smartphones (i.e. DIY)

Tablet PCs (i.e. HIS/EHR)

In-betweens (UMPCs, etc)

Medical Devices

Wireless Networking / Phone Networks

History of Mobile Medicine Psion Organizers 1980s Apple Newton in 1992 Palm Pilot 1996 Pocket PC Windows Mobile Smartphones Tablet PC UMPC MCA

Psion Organizers 1980s

Apple Newton in 1992

Palm Pilot 1996

Pocket PC

Windows Mobile

Smartphones

Tablet PC

UMPC

MCA

My Mobile Computing Palm V in 2000 House Jobs List of Patients List of Jobs Epocrates

Palm V in 2000

House Jobs

List of Patients

List of Jobs

Epocrates

PDAs = Mobile Phones 1 Billion Mobile Phones Sold in 2006 (Source: IDC) - 22% Rise over 2005 5.5 Million PDAs in 2006 - 28.5% Drop over 2005 80.6 Million ‘Converged’ devices - 40% Rise over 2005 Conclusion: What used to be called a ‘PDA’ is now incorporated into mobile phones.

1 Billion Mobile Phones Sold in 2006 (Source: IDC) - 22% Rise over 2005

5.5 Million PDAs in 2006 - 28.5% Drop over 2005

80.6 Million ‘Converged’ devices - 40% Rise over 2005

Conclusion: What used to be called a ‘PDA’ is now incorporated into mobile phones.

Operating Systems Pocket PC = Windows Mobile Windows Mobile Phone Edition NOT Windows Mobile Smartphone Edition Palm Treo Palm OS: 650, 680 or 700p Windows Mobile: 700w OSX Apple iPhone Google Android

Pocket PC = Windows Mobile

Windows Mobile Phone Edition

NOT Windows Mobile Smartphone Edition

Palm Treo

Palm OS: 650, 680 or 700p

Windows Mobile: 700w

OSX

Apple iPhone

Google Android

Organise yourself Sync with Outlook Add and read appointments Reminders Keep emails on you for reference Push Email – read emails as soon as you get them Contacts Keep and add contacts Beaming

Sync with Outlook

Add and read appointments

Reminders

Keep emails on you for reference

Push Email – read emails as soon as you get them

Contacts

Keep and add contacts

Beaming

Downloading Medical Software Free PDA Reference Software Diagnosaurus Epocrates Archimedes Buy PDA Textbooks Skyscape Unbound Medicine PEPID All specialties – most books now available Searchable, hyperlinked, low-weight!

Free PDA Reference Software

Diagnosaurus

Epocrates

Archimedes

Buy PDA Textbooks

Skyscape

Unbound Medicine

PEPID

All specialties – most books now available

Searchable, hyperlinked, low-weight!

Archimedes Medical Calculator E.g. BMI GCS Etc, etc

Medical Calculator

E.g.

BMI

GCS

Etc, etc

Oxford Handbook Standard handbook for UK house officers Example of a textbook on PDA Searchable Includes pictures and flow charts

Standard handbook for UK house officers

Example of a textbook on PDA

Searchable

Includes pictures and flow charts

Create Databases HanDBase Log Books Patient Lists Create any kind of database you like

HanDBase

Log Books

Patient Lists

Create any kind of database you like

Keep Up To Date Evidence Based Software UpToDate Inforetriever Pub Med on Tap AvantGo RSS Feeds Browse the Web

Evidence Based Software

UpToDate

Inforetriever

Pub Med on Tap

AvantGo

RSS Feeds

Browse the Web

Mobile Medicine 2.0 Accessing live information vs storing software on the device Enables social networking applications Geographical positioning technology Adds new functions for social networking What are the medical applications of this?

Accessing live information vs storing software on the device

Enables social networking applications

Geographical positioning technology

Adds new functions for social networking

What are the medical applications of this?

Geo-Social Networking Mobile Phone Triangulation GPS ZYB Mocospace Migg33 Limejuice

Mobile Phone Triangulation

GPS

ZYB

Mocospace

Migg33

Limejuice

Web 2.0 Applications Facebook Twitter Google Apps Google Maps

Facebook

Twitter

Google Apps

Google Maps

Connected Medical Tools ePocrates Unbound Medicine Skyscape

ePocrates

Unbound Medicine

Skyscape

Mobile EMRs LifeRecord iChart

LifeRecord

iChart

Problem with PDAs Small screen size Difficulty data entry Not very powerful Can be expensive Poor usability?

Small screen size

Difficulty data entry

Not very powerful

Can be expensive

Poor usability?

Tablet PCs More suited for integration into Hospital Information Systems Many EHR programs offer Tablet PC support Especially useful for ward rounds and emergency rooms Also used by nursing and paramedical staff

More suited for integration into Hospital Information Systems

Many EHR programs offer Tablet PC support

Especially useful for ward rounds and emergency rooms

Also used by nursing and paramedical staff

MCAs – Mobile Clinical Assistants New specification by Intel Coalition of EHR companies Features: Easy carry handle RFID Reader Bar-code Reader Wipe clean

New specification by Intel

Coalition of EHR companies

Features:

Easy carry handle

RFID Reader

Bar-code Reader

Wipe clean

MCAs Motion Computing and Philips MCAs

Motion Computing and Philips MCAs

In-Betweens UMPCs Like Tablets but slightly smaller Lower specs Internet Tablets Nokia Useful for wireless environment Poor support from medical software companies

UMPCs

Like Tablets but slightly smaller

Lower specs

Internet Tablets

Nokia

Useful for wireless environment

Poor support from medical software companies

Wireless Allow PDAs/Smartphones/Tablets to access hospital systems and the internet Start using online resources: PubMed Cochrane Email Access to hospital record systems VOIP / Bleep Replacement Access to internet outside the hospital Virtual private networks Email Communication between medical devices and monitoring equipment and mobile computing units.

Allow PDAs/Smartphones/Tablets to access hospital systems and the internet

Start using online resources:

PubMed

Cochrane

Email

Access to hospital record systems

VOIP / Bleep Replacement

Access to internet outside the hospital

Virtual private networks

Email

Communication between medical devices and monitoring equipment and mobile computing units.

Medical Devices MCA: Barcode and RFID PDA Spirometry ECG BM

MCA:

Barcode and RFID

PDA

Spirometry

ECG

BM

Summary DIY Less people are using PDAs but more Phones have PDA capability Tablets and MCAs have easier data entry Rise of EMR and ePrescribing makes MCAs more useful Social Networking on Mobile Devices just starting

DIY

Less people are using PDAs but more Phones have PDA capability

Tablets and MCAs have easier data entry

Rise of EMR and ePrescribing makes MCAs more useful

Social Networking on Mobile Devices just starting

Possible Medicine 2.0 Applications Emergency department updates, providing a continuous time line of events, flow of data and knowledge through the care period (it is longitudinal and searchable) Small social networks can be created for complicated patients who need close and careful follow-ups, doctors can be notified when lab results arrive Inform nurses and patients about your whereabouts and activities. Tweet Clouds could be utilised, in an instant to provide a snap shot of current admissions, current workload or case type issues for management. Support groups with various health conditions. Ability to participate in "micro-consults" with patients.

Emergency department updates, providing a continuous time line of events, flow of data and knowledge through the care period (it is longitudinal and searchable)

Small social networks can be created for complicated patients who need close and careful follow-ups, doctors can be notified when lab results arrive

Inform nurses and patients about your whereabouts and activities.

Tweet Clouds could be utilised, in an instant to provide a snap shot of current admissions, current workload or case type issues for management.

Support groups with various health conditions.

Ability to participate in "micro-consults" with patients.