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Exploring Digital / Wireless Application In Healthcare
                                       Presentation of Research
   ...
Roadmap for Discussion


       I. Introductions and Definitions
       I. Introductions and Definitions




             ...
I
Introductions and Definitions
Introductions
  The Advisory Board Company
  IT Insights team
  Mohammad Al-Ubaydli
     Doctor, University of Cambridge
 ...
Definitions

                                   Doctor’s Dream Device
                 Handheld computer: a computer small...
Avoiding the Mistakes of Others


The challenge
    At the start of 2006 there were over 600 papers in PubMed™ that dealt ...
II
Matching the Wireless Device to Clinical Needs
Success on the Move

                                                           Case in Brief
                            ...
Pocket PC PDA Confusing to Clinicians




                                              Project Almost Abandoned
         ...
Palm OS Smartphone Lacked Multitasking

                     Treo Smartphones with Palm Operating System Promising
       ...
III
Refining the Medication Reconciliation Process
Nurses’ Perceptions Slowing Adoption of Bar Coding
Striking a balance
Combining the Best of Both Worlds
Raising Awareness, Reducing Errors
Avoiding the Mistakes of Others




 www.handheldsfordoctors.com/research

       Mohammad Al-Ubaydli, MD
        alubaydm...
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Transcript of "07.09.02"

  1. 1. Exploring Digital / Wireless Application In Healthcare Presentation of Research Mohammad Al-Ubaydli, M.D. September 2, 2007
  2. 2. Roadmap for Discussion I. Introductions and Definitions I. Introductions and Definitions II. VCU Hospital: Admissions and Billing II. VCU Hospital: Admissions and Billing III. Refining the Medication Reconciliation Process III. Refining the Medication Reconciliation Process IV. Q&A Discussion IV. Q&A Discussion
  3. 3. I Introductions and Definitions
  4. 4. Introductions The Advisory Board Company IT Insights team Mohammad Al-Ubaydli Doctor, University of Cambridge Programmer, National Center for Biotechnology Information Management Consultant, The Advisory Board Company
  5. 5. Definitions Doctor’s Dream Device Handheld computer: a computer small enough to hold in your hand Personal Digital Assistant (PDA): a handheld computer Smartphone: a handheld computer that can make telephone calls Mobility: small form factor and long battery life Connectivity: cellular, WiFi, infra-red Ubiquity: every clinician already knows how to use their phone Addition, not Replacement
  6. 6. Avoiding the Mistakes of Others The challenge At the start of 2006 there were over 600 papers in PubMed™ that dealt with handheld computers. Many lessons have accumulated in the clinical literature but we need to understand and assimilate these lessons. The challenge is to provide these lessons as peer-reviewed and unbiased summaries based on scientific fact, not marketing hype. The Scholarships Five exceptional students from around the world will be selected each year to review selected literature and make summary reports that will be published in the Mobile Medical Computing Reviews journal. The Scholarship winners will be mentored and trained by Dr. Mohammad Al-Ubaydli, author of four books, including “Handheld Computers for Doctors”. The results Once complete, the reviews will be published and freely available through the website of the new journal Mobile Medical Computing Reviews. Each student will be able to quote their own reviews in their list of publications. www.handheldsfordoctors.com/research
  7. 7. II Matching the Wireless Device to Clinical Needs
  8. 8. Success on the Move Case in Brief Physicians perform electronic charge capture and review clinical results with PocketPC (Treo) Smartphones Successful only after failed attempts with PocketPC PDAs and Palm OS Smartphones VCU Health System $800,000 annualized revenue for 1 department from: missing charge 779-bed academic rate 15.7% --> 0.07% and charges within 10 days 25% --> 90% medical center Will deploy to 600 physicians after the success of the pilot with 40 Located in physicians Richmond, VA Software on smartphone includes: Patientkeeper integrating with Cerner Infrastructure EMR Secure VPN tunnel through UpToDate medical reference Sprint PCS SPB Software and integrating with Remote PocketPC monitoring corporate contacts through MobiControl Google Maps, local weather Lotus Notes to PocketPC via Show missed pages iAnywhere
  9. 9. Pocket PC PDA Confusing to Clinicians Project Almost Abandoned Reconnecting to different wireless stations around the hospital too complicated Battery life too low because of Wi-Fi usage and failure to recharge would lead to cumbersome reinstallation of software Physicians refused to use devices Pocket PCs connect to Wi-Fi WiFi network available throughout hospital.
  10. 10. Palm OS Smartphone Lacked Multitasking Treo Smartphones with Palm Operating System Promising Friendly user interface and constant connectivity through cellular network Log into EMR Log into e-mail Log into EMR Switching Too Cumbersome Palm operating system does not have multi-tasking Physician must log into electronic medical record and e-mail software Switching to application expires authentication of previous application Clinical work relies on constant switching between tasks
  11. 11. III Refining the Medication Reconciliation Process
  12. 12. Nurses’ Perceptions Slowing Adoption of Bar Coding
  13. 13. Striking a balance
  14. 14. Combining the Best of Both Worlds
  15. 15. Raising Awareness, Reducing Errors
  16. 16. Avoiding the Mistakes of Others www.handheldsfordoctors.com/research Mohammad Al-Ubaydli, MD alubaydm@advisory.com +1 202 266-5425
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