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Tablets, Laptops, Netbooks & the iPad: Selecting an Effective Device for Point of Care Documentation (2011 NAHC Conference Session - updated)
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Tablets, Laptops, Netbooks & the iPad: Selecting an Effective Device for Point of Care Documentation (2011 NAHC Conference Session - updated)

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Effective point-of-care (POC) documentation begins with the right POC device. This 2011 NAHC conference session explored different POC devices and demonstrated a path attendees could follow in......

Effective point-of-care (POC) documentation begins with the right POC device. This 2011 NAHC conference session explored different POC devices and demonstrated a path attendees could follow in making an informed choice. Attendees heard the case study of one home health agency's decision to switch from a tablet PC (using client-server software) to the iPad (using Web-based software).

Download the session #214 audio recording at http://bit.ly/nahcsession214

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  • 1. Tablets, Laptops,Netbooks &the iPadSelecting an Effective Devicefor Point of CareDocumentation
  • 2. Optimal Care, Inc.Background
  • 3. Presentation ObjectivesIdentify the barriers and benefits of POC documentationIdentify your optionsUnderstand the pros and cons of using each deviceLearn from Optimal Cares experiencesAnswer key questions to help you make an informeddecisionFollow a decision making path Innovation that’s easy to use.
  • 4. Optimal Decision Making Path Innovation that’s easy to use.
  • 5. Step 1: Analyze Your Current SituationWhat types ofdevices are youusing for POCdocumentation?What type of system(MR/EMR) are youcurrently using fordocumentation? Areyou still on paper?
  • 6. POC Documentation Benefits of Using Technology at POCReal-time informationDocumentationInterdisciplinary communicationCoordination of careEfficiencyReduce mileageEmployee satisfaction Innovation that’s easy to use.
  • 7. POC Documentation Barriers of Using Technology at POCPatient interactionClinician resistanceCost/affordabilityLearning curve/training/supportPotential loss/damageExtra piece of equipment to carry Innovation that’s easy to use.
  • 8. Step 2: Identify the Opportunity orProblem
  • 9. Step 3: Establish Your GoalsExample: To select a device that will help youto remove these barriers and experience thebenefits of improved POC documentation.
  • 10. Step 4: Research / Identify Your OptionsInternet researchNetworkingEmployee feedbackTest devicesWeb demonstrationsGet references – site visit
  • 11. What’s Out There?
  • 12. Step 5: Evaluate Your OptionsNotebook/LaptopNetbookTablet PCNew tabletsOther (e.g., handheld/smartphones)
  • 13. What to Look for in a POC Device POC Software CompatibilityClient-server Solution: Web-based Solution: Notebook/Laptop Notebook/Laptop Tablet PC Tablet PC Netbook New tablets Innovation that’s easy to use.
  • 14. What to Look for in a POC Device Prioritize this ListCompatibility (Software & ConnectivityFlash) Battery lifeAffordability CameraPortability PerformanceEase & speed of use StorageDisplay (size) Apps/other softwareMulti-functionality Accessories Innovation that’s easy to use.
  • 15. Comparing POC Devices Best in Each Class Laptop Netbook Tablet PC TabletsInitial Investment XMonthly Access XPortability XWeb-based EMR X XWeb-based & Client-Server X XFlash Compatibility X X X (X)Intuitive (Less Training Req.) XSpeed of Use XEase of Documentation X X XReduced patient barrier X XBattery Life XCamera XStorage X XMaintenance X
  • 16. POC DevicesNew TabletsApple iPad/iPad 2Motorola XoomSamsung Galaxy TabDell StreakKey Items - Other Tablets: • BlackBerry PlayBook • HP TouchPad - Don’t Buy • LG G-Slate Innovation that’s easy to use.
  • 17. New Tablets Key BenefitsEasy to carryEasy to useCost effectiveMore efficientReduces common barrierUseful applicationsOther usage opportunities Innovation that’s easy to use.
  • 18. New TabletsKey Benefits
  • 19. Tablets Key DifferencesScreen size Storage options(7-10 in) Cameras3G/4G connectivity Apps/other softwareWireless carriers AccessoriesCompatibility (EMR &Flash)Operating systems Innovation that’s easy to use.
  • 20. iPad 2 vs. iPad Key Differences iPad 2 iPadInitial Investment $629-829 $429-529Monthly Data Plan $15-30 $15-25Carriers AT&T + Verizon AT&TDisplay 9.7 in 9.7 inSize 9.5 x 7.31 x 0.3 in 9.56 x 7.47 x 0.5 inWeight 1.33 lbs 1.5 lbFlash Compatibility X XBattery Life 10+ hrs 10 hoursCameras (flash?) Dual (No flash) XMemory 512RAM (1600 img) 256RAM (800img)Expandable Memory X XOperating System iOS iOS
  • 21. iPad 2 vs. Motorola XOOM Key Differences iPad 2 Motorola XOOMInitial Investment $629-829 $599-799Monthly Data Plan $15-30 $20-30Carriers AT&T + Verizon VerizonDisplay 9.7 in 10.1 inSize 9.5 x 7.31 x 0.3 in 9.8 x 6.6 x 0.51 inWeight 1.33 lbs 1.61 lbsFlash Compatibility X YesBattery Life 10+ hrs 10 hrsCameras (flash?) Dual (No flash) Dual (LED flash)Memory 512RAM (1600 img) 1GB (3500 img)Expandable Memory X YesOperating System iOS Android Honeycomb
  • 22. iPad 2 vs. Samsung Galaxy 10.1 Key Differences iPad 2 Galaxy Tab 10.1Initial Investment $629-829 $529-729Monthly Data Plan $15-30 $20-30Carriers AT&T + Verizon VerizonDisplay 9.7 in 10.1 inSize 9.5 x 7.31 x 0.3 in 10.1 x 6.9 x 0.34 inWeight 1.33 lbs 1.24 lbsFlash Compatibility X YesBattery Life 10+ hrs 9-10 hrsCameras (flash?) Dual (No flash) Dual (Yes)Memory 512RAM (1600 img) 1GB (3500 img)Expandable Memory X XOperating System iOS Android Honeycomb
  • 23. Galaxy Tab 7.0 vs. Dell Streak 7 Key Differences Galaxy Tab 7 Dell Streak 7Initial Investment $200-700 $199-449Monthly Data Plan $15-30 $30 AT&T, Verizon, SprintCarriers T-Mobile & T-MobileDisplay 7 in 7 inSize 4.76 x 7.48 x 0.47 in 7.87 x 4.72 x 0.49 inWeight 0.83 lb 1 lbFlash Compatibility Yes YesBattery Life 9-10 hrs *4 hrsCameras (flash?) Dual (Yes) Dual (LED flash)Memory 1GB (3500 img) 512MB (1600 img)Expandable Memory X YesOperating System Android Honeycomb Android 2.2 (Froyo)
  • 24. Optimal Decision Making Path Innovation that’s easy to use.
  • 25. Case StudyOptimal Care’s MissionTo provide the highest quality care with compassion and respect for each personthrough personal, clinical and technological excellence.
  • 26. Optimal Care Case Study TimelineCensus started at 20 patients and grew rapidly to a census of 200 in first year 2006: Paper documentation – standard- based forms 2008: Transitioned to client-server system using Tablet PCs 2010: Transitioned to Web-based system using iPads and multiple devices Innovation that’s easy to use.
  • 27. Optimal Care in 2008 Client-server Software + Tablet PCsInitial Investment $300,000Monthly Costs $5,000License Fees User $3,500/User Host $4,000/Host HHA $3,000/HHA License Laptops/Tablet PCs $2,000/EachPDAs – HHA Documentation $50/Mo Activation Security Software Licenses $120/Tracking
  • 28. Client Server Software Solution WeaknessesAdministrative: Clinical: Cost for growth Device limitations Device Delayed documentation License Lengthy sign-on time Dependence on IT • Tablet PC Training – 40+ Hours • Software program Theft – HIPAA concerns Employee dissatisfaction Innovation that’s easy to use.
  • 29. Tablet PC WeaknessesLarger, more difficult to carryWeak battery lifeInternet accessUpdatesRequirements Innovation that’s easy to use.
  • 30. Web-based Software Solution OpportunitiesAdministrative: Clinical: No upfront costs or costs More oversight for growth Coordination of care Integrated billing/financial Improved communication Real-time QA Survey-ready Reporting capability Improved documentation Reduce IT needs Process improvement No HIPAA concerns Innovation that’s easy to use.
  • 31. Optimal Care in 2010 Goals for New Software + DevicesTo find a mission-driven solution for bothadministrative and clinical care needsEmployee satisfactionAdministrative oversightReal-time documentation Innovation that’s easy to use.
  • 32. Optimal Care Case StudyWeb-based Software + iPadsInitial Investment $35,000Monthly Costs(Maintenance + $5,500Web)License Fees $0Tablets $600/EachWeb Connection $15-25/MonthFees Innovation that’s easy to use.
  • 33. POC Devices Optional Financing ModelsEmployer sponsoredEmployee ownedHybridThird party sponsored Innovation that’s easy to use.
  • 34. Apple iPad OpportunitiesAdministrative: Clinical: Affordable pricing & Easy to use & carry plans GPS Dependable Performance Less training needed Patient education tool Works with EMR Compatible keyboard cases Innovation that’s easy to use.
  • 35. Optimal Care ResultsiPads provided to all cliniciansTrue Point of Care>90% of actual POC documentation Improves work/life balance“The iPad is Wonderful! I no longer go home andspend the evening with a laptop on my lap. My workis already done.”
  • 36. Optimal Care ResultsHire & retain good staff
  • 37. Optimal Care ResultsQuality assurance oversightSurvey/record audit-readyReal-time interdisciplinary communicationUsing the latest technology to deliver thehighest quality care“With the iPad, I can now play my patient’sfavorite music as part of her dementia care!”
  • 38. Optimal Decision Making Path Innovation that’s easy to use.
  • 39. Optimal Care TipsFlexibility is key Have a backup planRemain open to better Anticipate anxietyopportunities Mutually set a realisticUtilize the benefits of learning curvetechnology advancement Invest in device accessoriesTech excellence Try new ways of using yourcontributes to clinical deviceexcellence! Innovation that’s easy to use.
  • 40. Questions? Kristyn Gall:kgall@optimalcareinc.com Coleen Murphy-DeOrsey:cmurphy@optimalcareinc.com Mindy Pillow:mindy.pillow@kinnser.com
  • 41. Kinnser Software The Features You Need for the Work You Do Compatibility with touchscreen tablets such as the Apple iPad A complete, Web-based point of care solution for all clinical disciplines Automatic Traditional Medicare eligibility checks Secure submission of claims Instant Medi-Span drug database screening Fast, intuitive scheduling OASIS checks & much more!www.Kinnser.com Innovation that’s easy to use.(877) 399-6538