HealthIPADfor every physician<br />To Steve Jobs<br />From Dorine Sijpkens<br />April 2010<br />
World is changing<br />More people<br />Less resources<br />Higher expectations<br />More elderly<br />Not enough doctors<...
Current Health care<br />Medical files on paper<br />Every hospital works with own electronic or paper files<br />Not enou...
So we need to do it better<br />Databases must be available, with copies in every part of the world and supported by physi...
How can we make it better<br />We need the IT work for us<br />Every physician <br />1 HealthIPAD<br />Use the results of ...
Here is my dream HealthIPAD<br />To be adjusted by programmers who have more time and knowledge than I have<br />To be adj...
HealthIPAD Log in<br />Physician<br />Password<br />Iris scan<br />Finger scan<br />HealthIPAD<br />Search own patients<br...
Log in<br />Physician<br />Password<br />Iris scan<br />Finger scan<br />Patient<br />Password<br />Iris scan<br />Finger ...
General information <br />Patient DOB<br />Timeline<br />16/mar/10 General physician<br />15/mar/10 lab<br />10/mar/10 pha...
General information Patient DOB<br />Timeline<br />16/mar/10 General physician<br />15/mar/10 lab<br />10/mar/10 pharmacis...
Current information<br />Specific Anamneses:<br />General Anamneses:<br />Physical examination:<br />General<br />RR, puls...
Additional testing<br />Laboratory results<br />CDC<br />Chem<br />Bacteriology<br /><ul><li>Virology</li></ul>Radiology<b...
Problem list and Conclusion<br />Problem list<br />Problem 1: differential diagnoses<br />Problem 2: differential diagnose...
Arrangements for patient<br />Order tests<br /><ul><li>Laboratory
Radiology
Nuclear</li></ul>Inter collegial consults<br />Orders in case of clinical admission<br />Make appointments<br />Medication...
To others involved</li></ul>Suggestions according guidelines<br />Suggestions in case of guideline recognition<br />sugges...
Research and teaching value<br />Having information of diagnoses, laboratory results and medication together during period...
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Health Ipad

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Health Ipad

  1. 1. HealthIPADfor every physician<br />To Steve Jobs<br />From Dorine Sijpkens<br />April 2010<br />
  2. 2. World is changing<br />More people<br />Less resources<br />Higher expectations<br />More elderly<br />Not enough doctors<br />Need for global health care<br />
  3. 3. Current Health care<br />Medical files on paper<br />Every hospital works with own electronic or paper files<br />Not enough cooperation between<br />doctors and patients<br />doctors and doctors<br />hospitals<br />pharmacists en doctors<br />countries<br />
  4. 4. So we need to do it better<br />Databases must be available, with copies in every part of the world and supported by physicians<br />Patient responsible for own file<br />Simple and Cheap<br />Easy and Fast<br />Research-possibilities<br />Link to knowledge and expertise<br />Payment healthcare centralized<br />
  5. 5. How can we make it better<br />We need the IT work for us<br />Every physician <br />1 HealthIPAD<br />Use the results of the information of other doctors and patients<br />Advise based on the information of the patient linked to new data from labs and tests<br />And use only one database for the information of the patients<br />Let the physician be able to adjust the HealthIPAD with apps according to own needs in their own language<br />
  6. 6. Here is my dream HealthIPAD<br />To be adjusted by programmers who have more time and knowledge than I have<br />To be adjusted by many physicians working with the program<br />
  7. 7. HealthIPAD Log in<br />Physician<br />Password<br />Iris scan<br />Finger scan<br />HealthIPAD<br />Search own patients<br />Add new patient<br />Phone numbers colleagues<br />Background information<br />Own files<br />Calling and e-mail<br />Other apps<br />
  8. 8. Log in<br />Physician<br />Password<br />Iris scan<br />Finger scan<br />Patient<br />Password<br />Iris scan<br />Finger scan<br />
  9. 9. General information <br />Patient DOB<br />Timeline<br />16/mar/10 General physician<br />15/mar/10 lab<br />10/mar/10 pharmacist<br />04/jan/10 eye laser<br />31/dec/09 eye doctor hospital<br />12/nov/09 brain contusion<br />12/nov/09 radiology x4<br />Sep/09 lab<br />Sep/09 internal medicine<br />5/jul/09 internal medicine<br />1/juli/09 cardiologist hospital<br />20/jun/09 lab<br />20/jun/09 general physician<br />04/apr/09 chirurgy hospital<br />16/mar/09 lab<br />02/mar/09 OK – nefrectomyri<br />01/mar/09 radiology<br />Current medications<br />Medication 1 dose<br />Medication 2dose<br />Medication 3 dose<br />Medication 4 dose<br />Medication 5 dose<br />Medication 6 dose<br />Name<br />DOB: --/mon/--<br />Tel / e-mail<br />General Physician<br />Insurance<br />Medical history<br />Date: diagnose<br />Date: diagnose<br />Date: diagnose<br />Date: diagnose<br />Family medical history<br />Intoxications<br />Smoking: Current Past<br />Alcohol: Current Past<br />Other<br />Cocaine: current Past<br />Background information surgery<br />Social information<br />Race<br />Country of Birth<br />In country since<br />Family<br />Job<br />Allergies<br />Date: allergy<br />Date: allergy<br />Date: allergy<br />
  10. 10. General information Patient DOB<br />Timeline<br />16/mar/10 General physician<br />15/mar/10 lab<br />10/mar/10 pharmacist<br />04/jan/10 eye laser<br />31/dec/09 eye doctor hospital<br />12/nov/09 brain contusion<br />12/nov/09 radiology x4<br />Sep/09 lab<br />Sep/09 internal medicine<br />5/jul/09 internal medicine<br />1/juli/09 cardiologist hospital<br />20/jun/09 lab<br />20/jun/09 general physician<br />04/apr/09 chirurgic hospital<br />16/mar/09 lab<br />02/mar/09 OK – nefrectomyri<br />01/mar/09 radiology<br />Current medications<br />Medication 1<br />Medication 2<br />Medication 3<br />Medication 4<br />Medication 5<br />Medication 6<br />Prescribed when by whom, got from pharmacy when ?<br />Name<br />DOB: --/mon/--<br />Tel / e-mail<br />General Physician<br />Insurance<br />Letter on which diagnoses is based<br />Medical history<br />Date: diagnose<br />Date: diagnose<br />Date: diagnose<br />Date: diagnose<br />Family medical history<br />Intoxications<br />Smoking: Current Past<br />Alcohol: Current Past<br />Other<br />Cocaine: current Past<br />Social information<br />Race<br />Country of Birth<br />In country since<br />Family<br />Job<br />Allergies<br />Date: allergy<br />Date: allergy<br />Date: allergy<br />
  11. 11. Current information<br />Specific Anamneses:<br />General Anamneses:<br />Physical examination:<br />General<br />RR, pulse, length, weight, BMI<br />Head/Neck<br />Cor<br />Pulm<br />Abd<br />Extremities<br />Skin<br />Lymfenodes<br />Specific for specialty<br />
  12. 12. Additional testing<br />Laboratory results<br />CDC<br />Chem<br />Bacteriology<br /><ul><li>Virology</li></ul>Radiology<br />Date X-ray: conclusion<br />Date Echo abdomen: conclusion<br />Pictures and movies<br />Connecting care<br />Glucose<br />Tension<br />Other?<br />Suggestions for additional laboratory test<br />Link to up to date, other articles<br />Site effect of medication?<br />
  13. 13. Problem list and Conclusion<br />Problem list<br />Problem 1: differential diagnoses<br />Problem 2: differential diagnoses<br />Problem 3: differential diagnoses<br />Conclusion<br /> Free text<br />Summary for letter<br /> Free text<br />Suggestions<br />
  14. 14. Arrangements for patient<br />Order tests<br /><ul><li>Laboratory
  15. 15. Radiology
  16. 16. Nuclear</li></ul>Inter collegial consults<br />Orders in case of clinical admission<br />Make appointments<br />Medication changes – link to medapp<br />Generate and send letter / mail<br /><ul><li>Period … - …
  17. 17. To others involved</li></ul>Suggestions according guidelines<br />Suggestions in case of guideline recognition<br />suggestions<br />
  18. 18. Research and teaching value<br />Having information of diagnoses, laboratory results and medication together during period of time will give much more insight in medication working and side effects<br />Information can be collected anonymous<br />Putting on and off suggestions of the program will give the student and physician a quick learning curve<br />Attaching with background information and links to articles and “up-to-date” will promote evidence-based healthcare<br />
  19. 19. End of consult<br />Patient decides if the physician keeps access to the file<br />Use information for research purposes<br />Use information for preparing for next consult<br />Enable physician to give answers on additional question patient<br />
  20. 20. Just a HealthApp?<br />No, we need one database, which has to be maintained centrally, which has to have multiple copies and has to keep the patient information private<br />No, we need medical knowledge to implement guidelines, protocols and evidence based information<br />We have to work together! <br />
  21. 21. Conclusion<br />HealthIPAD<br />Good for Patients<br />Good for Doctors<br />Cost effective<br />

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