Mobile computing in medicine

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This presentation covers advances in mobile computing and shows how this can be used in medical practice to improve patient care. The latter part of the presentation covers the apps I use professionally to enhance my medical practice

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Mobile computing in medicine

  1. 1. Mobile technology in medicine Drew Provan Barts & The London School of Medicine & Dentistry Queen Mary University of London drewprovan@mac.comUK/OTH/0913/0024 DOP September 2013 Monday, 9 September 13
  2. 2. I have no shares in Apple Monday, 9 September 13
  3. 3. Technology advances mHealth Why are iPad/iPhone so useful? Who is using this tech? Personal productivity app choices Monday, 9 September 13
  4. 4. The world has gone digitalMonday, 9 September 13
  5. 5. 24/7 communication instant access to information whenever we want it Monday, 9 September 13
  6. 6. Monday, 9 September 13
  7. 7. Monday, 9 September 13
  8. 8. Tech addiction http://techland.time.com/2012/08/16/your-life-is-fully-mobile/ could not go a single day without their cellphones sleep with their phone next to them check their phone every 10 minutes 84% 50% 20% Monday, 9 September 13
  9. 9. Last thing we touch before sleep first thing we reach for when we wake Monday, 9 September 13
  10. 10. Less use of paper records Electronic records, radiology, results, etc NHS transformed Monday, 9 September 13
  11. 11. Electronic patient records Appointment managementElectronic remindersVideo conferencingDigital assets (textbooks, protocols, formulary) Data capture (epidemiology, planning, targets) NHS Digitisation Monday, 9 September 13
  12. 12. Electronic patient records Appointment management Electronic reminders Video conferencing Digital assets (textbooks, protocols, formulary) Data capture (epidemiology, planning, targets) Monday, 9 September 13
  13. 13. Digital technology changing the way we communicate socialise teach deliver healthcare do business Monday, 9 September 13
  14. 14. Significant advances in IT? Monday, 9 September 13
  15. 15. Mobile computing Monday, 9 September 13
  16. 16. Mobile computing Monday, 9 September 13
  17. 17. Monday, 9 September 13
  18. 18. Cloud services Office 365 Dropbox iCloud Evernote Google docs Adobe Facebook, Twitter, etc In-house cloud service Monday, 9 September 13
  19. 19. Key to mobility Monday, 9 September 13
  20. 20. Keep everything in sync Monday, 9 September 13
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  23. 23. Monday, 9 September 13
  24. 24. Telehealth Monday, 9 September 13
  25. 25. Telehealth Monday, 9 September 13
  26. 26. Mobile health advantages BYOD — reduced cost for employer Not tied to desktop Update notes, review results etc anywhere Share results at bedside Monday, 9 September 13
  27. 27. mHealth 5000 fitness/healthcare apps Remote monitoring BP, glucose, chronic disease etc Reduce hospital readmission rate Revenues from remote patient monitoring $1.9 bn by 2014 Monday, 9 September 13
  28. 28. What do we want? Monday, 9 September 13
  29. 29. Portable Instant on Connected Easy to use Monday, 9 September 13
  30. 30. Functionality “office”functions Browsing Store & access files, PDFs, video, etc High quality display Access to Electronic Patient Records (EPR), radiology, results, letters Monday, 9 September 13
  31. 31. What’s available? Monday, 9 September 13
  32. 32. Smartphones iPhone BlackBerry Google Android Microsoft Windows 8 Nokia Symbian Tablets iPad Android BlackBerry Playbook Windows others Monday, 9 September 13
  33. 33. Why are iPad and iPhone so useful? Monday, 9 September 13
  34. 34. Simplicity Instant on & fast Great screen (pics/movies) e-reader, PDFs, Word files, x-rays Cheap to deploy Secure (CESG*) CESG is the Information Assurance arm of GCHQ Monday, 9 September 13
  35. 35. Key feature: content Monday, 9 September 13
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  37. 37. >900,000 total iOS apps 375,000 for iPad 20,000+ medical apps Medicine, nursing, dentistry Number growing >50 billion apps downloaded Monday, 9 September 13
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  42. 42. Can iPads/iPhones improve patient care? Monday, 9 September 13
  43. 43. Yes More (quality) time with patient Better education of patients FaceTime/Skype calls — docs, patients Remote monitoring (symptoms, results) No barrier — not“computers” Monday, 9 September 13
  44. 44. Who’s using this technology? Monday, 9 September 13
  45. 45. Monday, 9 September 13
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  47. 47. Monday, 9 September 13
  48. 48. Apple (iOS) devices Canada Ottawa Mount Sinai, Toronto USA Cedars Sinai, USA Memorial Hermann, USA St Louis Children’s Hospital, USA Japan Jikei University Hospital, Japan Teikyo University Chiba Med Center, Japan Australia Southern Health (speech) Casey Hospital, Victoria Melbourne, others Monday, 9 September 13
  49. 49. Pilots in UK (Apple) Leeds General Practice Oxford Radcliffe Pharmacy Electronic Patient records London Guys Electronic Patient Records Results, x-rays etc London Newham Electronic Patient Records Manchester iPod Touch for nurses Monday, 9 September 13
  50. 50. Are they secure? Monday, 9 September 13
  51. 51. Are they secure? Yes Monday, 9 September 13
  52. 52. * Inactivate camera, central mx, prevent access if poor compliance Monday, 9 September 13
  53. 53. Security Hardware & software encryption Wi-Fi: WPA/WPA2, 802.1X authentication Monday, 9 September 13
  54. 54. The trend Desktops/laptops used less Mobile technology will dominate Hospitals, schools, universities, business, etc Less use of books and paper records Communication improvements Monday, 9 September 13
  55. 55. Location-based information Geofencing Clinical cases on arrival Directions to hospital Medication updates Next appointment info Monday, 9 September 13
  56. 56. Augmented reality: Blippar blippar.com Monday, 9 September 13
  57. 57. Monday, 9 September 13
  58. 58. Barriers Cost Unfamiliar IT departments Perceived security issues Easy to steal Monday, 9 September 13
  59. 59. Personal app choices Monday, 9 September 13
  60. 60. Social/professional networking LinkedIn Biomed Experts Twitter facebook digitome Google+ Monday, 9 September 13
  61. 61. Cloud computing Monday, 9 September 13
  62. 62. iCloud Monday, 9 September 13
  63. 63. iCloud Monday, 9 September 13
  64. 64. Downsides No“folder” Hard to see files, move, delete etc Monday, 9 September 13
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  68. 68. Real work! Monday, 9 September 13
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  73. 73. Monday, 9 September 13
  74. 74. 1Password Monday, 9 September 13
  75. 75. Printing Monday, 9 September 13
  76. 76. Printing: Print n Share Monday, 9 September 13
  77. 77. Monday, 9 September 13
  78. 78. VNC (virtual network computing) Monday, 9 September 13
  79. 79. Monday, 9 September 13
  80. 80. Screens Monday, 9 September 13
  81. 81. Monday, 9 September 13
  82. 82. Things Monday, 9 September 13
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  96. 96. Word docs ➡ Pages, Documents to Go PowerPoint ➡ Keynote, Documents to Go Excel ➡ Numbers, Documents to Go PDF files ➡ iBooks, Good Reader File storage ➡ Dropbox Academic paper storage ➡ Papers Notes, photos, etc ➡ Evernote Business networking ➡ LinkedIn Notepad ➡ Penultimate To-do lists ➡ Things Monday, 9 September 13
  97. 97. Install limited number of productivity apps Learn to use them Integrate with desktop/laptop Monday, 9 September 13
  98. 98. Will mobile tech replace laptop? Monday, 9 September 13
  99. 99. Information consumption vs. authoring Monday, 9 September 13
  100. 100. NO Capacity Editing, slide design, illustration Some apps similar but not the same File management awkward (no folders) Typing Monday, 9 September 13
  101. 101. Summary Mobile technology has changed everything Unstoppable — not going away Need to integrate into practice, teaching Mobile devices can aid productivity We are willing to use them IT departments need to get on board Monday, 9 September 13
  102. 102. Monday, 9 September 13

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