Information Anywhere<br />Mobile Technology, Libraries and Health<br />
Agenda<br />Introduction<br />The Modern Mobile/Smartphone Landscape<br />Development and Design Part I: Mobile Site Gener...
Mobile is everywhere<br />More people today have access to a mobile phone than to clean water or the electrical grid.<br /...
Mobile Devices<br />Apple iPhone, iPod Touch<br />Droid<br />Blackberry Curve and Storm<br />HTC<br />Palm<br />Kindle<br ...
mHealth<br />The practice of medicine and public health, supported by mobile devices, such as smart phones and wireless co...
“…smartphones are not miniature PCs but ‘a whole ecosystem with its own set of rules’”<br />Alexandre Mars, "Importing Mob...
Statistics	<br />aka “Preaching to the Choir”<br />
Mobile Phone Adoption Worldwide<br />Subscriber base > 5 billion<br />China: 57 % of population<br />India: 48 % of popula...
How do people feel about their phones?<br /><br />
Demographics in general<br />
How are people using their mobile phones?<br />
How are people using their mobile phones?<br />
Statistics Overload<br />95% send or receive text messages<br />93% use their phone to take pictures<br />81% send photos ...
15% of all adults who use a cell phone to look for health information<br />
How are YOU using mobile technologies?<br />How are the doctors or other health professionals using mobile technologies?<b...
iOS devices<br />iPhone, iPad, iPod Touch<br />Available through AT&T, Verizon, Sprint<br />Debuted in 2007<br />Apps deve...
Android devices<br />Too many to list<br />Available on all major carriers<br />Debuted in 2008<br />Apps developed in Jav...
Blackberry & Microsoft Devices<br />BB<br />Too many to list<br />Available on all major carriers<br />Debuted in ~1996<br...
Which platform to support?<br />Mobile web use<br />(August 2010)<br />Market share – devices sold<br />(July 2010)<br />A...
Tablets<br />Apple iPad<br />HP TouchPad<br />Samsung Galaxy<br />
Apps Available on Tablets<br />
Developing and Designing for mobile Part I<br />Web App Development<br />
Pre Development<br />Survey!  Who’s your audience? What mobile devices are they using?  How are they using them?<br />Are ...
Single platform
Full hardware access (GPS, camera, accelerometer, etc.)
Can be used offline
Tricky to get usage statistics
Make new version for each platform</li></ul>Webapp<br /><ul><li>HTML, CSS, Javascript
Mutli-platform (with caveats)
Limited hardware access (GPS?)
Requires Internet connection (with caveats)
Standard webstats (with caveats)</li></li></ul><li>Dedicated Mobile Website vs Native App<br />HTML5<br />Allow visitors t...
Designing for the Mobile Web<br />Prioritize features and content<br />Sacrifice!<br />Reduce levels of hierarchy for cont...
Work with what you have<br />Modifying the ‘meta name’ in the HTML of the website<br /><meta name="viewport" content="widt...
Work with what you have<br />Media Queries aka Adaptive Layout<br /><link rel="stylesheet" href="…" media="print" /><br />...
Resources to Help with Mobile Web Development<br />HTML5<br />How to Build a Mobile Website, http://www.smashingmagazine.c...
Handheld-Friendly Library Websites<br />
UIC Mobile Site Walkthrough<br /><br />
Sample Pages<br />
UpToDate and IEEE Xplore<br />
Using Mobile Site Generators<br />Left: Mobile Site Generator created by Chad Haefele (NCState), among others we will look...
Mobile Devices and Health<br />
The Times, They are a Changin’<br />1994<br />1929<br />2011<br />
<ul><li> Digestible</li></ul>  RFID Pills<br />NETWORK<br /><ul><li> Sphygmomanometer
Blood pressure
 Blood sugar
 Bathroom Scale
 Water loss/gain
 Smart Band-Aids</li></ul>   - Chemistry<br />
Physician Adoption<br /># of physicians who own smartphones will increase from 64% in 2009 to 81% by 2012<br />No longer u...
Patient Communication and Disease Management<br />Appointment reminders<br />Medication reminders<br />Patient education<b...
Access to Resources<br />Formularies<br />Guidelines<br />Decision support<br />Medical Calculators<br />
Point-of-Care Documentation<br />Patient History Access<br />Patient Info Capture<br />Transmission of Patient Info<br />
Education Programs<br />Teaching clinicians<br />Patient Education<br />
Administration & Financials<br />Mobile clinical assistants<br />Self check-in<br />Asset tracking<br />Scheduling<br />Be...
Ambulance/EMS<br />Advance triage<br />Patient record<br />Emergency self-care<br />First aid information<br />
Public Health<br />Track diseases<br />Mapping applications<br />Dissemination of information re: outbreaks<br />Ex. NYC C...
Pharma/Clinical Trials<br />Patient feedback systems<br />Automatic, scheduled and ad hoc information transmission<br />Re...
Body Area Network (BAN)<br />Mobile wearable or implanted sensors<br />Monitors chronic disease<br />Transmits data in rea...
49<br />mHealth – NLM Mobile Applications<br /><br />
Personal Health & Wellness Apps<br />Calorie Counters<br />Lose It!<br />MyFitnessPal<br />Medication Compliance<br />Meds...
Clinical Apps<br />Calculators<br />Calculate by QxMD<br />MedCalc<br />Current Updates<br />MedPage Today<br />Public Hea...
Research & Library Apps<br />Searching<br />PubMed Mobile Beta (website)<br />PubMed OnTap<br />Ready Reference<br />Epony...
Productivity<br />Note-taking/Lists<br />Evernote<br />Springpad<br />Personal Finance<br /><br />PageOnce<br />Tr...
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  • The first photo is of someone using their cellphone to take a photo at a concert. The second one is from Zimbabwe (I think). Phones are changing healthcare in Africa (9/27/2011)4 orgs that have mobile campaigns in Africa:* Praekelt Foundation: eVillages: “bringing the latest mobile technology to practitioners in need” – this is a program from the RFKennedy Center for Justice &amp; Human Rights that Kara Kennedy was in charge of the organization until her death in September 2011The program will deliver those doctors and healthcare workers with new and refurbished mobile devices preloaded with clinical decision support reference tools like drug guides, medical alerts, journal summaries and references pulled from Skyscape, a medical reference app company. mHealth Alliance: - some projects include SMS based drug counterfeit checker developed by HP, communications systems that connect doctors and patients and SMS alerts on the spread of local diseases, etc.Medic Mobile: SMS-based platform allows patients to get home-based care even if they can’t be physically visited by a caregiver. The organization launched a pilot program in Malawi which, in six months, saved the clinical staff an estimated 1,200 hours follow-up time and more than $3,000 in fuel and transportation costs. In addition, more than 100 patients received treatment for TB after their symptoms were noticed by the community and reported by text message.Context-Aware AppsApps that leverage information about a user’s interests, intentions, history, environment, activities, schedule, priorities, connections and preferences to serve up the most appropriate product or service. Google does this very well. Many mobile carriers do some of this but should do better (including better privacy controls).Location-Based ServicesLocation-based services mobile apps will reach 1.4 billion users by 2014 (according to Gartner)What’s cool about Foursquare, Gowalla, Facebook Places, Google Latitude is that they offer ways for users to interact with others by letting them know where they are from their mobile phones via “check ins”Mobile VideoSmartphones with 4.3” or larger screens have made consumption of mobile video from YouTube, Hulu etc. more palatable. Mobile E-MailGartner says mobile e-mail users worldwide will increase from 354 million in 2009 to 713 million in 2014.Mobile IMGartner also believes that mobile instant messaging will be a boon for service providers like Skype. To be successful, they must integrate it with location and presence.Mobile SearchWhat about marrying technologies like Google Shopper and a voice technology like Google Voice ActionsMobile Commerce and Mobile Payments- attachments for mobile paymentsGoogle payments working with Android phonesPaying for items like Starbucks coffee
  • There are 3 major standards, just in the past few years. Apple (ios)AndroidWindowsThe rest are not as major of players.
  • The FDA is getting involved with regulations of mobile medical apps. Docket No. FDA–2011–D–0530]Draft Guidance for Industry and Food and Drug Administration Staff; Mobile Medical Applications; AvailabilityAGENCY: Food and Drug Administration, HHS.”The Food and Drug Administration (FDA) is announcing the availabilityof the draft guidanceentitled ‘‘Mobile Medical Applications.’’ FDA is issuingthis draft guidancetoinformmanufacturers, distributors, and otherentitiesabouthow the FDA intendstoapplyitsregulatoryauthoritiestoselect software applicationsintended for use on mobile platforms (mobile applications or ‘‘mobile apps’’). At thistime, FDA intendstoapplyitsregulatoryrequirementssolelyto a subsetof mobile appsthat the Agency is calling mobile medicalapplications (mobile medicalapps). This draft guidance is not final nor is it in effect at thistime.” The publiccan make comments on this draft at anytime, but for themto get yourcomments and applythemto the draft, submitcomments by 10/19/2011.
  • Universities and Libraries Move to the Mobile WebBy Alan W. Aldrich smartphones (and their applications) have converged with cloud computing to change the ways people interact with each other and their environments.The academic community has only recently adopted mobile technology, and the few existing studies focus on one or two institutions rather than taking a cross-institutional view of mobile websites.The study reported here examined the mobile websites of large research universities and their libraries in the United States and Canada.Results found that few functions on university mobile websites clearly addressed educational needs, highlighting an opportunity to provide more educational links and applications.Looking at regular sites on mobile browsers – possible, but not ideal. at this which talks about web apps versus native apps:
  • the Pew Internet and American Life Report (2010)Six in ten American adults are now wireless internet users, and mobile data applications have grown more popular over the last year.Pew Internet and American Life (July 2011)42% of cell phone owners own a smartphone (as of May 2011). Since 83% of Americans own some kind of mobile phone, this means that 1/3 of all American adults (35%) are smartphone owners. At the same time, many people don’t understand the term “smartphone” so these numbers are surely not accurate.Cisco says: It would take more than 2 years to watch the amount of video that will cross global IP networks every second in 2014.  It would take 72 million years to watch the amount of video that will cross global IP networks during calendar year 2014. (from Network World May 9, 2011)
  • other findings, that Pew Research study found that:Two-thirds of adult cell phone users who have apps actually use them.One in ten adults with a cell phone has downloaded an app in the past week; one in five 18-29 year-old cell phone users has done so. One in eight adults with a cell phone has paid to download an app.Heavy technology users are particularly likely to have apps on their phones and to use the apps they have.
  • Six in ten American adults are now wireless internet usersMay 2010: 59% of all adult Americans go online wirelesslyTwo in five adults (40%) use one of the following on a mobile device: use the internet, email, instant message on a cell phoneThis is an increase from 32% in 2009.Commercial organizations take advantage of smartphones&apos; characteristics to offer goods and services to their customers. Banks use the GPS feature in apps that leverage the user&apos;s location by providing targeted information such as the nearest automatic teller machine.15 Insurance companies16 have deployed apps that let customers access their accounts, obtain checklists on what to do following an accident, and initiate the claims process.17 Retail stores provide mobile web access to goods through specific store apps or through links embedded within online advertisements.18 Pizza chains, where food orders include an assemblage of ingredients and choices, are promoting apps that allow customers to create and order pizzas online. This saves time, improves the accuracy of orders, and creates a customer database for future orders.19 The ability to pay for goods and services using a smartphone is part of this dynamic environment. Apps that transfer information including monetary exchange across smartphones by simply touching or bumping phone devices together allow smartphones to function as credit/debit devices.
  • African-Americans and Latinos continue to outpace whites in their use of data applications on handheld devices. Continuing a trend we first identified in 2009, minority Americans lead the way when it comes to mobile access—especially mobile access using handheld devices. Nearly two-thirds of African-Americans (64%) and Latinos (63%) are wireless internet users, and minority Americans are significantly more likely to own a cell phone than their white counterparts (87% of blacks and Hispanics own a cell phone, compared with 80% of whites).  Additionally, black and Latino cell phone owners take advantage of a much wider array of their phones’ data functions compared to white cell phone owners. It is important to note that our data for Hispanics represents English-speaking Hispanics only, as our survey did not provide a Spanish-language option.
  • Among 18-29 year old cell phone owners
  • -iOS – name change – like Windows, OSX, etc-Smooth user experience is key-Prime concern: function. Advanced functionality too tricky to implement? Don’t do it.-250k apps (9/10)– what does that really mean? Vibrancy &amp; health-Games
  • TR L-R:Robotvision (Augmented Reality)StarbucksWISERUniversity of Illinois (website not an app)BR L-R:DiagnosaurusJohns Hopkins ABX GuideiFitnessPubMed for Handhelds
  • -Android is an OS, not a phone-Open source OS,tweakable-fragmentation issues?
  • NY TimesFacebookDesktop – customizability/widgetsRdioCardiotrainerListenDropbox – some apps are on multiple platformsGoogle Maps – tight integration of Google servicesQuality improved lately, but chicken or egg?
  • - article about the number of apps on MS Windows Phone as of August 2011Windows Phone Marketplace is now available in a browser near you:
  • -This is what it looked like when we started developing, different now-US stats only-Other= Palm, Windows, etc.
  • Samsung:O/S -Android 3.1 HoneycombRAM – 1 GBWeight – 1.32 lbs6.71 in x 9.69 in x .43 in16 gb Flash Memory$499iPad7.31 in x 9.50 in x .34 in1.33 ibO/S: iOHP TouchPad9.45 x 7.48 x 0.54 inO/S: webOSFuture Uses for the iPad in the Operating Room: A Game Changer? (9/27/2011)
  • Top: iBooks,,FlipboardBottom: Twitter, Clinical Trials, Quickoffice, USA TodayDemo iPad in class at this point.
  • Example: http://mobile.hsl.virginia.eduWhat’s involved with creating mobile websites? Content decisions when creating a mobile website:(Pew Internet and other sources) Good idea to do research about the mobile internet user landscape – it’s large and growing fast. They are also ethnically and socioeconomically diverse, and use a variety of devices and there is no age limit.Best practices – users want snackable pieces of content. They do not want to scroll and scroll in an app to get the information they need/want.Do you create a mobile website or a mobile application?Mobile App: choose the target platforms (i.e. apple, android, palm, etc.) – each require different development methods. One benefit is that it the user doesn’t necessarily have to be connected to the internet to view the content. Another is that it will most likely have a more polished interface. This is great for interactive and highly graphical content.Mobile Website: must decide what mobile web browsers, markup languages and devices to support. Testing can take time. There are over 5000 different devices that will be able to view your content. Some will have large screens, some will have small screens. Some will support Flash, some will not. Big challenges here.
  • For starters, native apps are much more capable of taking advantage of the mobile device’s hardware capabilities. That, of course, extends into the operating system as well. Native apps that are programmed well for the operating system they run on will likely always outperform web apps. Why? There’s not a third layer to deal with (the browser) and web technology advances much slower, so it will always lag behind (especially on mobile systems).App or native app: Native apps are ones that live on the smartphone. You know, your Facebook application, Words with Friends… all of these are native applications that you can download from an application directory of sorts. Sometimes they’re free and sometimes they cost you $5.99, $9.99 or more.Webapp: Geo-Location Capabilities- Generally thought of as a native application feature, there is actually the ability to utilize geo-location on certain browsers on smart phones. Facebook places, for instance, works on both the web app and the native app. As a business, you can run location based sales and specials, on either a location based applications such as FourSquare, or your own, which will take full advantage of real-time marketing.Offline Caching- Offline caching makes for a temporary database backup. For example, If you’re shopping on a site and you end up leaving it, for a short period of time, your shopping cart will still be cached and ready to play.Instant Interface/Application Updating- Another benefit that web apps have over native applications is the fact that all development updates are almost instantaneous. You don’t need to wait for V.2 to come out to fix stability issues and add a patch- and your consumers/users won’t need to wait for you to release the version and go through the pesky download process.Automatical Approval- You don’t have to try and filter your application through a smartphone company to get it approved. Web apps are automatically approved and allowed for use because… well… it’s on the web. And really- they can’t control what you’re looking at. They CAN, however, control what is available to you through the marketplace. Depending on what your company is, this could be a big benefit to you. If you work in a questionable industry (like the sex/escort industry… or you’re just Google and trying to get an Google Voice approved… haha! I made a funny!) you may want to stick to web apps.No Cost- Yes, there will be a cost for development of this web application, but on the consumer end, it’ll be free. There are free native apps in the app store too, so this isn’t a huge advantage, but just something to think about. The more extensive a native application gets, the more likely a company is to charge for it. With web apps, you can get as complicated as you want without worrying about the consumer/user having to spend a dime- which can easily be the difference between a conversion and a walk away when offering a native application.
  • A website dedicated to mobile users aims to deliver an optimized, and often very different, experience to visitors. These micro or mobile websites can take on a life of their own and often require a lot of research and analysis in order to prioritize and deliver the most important content to users.Mobile websites from the likes of eBay and Amazon show a very different strategy than their desktop equivalents because screen space and file sizes are at a premium.A dedicated mobile website will normally reside on its own domain or sub-domain, such as mobile traffic to a dedicated website ensures that visitors arrive in the right place. But if you do this, provide a link to allow visitors to access to the full version! Also make sure that mobile users are redirected to the correct page when deep linking from another source.Assets such as images should be kept to a minimum. And popular content, common tasks and key navigational paths should be highlighted to give users exactly what they want. More often than not, there is no room for advertisements in mobile versions.Despite the extra work, the result can be a faster, more streamlined experience that puts the most important features and content at the user’s fingertips.Pros:Greatly improved performance;Optimized paths make it easy and fast for users;Enhances your support of and appeal to growing mobile consumer market.Cons:Relatively expensive to build and maintain;Time-consuming because assets must be optimized and content prioritized;Higher learning curve if the layout and content are very different from the desktop versions.Native Appanother option to consider is a native app. Apps can be the ultimate in an optimized, streamlined journey for visitors, and they often have native controls. Several properties, such as eBay, Twitter and Amazon, have clear user goals and have therefore invested time and effort into creating native apps that provide the best possible experience on a wide range of devices.A native app should provide the best possible experience for users on the go, while taking full advantage of device-specific features and controls. This approach is very different from the others described, and the project could be considered “ad hoc” development, correlating more closely to the user’s goals than the content or features on your website.If this appeals to you, consider using an SDK, such as the ones available from PhoneGap and Appcelerator. These SDKs enable developers with a Web background to create applications and tap into native APIs that are not always available in the browser. Native app development can be quite bespoke and is sometimes undertaken parallel to the main website.Pros:Streamlined journeys;Device controls are native and optimized for platform in terms of speed and performance;Incredibly lightweight, with minimal bandwidth usage.Cons:Requires bespoke development;Creating and maintaining apps for a range of devices is time-consuming;Third-party approval is required before the app is available in stores.Article on library mobile development on zero budget:
  • Current Web design best practices and guidelines assume a 1024x768 screen resolution. For smartphones, the most popular screen resolution is 320x480. Therefore, it’s usually necessary to sacrifice some of a Web site’s features and content when designing a mobile version of the site, so users can easily find the ones they really need. You must give priority to the tasks and content users are most likely to use on a mobile device.
  • Simple tweaks could include adjusting the viewport and text size, which will affect the way the website displays on a mobile device. The default viewport dimensions should work well for most layouts, but we can make adjustments using the meta element:Text size can also be adjusted for some mobile devices using the CSS text-size-adjust property which specifies a size adjustment for displaying text content: More information on the text-size-adjust property is available in the Safari Developer Library. With a small number of tweaks, you should be able to optimize your website to appear as usable as the desktop experience.Be careful when making any adjustments to the CSS for mobile visitors: you do not want desktop users ending up with a 200% font size by default! If you think this might happen or you want to further improve the experience, consider putting the CSS in a separate file:&lt;link rel=&quot;stylesheet&quot; href=&quot;…&quot; media=&quot;handheld, only screen and (max-device width: 480px)&quot; /&gt;Pros:Quick to implement;Minimal work required to replicate the desktop design;Strong brand identification with basic consideration for mobile visitors.Cons:Mobile users could suffer from a poor experience;Slow due to users downloading styles and large assets;Content and navigation path are not optimized for mobile visitors.Safari Developer Library:
  • Media-dependent styling has been around for a long time; you will almost certainly have used “media types” beforeMost modern browsers, including mobile ones, should now be able to query such things as width, height, device width and height, orientation and more. This has led to more people using media queries to provide responsive designs to their visitors.We can target specific resolutions and device sizes. For example, we could target mobile devices with a maximum device width of 480 pixels, such as the iPhone:&lt;link rel=&quot;stylesheet&quot; media=&quot;only screen and (max-device-width: 480px)&quot;href=&quot;mobile.css&quot; /&gt;Or we could put the same media query in our CSS file:@media only screen and (max-device-width: 480px) {   // insert styling here…}Adaptive layouts need to work with the content already available on your website. This means that the source order and mark-up can play a vital role in providing a logical order to content when linearized for narrow layouts. You will also need to take into account that images will need to scale to fit as their containing elements adapt to different layouts. One way to achieve this is to specify a maximum width:img { max-width: 100%; }You could consider providing the mobile experience as the default and the desktop experience through media queries, an idea discussed by both Luke Wroblewski and Peter Gasston. Combining this approach with something like Adapt.js or 320 and up could improve performance for mobile visitors.However, making the mobile experience the default isn’t without its own problems. Always consider your audience, and review visitor data before finalizing your approach.Pros:Quick to develop, especially when considered from the start;Cheap to produce because minimal additional design is required;Can result in improved readability and experience for mobile visitors.Cons:Older mobile and desktop browsers, including Internet Explorer 8, do not natively support media queries;Visitors could face a short learning curve if the navigation and layout are altered;Rendering could potentially be slower as images and non-critical content in the HTML are being downloaded.
  • Created with an editor called the “vi editor” (UNIX) and it is HTML/Javascript.
  • We will not have time to look at all of the pages, but here are the hours page, the directions page and the research tools page.
  • Two databases that are offered from libraries – mobile images from UpToDate and IEEE Xplore
  • The devices available are in the thousands including: iPhoneDroidBlackberry Curve, StormHTC Touch HD and HTC ProPalmSamsungSonyEstimated 5000 mHealth apps available over a wide range of devicesOver 3700 clinicalOver 1000 consumerBut not all apps are available on all phonesInteresting story of a medical student who partnered with his hospital to create an evidence-based guideline app:
  • 192919942011
  • is dated from Oct 2009)By 2012, all physicians will walk around with a stethoscope and a smart mobile device, and there will be very few professional activities that physicians won’t be doing on their handhelds. Physicians will be going online first for the majority of their professional needs and will be regularly pulling online resources into patient consultationsResearch: How Smartphones Are Changing Health Care for Consumers and Providers by Jane Sarasohn-Kahn, M.A., M.H.S.A., published by the California Health Care Foundation (April 2010)Apps geared to physicians include alerts, medical reference tools, diagnostic tools, continuing medical education, and patient records programs. Consumer-oriented apps include those for medication compliance, mobile and home monitoring, home care, managing conditions, and wellness/fitness.Institute for the Future’s Booting Up Mobile Health: From Medical Mainframe to Distributed Intelligence (January 2010 May 2009)New technologies and the services they enable will be just one piece of a larger strategy for engaging consumers anywhere, anytime. Ultimately, mobile health will create more distributed health care systems that will move from an episodic to a continuous-care model, supported by decentralized, integrated care interwoven seamlessly into our daily lives, and driven by even more advanced smart systems that help us sense and understand our actions and environments.The Connected Patient: Charting the Vital Signs of Remote Health Monitoring by Jane Sarasohn-Kahn, M.A., M.H.S.A., published by the California Health Care Foundation (February 2011)Remote health monitoring technologies — devices that gather a patient’s health data and relay it to a care provider — have been the subject of much study in recent years. Proponents have lauded their potential to reduce health care costs and improve patients’ quality of life, while skeptics pointed to the lack of persuasive clinical evidence supporting such claims. Another challenge for smartphones in clinical settings: Physicians and other healthcare providers using mobile phones are assumed to be “goofing off” even if they’re actually using them for medical apps. It’s been dubbed the “iPhone Attribution Error. medical records move online, doctors are increasingly bringing laptops into the exam room to take notes, write prescriptions and more. But laptops can be cumbersome, and the iPad has emerged as a popular device for medical professionals. In fact, one out of every five doctors in a private practice owns an iPad. Enter DrChrono, a Y Combinator-backed startup that produces an iPad app and SaaS for doctors.The free iPad app allows doctors to schedule patient appointments, write prescriptions and send them to pharmacies, enable reminders, take clinical notes, access lab results, and input electronic health records. The electronic medical records element is key because the Obama administration is currently offering strong incentives for doctors to start moving their health records online. DrChrono will help doctors start, finish and manage this process. (can access the web too – so not just on the iPad)There are two medical schools in the GMR region which support mobile learning: Ohio State University and University of Minnesota: iPad EMR apps still six month out (as of September 14, 2011)Tips for doctors looking for the right EHR: (9/2011)How an EHR will impact physician productivity: (9/2011)Finding medical information online or via clinical appsAccessing the electronic health recordViewing radiology images from home, on the wards, or during surgeriesMonitoring patients’ vitals and conditions using special mobile apps and devicesThough health professionals have long had access to medical tools and references on their mobile devices (Palm Pilots and other PDA’s, for example), only recently has the electronic health record moved to a mobile platform. Many medical institutions now provide access to the medical record via smartphones and tablets. Some major electronic health record providers (Epic, for example) have mobile versions of their EHR system. Others use software like Citrix and VMWare to access the virtualized desktop version of their EHR. Still other institutions have created their own unique EHR apps.In the future, new EHR systems are likely to be developed with iPads and other mobile devices in mind as the primary access point. Several competitors have already emerged into this space, bringing a cleaner, visually appealing sense of style to the generally clunky and cumbersome EHR space, as well as bringing the mobility on which health care professionals rely.  Two great examples are:Kobe University in Japan – iPad used during surgery:;v=51RfNLelmM4#!iPad was used as interactive monitor during surgery. The app is called OsiriX – used in conjuction with EHR systems.
  • Before visit ◦Selecting caregiver ◦Pre-visit communication Text messageEmailPhotos◦Appointment requests, scheduling, reminders ◦Appointment agenda◦Administrative inquiries◦Insurance info◦Demographic data◦Advance check-in◦PHR (CCR)During visit ◦Patient education◦Financial and administrative◦Care communicationPost-visit and between visits ◦Text messages◦Email◦PHR (CCR)◦Medication reminders◦Health promotion◦Questions (with photos if applicable) ◦Patient education◦Disease management◦ResourcesBaptist Hospital East in Kentucky announced the launch of a new mobile website that patients and consumers can use to locate services, obtain directions, contact information and more information about the care facility.Atlantic General Hospital in Maryland is now offering free apps for Android, iPhone and Blackberry users that provide the most-up-to-date information about Atlantic General Hospital’s outpatient services: wait times for the ER, walk-in lab work and X-ray services. The hospital claims to be the first in the state offer a wait times app.Disease ManagementThis is a program called “Diabetes Pilot”Demo: health monitoring has the potential (according to the Gartner Group) to help govt’s, care delivery orgs, and healthcare payers reduce costs related to chronic diseases. Apple has already made it possible to turn an iPhone into a glucometer. This application records readings from your glucometer and stores it in an app created by a company called LifeScan. Once you take a reading, there is a meal builder. You build your meal and then go to the next screen which is an insulin calculator. It takes all of a patients information into consideration and determines next insulin intake.Mobile Health MonitoringAmong the top 10 of all consumer applications for 2012Using mobile communications to monitor patients remotelyReduces costElevates quality of lifeMedical App allows Patients to Message Their Physician Securely (9/2011) Health in Seattle has launched a medical app for their members that offers a wide variety of features – even allowing members to directly email their physicians. Some of the other interesting features this app will offer their patients: mobile access to medical records, which means a member can check their test results, making appointments, check immunization histories, view summaries of past visits, get routine care reminders and view their allergies and other  health conditions.
  • Provider directories (and directions)Urgent Care CentersFormulariesGuidelines and protocolsDecision supportTelemedicine GuidelinesAccessing specific CCR informationPatients comments re WebPatient directivesPHR
  • This is a program callediChartIssues:AccuracyAuthenticationInteroperabilitymDevices to EMR and HISMedical devices wireless communication – integrity of the dataEMR IntegrationBetween 44000 and 94000 deaths annually due to medical errorsMain reasons: lack of information about patient or knowledge of therapyIntegrate patient record with health practitioner smartphone may help remedy the blind spotsSecurity and privacy concerns are an issue
  • Teaching, monitoring, coaching…New apps in nursing and other areasTeaching patients self-care, monitoring, expectationsNeed standardsThis is a program called iPatientEdImage/Video ViewingHandheld PACSNot diagnostic quality“Good for 90% of what we do.”Medtronic’s Lenny the Carb Counting Lion children’s diabetes education app: “It’s great for parents (and even adults with diabetes have enjoyed it too), as the app features a guide presenting nutritious food choices with associated serving sizes and carbohydrate values. The other key components of the app are fun, interactive games that help reinforce carb counting skills and keep children engaged,” Medtronic told MedGadget in a statement.VisualDx Mobile for the iPad: VisualDx Mobile for the iPad takes full advantage of its high-resolution, backlit-LED screen and its versatility to view in both portrait and landscape. The app’s thousands of medical images are strikingly rich and crisp in the iPad environment. With the app’s split-screen pane, users can see the differential changing as they enter each sign and symptom or view multiple images of each disease alongside clinical text such as Best Tests, Management Pearls, and Therapy
  • Provider-Patient ApplicationsFinancial dataDemographic dataNon-clinical dataAppointmentsSelf-check inRemindersStaff CommunicationInternal and externalThird partiesPayers, labs, other providersAsset TrackingSurgical instrumentsMedical recordsEquipmentPatient flow managementScheculingAdminssions and dischargesBed managementFinancialsCharge captureProviders accessing eligibility infoProviders sending billsPatients accessing coverage and co-pay infoPayers in active communication with patients and providersOnline real-time adjudication
  • For EMS and the EDNot starting with a ‘blank sheet’Advance triage Substantial cost reductions expectedFor patients themselvesEmergency self-careFirst aid
  • Reporting of disease outbreaks (swine flu for example)Alerting providersInstructing patientsBioterrorismSurveillancePopulation notificationsIncreasing adoption in developing countriesThis is the NYC Condom Finder which is an app created by the Health Department to show nearby distribution points for condoms.
  • More examples:My Dietary Supplements from NIHHelps you keep track of the vitamins, nutritional supplements and prescription drugs you take.. The application allows the user to input information on what supplements he or she is taking, how often and at what dose. The user can also create profiles for multiple individuals, such as a child or ailing parent.It cost about $80,000 to develop. Initial costs rose midway through development because Apple updated its iPhone O/S.
  • Recommendations;AllSport GPSPlatform(s): Android, BlackBerry, iPhone/iPad 
Review: One of a number of apps that use the device&apos;s GPS to map &amp; record running/walking/cycling routes and distances, to keep track of workouts, log and analyze progress. - Radiation Emergency Medical ManagementPlatform(s): Android, BlackBerry, iPhone/iPad 
Review: I recommend an app from the National Library of Medicine: REMM is a downloadable application providing health care providers with guidance on the diagnosis and treatment of radiation injuries during radiation and nuclear emergencies. Available for multiple types of mobile devices including Windows Mobile, Apple iPhone and iPod touch (iPad compatible), Android, and Blackberry devices.My Chart - EpicPlatform(s): iPhone/iPadReview: As long as your health system uses My Chart, it looks like you can have patients and their families use their personal logins via their iphone to keep updated on upcoming medical appointments and see lab results etc. A good thing for those hospitals using Epic.Weight WatchersPlatform(s): Android, iPhone/iPad 
Review: This app works with the Weight Watchers (WW) Points Plus plan. If you have ever used a WW plan, you know that you have to look up or memorize points values and that you need to keep track of your daily points. The app lists points values, portion sizes, recipes (with points), exercise/activity, and more. So, it enables you to replace a number of books, websites, and pen &amp; paper with one app. It also enables you to track your weight, find meetings (based on your location), and see tips for success. If you&apos;re following WW, this app really makes the process significantly easier!LactMedPlatform(s): Android, iPhone/iPad 
Review: This NLM app is a reliable source of information for breastfeeding women to check for information on the possible health effects of mom&apos;s prescription or over-the-counter on the infant. The beauty of it&apos;s mobility is that women can check the app at their doctors&apos; offices, at their pharmacies or while still holding their babies.Review: LactMed is part of the NLM Toxicology Data Network and is a database of drugs and chemicals to which breastfeeding mothers might be exposed. It includes information on the effects of various drugs and chemicals on breast-feed infants as well as their effect on lactation itself. It also provides suggestions for alternative drugs when appropriate. The app is available from iPhone&apos;s app store but not from the Android Market. There are instructions on this page ( to install it on an Android device.FertilityFriendPlatform(s): iPhone/iPad 
Review: A great app for ovulation and fertility charting.Couch to 5K (C25K)Platform(s): iPhone/iPadReview: A plan to get beginners off the couch and running a 5K (3.1 miles) in 9 weeks (3 workouts/week).I ncludes alternating btw running/walking, warm ups, and cool downs. The app tells you when to run, walk, etc...with music of your choosing (thru your iPod selections). Tracks pace and distance thru GPS (not included) Mobile (US Consumer Product Safety Commission)Platform(s): Android 
Review: Recalls from the Consumer Product Safety Commission, National Highway Traffic Safety Administration, Food and Drug Administration, and Department of Agriculture. &quot; Whether you&apos;re at your child&apos;s day care center or a yard sale, whether you&apos;re at a store or at home, you can now type a product&apos;s name into your phone and learn immediately whether that product has been recalled because of a safety concern. You can also see photos of recalled products and learn what to do with recalled products in your home.&quot; peoplePlatform(s): Android, BlackBerry, iPhone/iPad 
Review: Good calorie counter For diabeticsAb WorkoutPlatform(s): iPhone/iPad 
Review: Provides video with real people to demonstrate basic exercises you can do to get into shape. You can exercise along with the videos. Several exercises per session. You decide how long the session is (up to 10 minutes).Hands-Only CPR from the American Heart Association:Platform(s): iPhone/iPadReview: This App is great for &quot;Hands only CPR&quot; - guides you through the process. Video you can watch as you are performing CPR WatchersPlatform(s): iPhone/iPadReview: This was one of the big reasons I got a smartphone. I&apos;ve lost about 30 pounds using Weight Watchers Online. At first I used it only on my computer, but having the smartphone and app means that I can check on and enter points values for foods and activities anywhere. In most chain restaurants, I can look up individual menu items.White Noise (Light)Platform(s): Android, BlackBerry, iPhone/iPad 
Review: If you are dependent on your home sleep sound conditioner/white noise machine, but hate to carry it with you on the road, you may want try either the free White Noise Light or White Noise ($1.99) app for your smart phone…MyNetDiaryPlatform(s): iPhone/iPad 
Review: Allows you to enter caloric intake and exercise so you can balance number of calories each day.GPS+ PedometerPlatform(s): iPhone/iPad 
Review: Works like a pedometer to record steps, time, distance and calories burned.
  • Clinical app recommendationsAHRQ ePSSPlatform(s): Android, BlackBerry, iPhone/iPad 
]Review: The Electronic Preventive Services Selector (ePSS) is a free application designed by the Agency for Healthcare Research &amp; Quality to help primary care clinicians identify the screening, counseling, and preventive medication services that are appropriate for their patients. See Android, iPhone/iPad 
Review: The Micromedex Drug Information App (native app) currently works on only on iOS. Since it&apos;s a native app, you can use it even when you cannot use 3G or WiFi. However, it does not offer all of the Micromedex databases. I have found that pharmacy and other health sciences students like it, but wish that it had more of the Micromedex databases. The other notable Micromedex product is Mobile Micromedex, a web app. It should work on both Android and iOS (and I would assume BlackBerry). However, I have found it to be virtually unusable on the small screen devices like iPhone/iPad and Androids. Thomson Reuters has not optimized the product for the small screen; thus, you constantly need to quite significantly resize the screen. I have contacted TR about this issue several times, and they don&apos;t seem to have any answers in the short term. A few of the reps have told me that it works well on the iPad, but I have not had the opportunity to try it. My understanding is that TR is developing additional native apps for their databases, but that Mobile Micromedex (the web app) will be the solution for the larger number of databases.Access MedicinePlatform(s): iPhone/iPad 
Review: Access Medicine provides a solid set of &quot;bedside&quot;reference tools , including drug monographs, Harrison&apos;s Online, even multimedia (in one audio section,you can compare the sounds of someone with pneumonia breathing,someone with COPD breathing and someone with healthy lungs breathing.) I have not tried the free version but the one with institutional access offers depth not always seen on apps.ACC Pocket GuidesPlatform(s): BlackBerry 
Review: Free &quot;This clinical practice support tool set from the American College of Cardiology Foundation provides concise, portable reference tools for the busy clinician. Pocket Guideline material is adapted and enhanced for the BlackBerry devices from the full text version of ACC/AHA Practice Guidelines. It also includes the Transthoracic and Transesophageal Echocardiography (TTE/TEE) Appropriateness Criteria Tool which provides a quick reference list of common appropriate and inappropriate uses of echocardiography and an innovative decision support application that helps guide physicians in the ordering of SPECT MPI for the detection and risk assessment of coronary artery disease. You can select which specific tools you want to use, or get all of them. ”University of Maryland Medical Center Medical ReferencePlatform(s): iPhone/iPad 
Review: The portal/index is a native app, but it takes you into a web app. Includes ADAM articles and YouTube videosThe Doctor&apos;s ToolbagPlatform(s): iPhone/iPad 
Review: The Doctor&apos;s Toolbag &quot;iPhone app developed by the BMJ Group and CEBMi Ltd. provides a fast and simple way to use the most effective rules in a busy clinical setting.&quot; Looks quite usefuliTriagePlatform(s): Android, BlackBerry, iPhone/iPad 
Review: These comments are from a posting at &quot;When it comes to medical apps it can be tricky to find one that is credible, but also easy to use. My go to medical app is iTriage. Once I found out it was created by two emergency room doctors&quot; &quot;I&apos;ve used the app on numerous occasions to locate medical facilities when I&apos;ve been traveling for business or vacationing with the family. This one for me is mother approved!&quot; Description and a few short reviews at A PC World Review at;expand=false
  • Research/library app recommendationsLibrary AnywherePlatform(s): Android, BlackBerry, iPhone/iPad 
Review: For libraries who wish to offer a mobile version of their OPAC and/or website, this product from LibraryThing for Libraries offers an independent alternative to the products provided by their own library system vendor. Library pays an annual subscription charge for the service; mobile apps and webapps free to end-users.® Online and App ResourcesPlatform(s): BlackBerry, iPhone/iPad 
Review: PubMed® Online and App Resources ( is published by the National Network of Libraries of Medicine It includes the following applications (with links) Phone Interfaces BabelMeSH: a collection of multi-language Search engines for MEDLINE/PubMed National Library of Medicine Mobile PubmedBookMarc PICO Linguist: searching MEDLINE/PubMed for PICO (Patient, Intervention, Comparison, Outcome) results National Library of Medicine PubGet Mobile RamyArnaout, Ian Connor, Ryan Jones PubMed for Handhelds National Library of Medicine askMEDLINE: free-text, natural language (English only) query for MEDLINE/PubMed Disease Associations: with GSpell MEDLINE/PubMed Journal Browser MeSH Speller + askMEDLINE PICO: Search PubMed/MEDLINE via PICO with Spelling Checker Search MEDLINE/PubMed PubMed Mobile: Beta National Library of Medicine Txt2MEDLINE: Search MEDLINE/PubMed by SMS (text messaging system) National Library of Medicine PDA, I-Phone and Smart Phone Apps and Resources Go PubMed Summerflowers Studio Medline Database on Tap: PDA software National Library of Medicine NCBI Bookshelf: Handheld computer versions ready for downloading National Network of Libraries of Medicine PubMed On Tap: References on Tap: Your reference manager for iPhone, iPod touch, and iPad author not listed Unbound MEDLINE: Web apps AppleAccessMyLibraryPlatform(s): Android, iPhone/iPad 
Review: I had a lot of trouble trying to get Gale&apos;s AccessMyLibrary to work with my email system, phone and library. In the end, all it does is provide a means to authenticate users. It does so by enabling them to register if they have an email address within your institution&apos;s domain.It then puts a code into a native app that lets you login. The app is very clunky, and made me go first to my state and then to my institution by name, each time I logged in. After working with technical support for literally a month, I was able to enter AccessMyLibrary via iPhone. Once I got in, I discovered that all it had done was authenticate me to use the product website (the same one you use when you access the wired version). Since the vendor had made no attempt to optimize for small screens, it was very difficult to use. Additionally, after all the trouble I had with the native app, I discovered there was no need to use it since I could get the same level of access by using our proxy server.PubMed for HandheldsPlatform(s): Android, BlackBerry, iPhone/iPad 
Review: Although this older web app is getting less attention now, I find it to be really useful because it works in conjunction with the PubMed Outside Tool, which we use to connect to our SFX link resolver. Thus, it facilitates student and faculty access to our electronic full text subscriptions while using their mobile devices. It also presents a PICO form to help the students frame their searches. The PICO Search and standard PubMed/MEDLINE search screens all include easy to find limit functions for systematic reviews, clinical queries, and other useful limits for clinicians. I believe that these limits are particularly useful for searching using a mobile device, since the searcher can potentially be in a clinical setting while searching.EBSCOHostPlatform(s): iPhone/iPad 
Review: Search for EBSCO Publishing on the iPhone App Store. Great for &quot;quick and dirty&quot; searches, since the screen is so small. You can save searches, full-text articles, open full text. Currently, I&apos;m using it via my public library account.PubMed on Tap LitePlatform(s): iPhone/iPadReview: I like the functionality of the application to quickly find the most recent citations on a search which I&apos;ve usually done previously. Some people find the maximum of 10 citations too limiting and it probably is for an exhaustive search. If you buy the regular PubMed on Tap you can scroll, if you choose, an unlimited number of results. The ability to print PDFs and send them to your email is a nice feature as well.WISER-Platform(s): iPhone/iPad 
Review: Wireless Information System for Emergency Reponders. This is one of NLM&apos;s disaster preparedness applications. Search for a substance directly or browse by category. Crucial tool to have at hand at an emergency.U Central from Unbound MedicinePlatform(s): iPhone/iPadReview: The mobile version of this suite of resources including 5 Minute Clinical Consult, Essential Evidence, EBM Guidelines and Pocket Guide to Diagnostic Tests. I know this will valuable for me in my clinical outreach to Medicine.Speed AnatomyPlatform(s): Android 
Review: This is a fun app - I&apos;d call it an educational game. You are quizzed on which body parts you can identify. It&apos;s a fun one to recommend to first year students as well.
  • In addition to reference and information, smartphone apps help professionals with their daily productivity and organization needs.Professional support app recommendationsTripItPlatform(s): Android, BlackBerry, iPhone/iPad 
Review: For those who travel and need an easier way to manage travel documents &amp; itineraries, TripIt allows you to forward all your confirmation emails to one address, which then compiles them into an easy-reference itinerary that&apos;s integrated with calendars, easy to share with co-workers, etc. [mobile apps still in development] 
Review: and are more items to promote social networking and meeting individuals for possible opportunities for collaboration.SkypePlatform(s): Android, BlackBerry, iPhone/iPadReview: I used Skype while at MLA in Minneapolis so that I could talk to my family and actually see them. The app was very easy to use, but I found that I still needed to be on a WiFi to use it (even though I am on an unlimited data plan). Given that limitation, I&apos;ll probably use Apple&apos;s Facetime next time, since it&apos;s completely &quot;free.&quot; Overall, I was pleased with the ease of use. And, I have to admit that using a video telephone has a certain Jetsons/sci-fi appeal to me!Skype and DropBoxPlatform(s): iPhone/iPad 
Review: I have used Skype for meetings with my boss and coworkers who are quite a few states away. It&apos;s so nice because I think it allows us to connect better and feel more like a team. I use it on trips, too, to talk to my family. Although, I used to use AIM&apos;s video feature and it works just as well if you&apos;re on a laptop or desktop. I also love using DropBox. It makes it so easy to work on things wherever I&apos;m at and go between home, work, and my iPad without skipping a beat. Absolutely love this app.Inrix TrafficPlatform(s): Android 
Review: I like this app to check on traffic for the ride home -- what routes are busy, which are not as busy.AAA TripTik MobilePlatform(s): iPhone/iPad 
Review: All the convenience of a full website, but conveniently placed on your mobile phone. Just don&apos;t use it while driving--hand the phone to someone else! You can get online triptiks (remember the ones they used to send in the mail?) and find out what&apos;s near you: gas stations, hotels, restaurants, etc. The electronic voice can provide turn-by-turn directions.Adobe ConnectPlatform(s): iPhone/iPad 
Review: Uses the front camera. Okay for watching a class and speaking ... not so good for writing long comments for a chat room…NPR NewsPlatform(s): iPhone/iPad 
Review: I like to catch up on News on the way to work. I listen on the train or bus. NPR will feature stories about items from Science, Nature, NEJM, Nature and JAMA.PandoraPlatform(s): iPhone/iPadReview: The Pandora people hope to map the music genome by all of us selecting our favorite artists. They will also put a playlist together for you. Great to have your favorite music at your fingertips.Chrome to PhonePlatform(s): Android 
Review: This is a fun app for those of us who are Chrome users and have Androids. If you install this app on your phone and this bookmark in Chrome, you can easily send links from Chrome to your phone. It makes it really easy to take information with you on the go. I also use it when I am reading about an app I like. I just send it to my phone and download from there. The problem I have run into is that it does not always send to the phone. I was reading online that perhaps there is a limit to the number of people who can use the app at a time. This seems hard to believe, but perhaps it is true. I&apos;ve used the app in the past successfully but it&apos;s not working for me today. Crossing my fingers it comes back - it&apos;s really handy!World Time LitePlatform(s): Android 
Review: You can set up specific locations that you like to track. All you have to do is click on the app and it will display the current time at those locations. Very handy for working with people all over the globe!
  • Publishers: PubMed for HandheldsMedlinePlusSummon (Serials Solutions Web-Scale DiscoveryFactiva (news)EBSCOhost MobileUpToDateIEEE Xplore
  • Example: http://mobile.hsl.virginia.eduWhat’s involved with creating mobile websites? Content decisions when creating a mobile website:(Pew Internet and other sources) Good idea to do research about the mobile internet user landscape – it’s large and growing fast. They are also ethnically and socioeconomically diverse, and use a variety of devices and there is no age limit.Best practices – users want snackable pieces of content. They do not want to scroll and scroll in an app to get the information they need/want.Do you create a mobile website or a mobile application?Mobile App: choose the target platforms (i.e. apple, android, palm, etc.) – each require different development methods. One benefit is that it the user doesn’t necessarily have to be connected to the internet to view the content. Another is that it will most likely have a more polished interface. This is great for interactive and highly graphical content.Mobile Website: must decide what mobile web browsers, markup languages and devices to support. Testing can take time. There are over 5000 different devices that will be able to view your content. Some will have large screens, some will have small screens. Some will support Flash, some will not. Big challenges here.
  • web-based app development tool that allows non-developers to create Android apps. Using it is like putting a puzzle together. use Windows to demo the App Inventor.Demo the App Inventor or the SDKThere are other app development options:PhonegapFlashSencha TouchAppceleratorMore on the wiki page included in the Diigo links.Also point out the blog about code best practices, (also available in the diigo links)
  • A QR code generator is a software or online application that allows you to create QR codes. QR codes are probably the most popular and flexible two-dimensional barcode that is used by most businesses and individuals for anything from their marketing campaigns, education and even in ordinary lives and lets not forget just for fun! They’ve been around in Japan for about a decade (as of 2011). They can hold thousands of alphanumeric characters of information which makes them more usable than traditional barcodes which are limited to about 20 characters. The twists and turns of the little black squares on a QR code has a unique imprint. It’s recognizable to scanners or readers but there is a 30% correction allowance so that a third of the code can be discarded and replaced with images, designs, etc. comScore has issued a new report stating that 14 Million U.S. Adults Used QR Codes in June. (June 2011) The study was based on a sample of 14,452 adults and also revealed that:Magazines and newspapers are the preferred vehicle for scanning QR codes (49.4%), followed by product packaging, (34.3%). The preferred place to scan was at home (58%) and then retail stores (39.4%). QR code users are more likely to be male (60.5%), between the ages of 18 to 34 (53.4%) and have a household income in excess of $100,000 (36.1%)
  •“Scanning the QR code leads visitors to a tribute website that Medan has setup and plans to evolve with stories and photos from his mother’s life. “I [didn’t] know what we wanted to write [on the tombstone] and it will never be everything for everyone. By having something that is dynamic and can extend over time, we can capture it,” he told me this week in an interview at TED Global in Edinburgh, Scotland.Over time, Medan hopes the QR code and memorial site will help create a lasting history of his mother that will live on for generations. “I was most concerned about 20 or 40 years from now, how will she be remembered. … [I wanted to put] what’s in our memory into a place that doesn’t forget,” he said.”
  • Other QR Code Generators can be found here: this one you can make the code point to: Calendar eventContact informationEmailGeolocationPhone numberSMSTextURLWifi NetworkNow what about QR Code Readers? Multiple ones out there:UpCodeQuickMarkScanLifeMobileTagBeeTaggLook through your app store for your mobile device and pick one. QR Code readers use your mobile device’s camera to ‘view’ the qr code you created.Another interesting way to create a QR code: a shortened URL with this service – add .qr to the end of the shortened URL and voila you get a QR code.
  • Fortunately, QR codes are malleable and can be redesigned in truly extraordinary ways, while still maintaining their scanability. The truth is, QR codes no longer have to be checkerbox in appearance. We’ve entered a new phase of “designer codes” that can be integrated into marketing campaigns in an attractive way that isn’t an eyesore.QR codes have so much potential from a design perspective, so let’s take a look at a few tricks and techniques you should keep in mind when designing a code to enhance your brand and appeal to your audience.1. Add color: The easiest way to add branding power to your code is to add color to it. Your QR code does not have to be standard black and white in order to be scanned. You can embed multiple colors and apply a color gradient without affecting scanability. The only rule of thumb is that the code color should generally be dark and placed against a light-colored background. Make sure the contrast is sufficient, or the code will be difficult to scan.A “reversed out” code, where the background is dark and the boxes are light colored, is generally not recommended. Only a small handful of QR code readers can treat such codes as a film negative and properly interpret the data.If you decide to add in a logo to create a 3D feel for your QR code, you need to decide which part of the coding to obstruct with your logo. The key to creating these eye-popping designer codes is to take advantage of the fact that up to 30% of a QR code’s data can be missing or obstructed, and still be scanned. QR codes can be generated with 0%, 10%, 20% or 30% error correction rates built in. Building in the 30% error correction rate adds more noise (extra boxes) within the code, but those extra boxes within the code can then be removed to make way for a logo or other interesting imagery.If you use a QR code with 0% error correction, the code will look more streamlined, but opportunities to brand the code by adding in a logo are very limited. Removing or obstructing a single box within a 0% error QR code could render it unscannable.2. Soften edges: One of the QR code’s greatest aesthetic flaws is its numerous hard edges. You can dramatically lessen the severity of this look by strategically rounding some corners. It is not necessary to round all of the corners, but softening up the edges will definitely make the code appear more friendly and approachable. 3. Incorporate dimensionality for 3d impact: ne high impact way to brand your QR code is to obstruct some of the boxes with imagery, such as a logo. By placing an image in front of the code, you imbue the code with a sense of depth. An ordinary barcode suddenly becomes a form of artwork, and you can really make a statement with the way you melt boxes together or choose to obstruct aspects of the code.Fun ideas include adding a logo to the center of the code, but you could also add interesting elements to the corners or the sides for an even less standard look. Adding images or characters between the boxes is another playful way to dress the code with personality and style. the size of the embedded image well below 20% of the area of the QR code itself – 15% is probably the best compromise.Put the image in the middle of the QR code and definitely don’t obscure any of the 3 big squares in the corners (they have a special purpose and must be retained).Always leave a white border (1-2 times the width of a single data square in the QR code image) all the way around the edge of the embedded image so that the data areas of the QR code are separated from the image.Make sure that all the data squares left in the QR code are intact – remove any partially obscured squares completely.Check that the embedded image doesn’t coincidentally contain any small square (or squarish) elements that may be interpreted by the scanning device as part of the QR code’s data, rather than being ignored as part of the image.Most QR code scanning devices scan in grey-scale so using contrasting colors to differentiate the image from the QR code is not going to help you at all.It’s probably also a good idea to make the QR code image larger than you would have if it didn’t have an image in it.
  • Augmented reality (AR) is a term for a live direct or an indirect view of a physical, real-world environment whose elements are augmented by computer-generated sensory input, such as sound or graphics or GPS. It is related to a more general concept called mediated reality, in which a view of reality is modified (possibly even diminished rather than augmented) by a computer. As a result, the technology functions by enhancing one’s current perception of reality. By contrast, virtual reality replaces the real world with a simulated one.Some examples in video form:;feature=player_embeddedMobile-browser maker Layar is about to make augmented reality all that you thought it could be. The company has added visual search to its augmented-reality browser. Point your phone&apos;s camera at an object in the real world and an appropriate digital activity will occur on your handset. For instance, point your phone at a historic house and a video clip will play; point your phone at your friend&apos;s new shoes and a buy button will pop up; or point your phone at an article in a paper magazine and a social-media button will pop up asking if you want to share the digital version with friends.Layar&apos;s augmented-reality browser for iPhone and Android runs apps written for it. Layar also offers a player that software makers can embed in iPhone and Android apps. Both will gain visual search. The browser app upgrade will be in app stores at the end of the third quarter. The player upgrade will be available in the fourth quarter.Augmented reality (just point, no shoot) plus visual search (no tags needed) is greater than the sum of its parts. Visual search becomes nearly immediate and overlaid on your phone&apos;s field of view. And augmented reality comes closer to its potential of digitally enhancing the real world.On a related note, Qualcomm has developed a vision-based augmented reality app that plays a movie preview when you point your phone at the movie&apos;s DVD cover. The app is a demo. Qualcomm showed it to Giga Om&apos;s Om Malik on his recent visit to the company. Never mind that this particular app isn&apos;t all that useful (when was the last time you browsed DVD covers in a video store?). It shows off the power of mixing digital with the real world. Read more: more: more:
  • to iTunes: “allux Angles is a radiographic measurement aid to assist in the pre-op radiographic planning process. It is intended to supplement – not replace – conventional techniques. The target audience includes all those practicing forefoot surgery”In this case, the software combines readings from the iPhone accelerometer and the user determined positions of the bones, using the on-screen alignment guide, to read the angle between the first two metatarsal foot bonesIOS Fixator app successfully integrates mobile medical technology into a surgical workflow, fixator contains a simple straightforward guide to the use of the STORM (Staffordshire Orthopaedic Reduction Machine) and the Intelligent Orthopaedic Services (IOS) External fixator for the treatment of tibial fractures. The app can also be used in the preoperative planning stages when planning external fixation using the specific IOS device. The app uses the camera on either the iPhone, iPod Touch or iPad to take a picture of an X-ray (XR) of a tibial fracture. The use of a scaling ball is important to reduce the errors associated with magnification during XR and the first step in the pre-op planning stage is calibrating the size. Intuitive touch gestures make calibration straightforward. The user then selects the part of the tibia that has been fractured and artificially reduces it using further touch gestures such as pan and rotate. – this is only an estimate however – no way to compensate for rotational deformity. Useful for preoperative planning stages.Augmented Reality in the OR: Object recognition software is becoming increasingly sophisticated, even on mobile devices. A great example is the remarkable iPhone application MagicPlan that can almost “magically” draw the floor plan of a room by using the iPhone camera to determine the distance to each corner in a room. The user points the iPhone camera at each corner in a room and the app draws green lines, which are approved the user.
  • BooksFling, Brian.  Mobile Design &amp; Development: Practical Concepts and Techniques for Creating Mobile Sites and Web Apps.  Sebastopol, CA: O&apos;Reilly, 2009.  Print.Griffey, Jason.  Mobile Technology and Libraries.  New York: Neal-Schuman, 2010.  Print.ArticlesAldrich, Alan W. &quot;Universities and Libraries Move to the Mobile Web&quot; Educause. Vol 23, no. 2, p. Warren, Christina.  &quot;How to: Optimize Your Mobile Site Across Multiple Platforms&quot; Mashable [accessed: July 15, 2010] link:, Claudia.  The 12 mHealth Application Clusters. LinksWireless FAQ,,
  • Information Anywhere

    1. 1. Information Anywhere<br />Mobile Technology, Libraries and Health<br />
    2. 2. Agenda<br />Introduction<br />The Modern Mobile/Smartphone Landscape<br />Development and Design Part I: Mobile Site Generator<br />Health/Medicine in the Mobile/Smartphone Landscape<br />Development and Design Part II: Native App Generator<br />QR Codes<br />Augmented Reality<br />Conclusion<br />
    3. 3. Mobile is everywhere<br />More people today have access to a mobile phone than to clean water or the electrical grid.<br />~<br />Photo by Flickr user haerath<br />
    4. 4. Mobile Devices<br />Apple iPhone, iPod Touch<br />Droid<br />Blackberry Curve and Storm<br />HTC<br />Palm<br />Kindle<br />iPad<br />Etc.<br />What do you have?<br />
    5. 5. mHealth<br />The practice of medicine and public health, supported by mobile devices, such as smart phones and wireless connectivity, for health services and information.<br />The use of mobile devices to support health related monitoring and self-help activities.<br />
    6. 6. “…smartphones are not miniature PCs but ‘a whole ecosystem with its own set of rules’”<br />Alexandre Mars, "Importing Mobile Marketing Tools," Brandweek, vol. 51, no. 7 (2010), p. 17.<br />
    7. 7. Statistics <br />aka “Preaching to the Choir”<br />
    8. 8. Mobile Phone Adoption Worldwide<br />Subscriber base > 5 billion<br />China: 57 % of population<br />India: 48 % of population<br />United States: 89 % of population<br />“Five billion phones means there are more than three times as many phones as personal computers”<br />Ben Wood Analyst, CCS Insight<br />
    9. 9. How do people feel about their phones?<br /><br />
    10. 10. Demographics in general<br />
    11. 11. How are people using their mobile phones?<br />
    12. 12. How are people using their mobile phones?<br />
    13. 13. Statistics Overload<br />95% send or receive text messages<br />93% use their phone to take pictures<br />81% send photos or videos to others <br />65% access the internet on their mobile device <br />64% play music on their phones <br />60% use their phones to play games or record a video<br />52% have used their phone to send or receive email<br />48% have accessed a social networking site on their phone <br />by text message<br />46% use instant messaging on their mobile device <br />40% have watched a video on their phone <br />33% have posted a photo or video online from their phone <br />21% have used a status update service such as Twitter from their phone <br />20% have purchased something using their mobile phone <br />19% have made a charitable donation by text message<br />Pew Internet, Mobile Access 2010, July 7, 2010<br />
    14. 14. 15% of all adults who use a cell phone to look for health information<br />
    15. 15. How are YOU using mobile technologies?<br />How are the doctors or other health professionals using mobile technologies?<br />How are your patrons using mobile technologies?<br />
    16. 16. iOS devices<br />iPhone, iPad, iPod Touch<br />Available through AT&T, Verizon, Sprint<br />Debuted in 2007<br />Apps developed in Objective C<br />More than 475,000 apps (150K for iPad)<br />
    17. 17.
    18. 18. Android devices<br />Too many to list<br />Available on all major carriers<br />Debuted in 2008<br />Apps developed in Java<br />More than 300,000 apps<br />
    19. 19.
    20. 20. Blackberry & Microsoft Devices<br />BB<br />Too many to list<br />Available on all major carriers<br />Debuted in ~1996<br />More modern devices: 2005<br />About 10,000 apps<br />Microsoft – Windows Phone<br />Debuted in 2010<br />Comes with MS Office<br />30,000 apps (as of Aug. 2011)<br />Marketplace:<br />
    21. 21. Which platform to support?<br />Mobile web use<br />(August 2010)<br />Market share – devices sold<br />(July 2010)<br />Anon. 2010. August 2010 Mobile OS Share. Quantcast Blog. September 3.<br />Anon. 2010. comScore Reports July 2010 U.S. Mobile Subscriber Market Share -- RESTON, Va., Sept. 15 /PRNewswire/ --.<br />
    22. 22. Tablets<br />Apple iPad<br />HP TouchPad<br />Samsung Galaxy<br />
    23. 23. Apps Available on Tablets<br />
    24. 24. Developing and Designing for mobile Part I<br />Web App Development<br />
    25. 25. Pre Development<br />Survey! Who’s your audience? What mobile devices are they using? How are they using them?<br />Are you going to make an app or a webapp?<br />App<br /><ul><li>Java, Objective C, JQuery Mobile
    26. 26. Single platform
    27. 27. Full hardware access (GPS, camera, accelerometer, etc.)
    28. 28. Can be used offline
    29. 29. Tricky to get usage statistics
    30. 30. Make new version for each platform</li></ul>Webapp<br /><ul><li>HTML, CSS, Javascript
    31. 31. Mutli-platform (with caveats)
    32. 32. Limited hardware access (GPS?)
    33. 33. Requires Internet connection (with caveats)
    34. 34. Standard webstats (with caveats)</li></li></ul><li>Dedicated Mobile Website vs Native App<br />HTML5<br />Allow visitors to access the full site<br />Allow visitors to report bugs<br />Keep it simple – don’t cram the entire full-browser site into a mobile site<br />
    35. 35. Designing for the Mobile Web<br />Prioritize features and content<br />Sacrifice!<br />Reduce levels of hierarchy for content<br />Flatten the structure of your site so visitors don’t get lost<br />Data entry is awkward (don’t make me type too much)<br />Encourage selection rather than typing<br />Keep forms to a minimum<br />Download speeds can be much slower than on desktops<br />Minimize the use of elements that require more processing time<br />
    36. 36. Work with what you have<br />Modifying the ‘meta name’ in the HTML of the website<br /><meta name="viewport" content="width=device-width" /> <br />Adjust text size<br />html { -webkit-text-size-adjust: auto; /* Automatically adjusted for Safari on iPhone. */ -ms-text-size-adjust: auto; } <br />
    37. 37. Work with what you have<br />Media Queries aka Adaptive Layout<br /><link rel="stylesheet" href="…" media="print" /><br /><link rel="stylesheet" media="only screen and (max-device-width: 480px)"href="mobile.css" /><br />
    38. 38. Resources to Help with Mobile Web Development<br />HTML5<br />How to Build a Mobile Website,<br />Mobile Design,<br />Some Companies*<br />Mobify,<br />MoFuse,<br />SproutCore, (this one is open source)<br />*More than willing to take your money<br />
    39. 39. Handheld-Friendly Library Websites<br />
    40. 40. UIC Mobile Site Walkthrough<br /><br />
    41. 41. Sample Pages<br />
    42. 42. UpToDate and IEEE Xplore<br />
    43. 43. Using Mobile Site Generators<br />Left: Mobile Site Generator created by Chad Haefele (NCState), among others we will look at…<br /><br />13<br />
    44. 44. Mobile Devices and Health<br />
    45. 45. The Times, They are a Changin’<br />1994<br />1929<br />2011<br />
    46. 46. <ul><li> Digestible</li></ul> RFID Pills<br />NETWORK<br /><ul><li> Sphygmomanometer
    47. 47. Blood pressure
    48. 48. Pulse
    49. 49. Glucometer
    50. 50. Blood sugar
    51. 51. Bathroom Scale
    52. 52. Weight
    53. 53. Water loss/gain
    54. 54. Smart Band-Aids</li></ul> - Chemistry<br />
    55. 55. Physician Adoption<br /># of physicians who own smartphones will increase from 64% in 2009 to 81% by 2012<br />No longer using it as a reference device but as a computer replacement<br />1 in 5 plan to buy an iPad<br />How can physicians use mobile technology… to communicate with their patients? (And are they doing it?)<br />
    56. 56. Patient Communication and Disease Management<br />Appointment reminders<br />Medication reminders<br />Patient education<br />Care communication<br />Disease management<br />Patients monitor and report their health data<br />Interactive applications<br />
    57. 57. Access to Resources<br />Formularies<br />Guidelines<br />Decision support<br />Medical Calculators<br />
    58. 58. Point-of-Care Documentation<br />Patient History Access<br />Patient Info Capture<br />Transmission of Patient Info<br />
    59. 59. Education Programs<br />Teaching clinicians<br />Patient Education<br />
    60. 60. Administration & Financials<br />Mobile clinical assistants<br />Self check-in<br />Asset tracking<br />Scheduling<br />Bed management<br />Charge capture<br />Eligibility info<br />Billing<br />
    61. 61. Ambulance/EMS<br />Advance triage<br />Patient record<br />Emergency self-care<br />First aid information<br />
    62. 62. Public Health<br />Track diseases<br />Mapping applications<br />Dissemination of information re: outbreaks<br />Ex. NYC CondomFinder<br />
    63. 63. Pharma/Clinical Trials<br />Patient feedback systems<br />Automatic, scheduled and ad hoc information transmission<br />Rely on instrument rather than patient for routine data collection<br />
    64. 64. Body Area Network (BAN)<br />Mobile wearable or implanted sensors<br />Monitors chronic disease<br />Transmits data in real time<br />May automatically treat patients (insulin)<br />Still in primitive stage of development<br />Big issue: security<br />
    65. 65. 49<br />mHealth – NLM Mobile Applications<br /><br />
    66. 66. Personal Health & Wellness Apps<br />Calorie Counters<br />Lose It!<br />MyFitnessPal<br />Medication Compliance<br />Medsy<br />Med Helper<br />Monitoring and Record Keeping<br />Instant Heart Rate<br />QuantiaCare for Diabetes<br />AsthmaMD<br />Symptom Checker<br />iTriage<br />MedlinePlus (website)<br />Companies<br />Walgreens<br />Gazelle (Quest Diagnostics)<br />From: GetMobilized Course, South Central MLA<br />
    67. 67. Clinical Apps<br />Calculators<br />Calculate by QxMD<br />MedCalc<br />Current Updates<br />MedPage Today<br />Public Health News (Harvard)<br />Diagnosis & Protocol Reference<br />Diagnosaurus<br />ePSS: Electronic Preventative Services Selector (AHRQ)<br />Drug & Interaction Reference<br />Epocrates<br />Micromedix<br />Patient Communication & Reference<br />MediBabble<br />Multifunction<br />Medscape<br />Skyscape<br />From: GetMobilized Course, South Central MLA<br />
    68. 68. Research & Library Apps<br />Searching<br />PubMed Mobile Beta (website)<br />PubMed OnTap<br />Ready Reference<br />Eponyms<br />Medical Encyclopedia (Univ. Maryland Med Center)<br />Plain-language Medical Dictionary (Taubman HSL)<br />Anatomy<br />Netter’s Atlas<br />3D Brain<br />Vendor Apps<br />WorldCat<br />AccessMyLibrary (Gale)<br />NEJM This Week<br />PLoS Medicine <br />PLoS One to Go<br />From: GetMobilized Course, South Central MLA<br />
    69. 69. Productivity<br />Note-taking/Lists<br />Evernote<br />Springpad<br />Personal Finance<br /><br />PageOnce<br />Travel<br />PageOnce Travel<br />TripIt<br />Reading<br />Kindle Reading App<br />Stanza<br />Collaboration<br />DropBoxGoogleDocs<br />Networking & Communication<br />Skype<br />Facebook<br />Twitter<br />Google+<br />From: GetMobilized Course, South Central MLA<br />
    70. 70. Where Libraries Fit<br />What is your library doing?<br />What would you like to see your library do:<br />For you?<br />For your patrons?<br />M-Libraries<br /><br />Lists libraries offering mobile interfaces or apps (including UIUC – mobile website and Indiana Search U - application)<br />Vendors and Publishers offering mobile interfaces or apps<br />Mobile Instruction, mobile tours of the library<br />
    71. 71. Developing and Designing for mobile Part II<br />Native App Development<br />
    72. 72. Create an App or Website<br />
    73. 73. QR Codes<br />
    74. 74. QR Codes<br />
    75. 75. Uses for QR Codes<br />
    76. 76. Some, uh, Interesting Uses of QR Codes<br />
    77. 77. Generating a QR Code<br /><br />For non-commercial use only<br />Can create a barcode that points to a URL, Text, Phone Number or SMS<br />
    78. 78. QR Codes Do Not Have to be Boring!<br />Add color or images<br />Soften hard edges with round corners<br />Give it a 3D effect<br />
    79. 79. Augmented Reality<br />
    80. 80. AR<br />
    81. 81. Example: Hallux Angles - Radiology<br />
    82. 82. Watching Trends, Keeping Up<br />
    83. 83. Bibliography<br />Books<br />Bednarz, Ann. The Networked World. Network World. 9 May 2011.<br />Fling, Brian.  Mobile Design & Development: Practical Concepts and Techniques for Creating Mobile Sites and Web Apps.  Sebastopol, CA: O'Reilly, 2009.  Print.<br />Griffey, Jason.  Mobile Technology and Libraries.  New York: Neal-Schuman, 2010.  Print.<br />Articles<br />Aldrich, Alan W. "Universities and Libraries Move to the Mobile Web" Educause. Vol 23, no. 2, p. <br />Warren, Christina.  "How to: Optimize Your Mobile Site Across Multiple Platforms" Mashable [accessed: July 15, 2010] link:<br />
    84. 84. Bibliography<br />Presentations<br />Tessier, Claudia.  The 12 mHealth Application Clusters.<br />Web Links<br />Delicious Links,<br />
    85. 85. Thank you!<br />Max Anderson, MLIS<br />NN/LM GMR<br /><br />312-996-2464<br />