Handheld Devices

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Handheld Devices

  1. 1. Handheld Medical Applications Rudy R. Barreras Reference Librarian Pumerantz Library Reference Department
  2. 2. Objectives <ul><li>Differentiate handheld operating systems (OS) </li></ul><ul><li>Know what OS is actively developing applications </li></ul><ul><li>Comply with HIPAA regulations </li></ul><ul><li>Locate Pumerantz Library handheld resources </li></ul><ul><li>Locate freeware and commercial applications </li></ul>
  3. 3. Operating Systems <ul><li>Symbian </li></ul><ul><ul><li>Nokia, Motorola, Samsung, etc. </li></ul></ul><ul><li>PocketPC </li></ul><ul><ul><li>Dell, HP, etc. </li></ul></ul><ul><li>Windows Mobile Devices </li></ul><ul><ul><li>Shadow, Dash, etc. </li></ul></ul><ul><li>Palm </li></ul><ul><ul><li>Treo, Centro, Pre, Tungsten </li></ul></ul><ul><li>Blackberry </li></ul><ul><li>Android </li></ul><ul><li>iPhone/iTouch </li></ul>Actively producing new applications
  4. 4. HIPAA Definition <ul><li>HIPAA Title II: </li></ul><ul><ul><li>Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) required the Department of Health and Human Services (HHS) to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addressed the security and privacy of health data. </li></ul></ul><ul><ul><ul><ul><ul><li>(Centers for Medicare and Medicaid services, 2008) </li></ul></ul></ul></ul></ul><ul><ul><li>Simplified </li></ul></ul><ul><ul><ul><li>Any personally identifiable patient information you have, MUST be secured. </li></ul></ul></ul><ul><ul><ul><li>HIPAA allows for stiff penalties for non-compliance </li></ul></ul></ul><ul><ul><ul><li>YOU are responsible for patient information and HIPAA compliance </li></ul></ul></ul>
  5. 5. HIPAA Compliance <ul><li>What is personally identifiable information? </li></ul><ul><ul><li>Any personal patient information </li></ul></ul><ul><ul><ul><li>Test results </li></ul></ul></ul><ul><ul><ul><li>Insurance information </li></ul></ul></ul><ul><ul><ul><li>Record notes </li></ul></ul></ul><ul><li>How to secure information </li></ul><ul><ul><li>Handhelds & laptops </li></ul></ul><ul><ul><ul><li>Locking programs for files or the entire handheld </li></ul></ul></ul><ul><ul><li>Best practice method </li></ul></ul><ul><ul><ul><li>Don’t take patient information with you </li></ul></ul></ul>
  6. 6. Office Applications <ul><li>Pocket PC and Windows Mobile devices </li></ul><ul><ul><li>Mobile versions of Office applications included </li></ul></ul><ul><li>Palm & BlackBerry devices </li></ul><ul><ul><li>Must download converter programs </li></ul></ul><ul><ul><ul><li>Documents to go – Palm </li></ul></ul></ul><ul><ul><ul><li>BeamView – BlackBerry </li></ul></ul></ul><ul><li>iPhone </li></ul><ul><ul><li>In development </li></ul></ul>
  7. 7. Applications for school and in the clinic <ul><li>Asynchronous </li></ul><ul><li>Calendars </li></ul><ul><li>Contacts </li></ul><ul><li>Organizers </li></ul><ul><li>Office documents </li></ul><ul><li>E-book readers </li></ul><ul><li>Medical calculators & dictionaries </li></ul><ul><li>Pharmacopeias </li></ul><ul><li>Security </li></ul><ul><li>Synchronous </li></ul><ul><li>“ Push” e-mail </li></ul><ul><li>Database searching </li></ul><ul><li>E-journals </li></ul><ul><li>Websites </li></ul>
  8. 8. E-book/Document readers <ul><li>All e-book readers are asynchronous </li></ul><ul><ul><li>For most handheld devices </li></ul></ul><ul><ul><ul><li>Adobe Acrobat Reader </li></ul></ul></ul><ul><ul><ul><li>Isilo - Document Reader </li></ul></ul></ul><ul><ul><ul><li>Mobipocket - Document/e-book </li></ul></ul></ul><ul><ul><li>Blackberry </li></ul></ul><ul><ul><ul><li>Beamberry – commercial application </li></ul></ul></ul><ul><ul><li>iPhone </li></ul></ul><ul><ul><ul><li>Stanza –download from Apps Store </li></ul></ul></ul>
  9. 9. Handheld Research Guide
  10. 10. Library Resources <ul><li>AccessMedicine </li></ul><ul><li>MDConsult </li></ul><ul><li>DynaMed </li></ul><ul><li>Micromedex – Thompson Clinical Xpert </li></ul><ul><li>Discounted Resources </li></ul><ul><ul><li>Epocrates </li></ul></ul><ul><ul><ul><li>Contact library for code </li></ul></ul></ul><ul><ul><li>Lexi-Comp </li></ul></ul><ul><ul><ul><li>Follow hyperlink from Lexi-Comp webpage </li></ul></ul></ul>
  11. 11. Library Resources
  12. 12. Library Resources - AccessMedicine <ul><li>MyAccessMedicine </li></ul><ul><ul><li>Handheld access is open to registered users, registration is free </li></ul></ul><ul><ul><li>Handheld Features </li></ul></ul><ul><ul><ul><li>Save chapter & sections of e-books using an e-book reader applications </li></ul></ul></ul><ul><ul><ul><li>Upload copyrighted pictures </li></ul></ul></ul><ul><ul><ul><li>Diagnosaurus – Asynchronous DDX application </li></ul></ul></ul>
  13. 13. Library Resources - MD Consult <ul><li>A personal account is needed to download the PocketConsult application </li></ul><ul><ul><li>Features </li></ul></ul><ul><ul><ul><li>Uses MobiPocket </li></ul></ul></ul><ul><ul><ul><li>daily summaries of current medical news </li></ul></ul></ul><ul><ul><ul><li>weekly drug alerts </li></ul></ul></ul><ul><ul><ul><li>the latest abstracts from hundreds of journals </li></ul></ul></ul><ul><ul><ul><li>record, store, and initiate searches on MD Consult from your handheld </li></ul></ul></ul>
  14. 14. Library Resources - Micromedex <ul><li>Thompson Clinical Xpert is a FREE asynchronous application for Palm or PocketPC </li></ul><ul><li>Thomson Clinical Xpert information covers... </li></ul><ul><ul><li>Drugs </li></ul></ul><ul><ul><li>Interactions </li></ul></ul><ul><ul><li>Diseases </li></ul></ul><ul><ul><li>Lab </li></ul></ul><ul><ul><li>Alternative medicines </li></ul></ul><ul><ul><li>Toxicology </li></ul></ul><ul><ul><li>News and alerts </li></ul></ul><ul><ul><li>Convenient calculators </li></ul></ul><ul><li>Updated at each sync </li></ul>
  15. 15. Library Resources - DynaMed <ul><li>DynaMed - asynchronous point of care application </li></ul><ul><ul><li>For Palm OS, Windows Mobile, Blackberry and iPhone/iTouch </li></ul></ul><ul><ul><li>Contact the library at [email_address] to obtain an access code for your handheld device </li></ul></ul><ul><ul><ul><li>Please specify your device type; i.e. iPhone, Palm, etc. </li></ul></ul></ul>
  16. 16. Pharmacopeias & Calculators <ul><li>Asynchronous </li></ul><ul><li>Epocrates </li></ul><ul><li>Lexi-Comp </li></ul><ul><li>Micromedex </li></ul><ul><li>MedCalc/MedMath </li></ul><ul><li>Diagnosaurus </li></ul><ul><li>QXMD </li></ul><ul><li>Mediquations </li></ul><ul><li>Synchronous </li></ul><ul><li>Mobile PDR </li></ul><ul><li>Orange Book </li></ul><ul><li>Diagnosis Pro </li></ul><ul><li>Epocrates Website </li></ul><ul><li>Clinical Evidence </li></ul>
  17. 17. NLM Mobile <ul><li>Free resources sponsored by the National Library of Medicine </li></ul><ul><li>Palm & Pocket PC compatible </li></ul><ul><li>Accessible </li></ul><ul><ul><li>From the Library at http://www.westernu.edu/xp/edu/library/pda_directory.xml#library </li></ul></ul><ul><ul><li>From NLM at http://www.nlm.nih.gov/mobile/ </li></ul></ul>
  18. 18. NLM Mobile Products <ul><li>Synchronous resource </li></ul><ul><ul><li>PubMed for handhelds </li></ul></ul><ul><li>Asynchronous applications </li></ul><ul><ul><li>AIDSInfo </li></ul></ul><ul><ul><li>WISER </li></ul></ul><ul><ul><li>NCBI Bookshelf </li></ul></ul>
  19. 19. NLM Mobile Homepage
  20. 20. Where to Find More Apps <ul><li>Freeware </li></ul><ul><li>Download.com </li></ul><ul><li>AvantGo </li></ul><ul><li>Tucows </li></ul><ul><li>National Guidelines Clearninghouse </li></ul><ul><li>Commercial </li></ul><ul><li>iTunes Apps store </li></ul><ul><li>Undbound medicine </li></ul><ul><li>pdaMD </li></ul><ul><li>Skyscape </li></ul><ul><li>Modality </li></ul><ul><li>HandheldMed </li></ul>
  21. 22. Personal Recommendations <ul><li>DynaMed – Library Serial # </li></ul><ul><li>Epocrates – Free Products </li></ul><ul><li>Lexi-Comp – Free products </li></ul><ul><li>DDX Generator </li></ul><ul><li>Mobipocket </li></ul>
  22. 23. Suggested Reading <ul><li>Jotkowitz, A., Oh, J., Tu, C., Elkin, D., Pollack, L. A., & Kerpen, H. (2006). The use of personal digital assistants among medical residents. Med Teach, 28(4), 382-384. </li></ul><ul><li>Kho, A., Henderson, L. E., Dressler, D. D., & Kripalani, S. (2006). Use of handheld computers in medical education. A systematic review. J Gen Intern Med, 21(5), 531-537. </li></ul><ul><li>Knox, C., & Smith, A. (2007). Handhelds and HIPAA. Nurs Manage, 38(6), 38-40. </li></ul><ul><li>Pancoast, P. E., Patrick, T. B., & Mitchell, J. A. (2003). Physician PDA use and the HIPAA Privacy Rule. J Am Med Inform Assoc, 10(6), 611-612. </li></ul><ul><li>Rothschild, J. M., Fang, E., Liu, V., Litvak, I., Yoon, C., & Bates, D. W. (2006). Use and perceived benefits of handheld computer-based clinical references. J Am Med Inform Assoc, 13(6), 619-626. </li></ul>
  23. 24. Reference <ul><li>Centers for Medicare and Medicaid Services. (12-14-05). HIPAA General Information – Overview . Retrieved April 10, 2008, from http://www.cms.hhs.gov/hipaageninfo/ . </li></ul>
  24. 25. <ul><li>Contact Pumerantz Library Reference Department </li></ul><ul><li>In-person </li></ul><ul><li>Phone </li></ul><ul><ul><li>909-469-5323 ask for Reference </li></ul></ul><ul><li>Ask a Librarian </li></ul><ul><ul><li>http://www.westernu.edu/xp/edu/library/library-ask.xml </li></ul></ul><ul><li>Chat </li></ul><ul><ul><li>http://www.westernu.edu/xp/edu/library/library-chat-reference.xml </li></ul></ul>

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