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07.09.02
1. Exploring Digital / Wireless Application In Healthcare
Presentation of Research
Mohammad Al-Ubaydli, M.D.
September 2, 2007
2. Roadmap for Discussion
I. Introductions and Definitions
I. Introductions and Definitions
II. VCU Hospital: Admissions and Billing
II. VCU Hospital: Admissions and Billing
III. Refining the Medication Reconciliation Process
III. Refining the Medication Reconciliation Process
IV. Q&A Discussion
IV. Q&A Discussion
4. Introductions
The Advisory Board Company
IT Insights team
Mohammad Al-Ubaydli
Doctor, University of Cambridge
Programmer, National Center for Biotechnology Information
Management Consultant, The Advisory Board Company
5. Definitions
Doctor’s Dream Device
Handheld computer: a computer small enough to hold in your hand
Personal Digital Assistant (PDA): a handheld computer
Smartphone: a handheld computer that can make telephone calls
Mobility: small form factor and long battery life
Connectivity: cellular, WiFi, infra-red
Ubiquity: every clinician already knows how to use their phone
Addition, not Replacement
6. Avoiding the Mistakes of Others
The challenge
At the start of 2006 there were over 600 papers in PubMed™ that dealt with handheld computers. Many
lessons have accumulated in the clinical literature but we need to understand and assimilate these lessons.
The challenge is to provide these lessons as peer-reviewed and unbiased summaries based on scientific
fact, not marketing hype.
The Scholarships
Five exceptional students from around the world will be selected each year to review selected literature
and make summary reports that will be published in the Mobile Medical Computing Reviews journal. The
Scholarship winners will be mentored and trained by Dr. Mohammad Al-Ubaydli, author of four books,
including “Handheld Computers for Doctors”.
The results
Once complete, the reviews will be published and freely available through the website of the new journal
Mobile Medical Computing Reviews. Each student will be able to quote their own reviews in their list of
publications.
www.handheldsfordoctors.com/research
8. Success on the Move
Case in Brief
Physicians perform electronic charge capture and review clinical
results with PocketPC (Treo) Smartphones
Successful only after failed attempts with PocketPC PDAs and Palm
OS Smartphones
VCU Health System
$800,000 annualized revenue for 1 department from: missing charge
779-bed academic
rate 15.7% --> 0.07% and charges within 10 days 25% --> 90%
medical center
Will deploy to 600 physicians after the success of the pilot with 40
Located in
physicians
Richmond, VA
Software on smartphone includes:
Patientkeeper integrating with Cerner Infrastructure
EMR Secure VPN tunnel through
UpToDate medical reference Sprint PCS
SPB Software and integrating with Remote PocketPC monitoring
corporate contacts through MobiControl
Google Maps, local weather Lotus Notes to PocketPC via
Show missed pages iAnywhere
9. Pocket PC PDA Confusing to Clinicians
Project Almost Abandoned
Reconnecting to different wireless stations around
the hospital too complicated
Battery life too low because of Wi-Fi usage and
failure to recharge would lead to cumbersome
reinstallation of software
Physicians refused to use devices
Pocket PCs connect to Wi-Fi
WiFi network available throughout hospital.
10. Palm OS Smartphone Lacked Multitasking
Treo Smartphones with Palm Operating System Promising
Friendly user interface and constant connectivity through cellular network
Log into EMR Log into e-mail Log into EMR
Switching Too Cumbersome
Palm operating system does not have multi-tasking
Physician must log into electronic medical record and e-mail software
Switching to application expires authentication of previous application
Clinical work relies on constant switching between tasks
