Title: Future Healthcare
1Future Healthcare
- The
- Smartphone Ripple
- By
- Lorraine Gdanetz, RN
2Objectives
- Describe future healthcare
- Discuss future hardware and software
- Describe and evaluate usability
- Describe and review of information system
- Discuss advantages and disadvantages
- Discuss legal and ethical issues
- Describe nursing competencies
3Future Healthcare
- By 2014 complete implementation of electronic
health records - Electronic health records will save hundreds of
billions of dollars - In U.S. today 99 of physicians use the internet
- Fewer than 25 of physicians have electronic
medical records
I thought I moved slow!
(Waegeman, 2008)
(manhattanResearch, 2009)
4Smartphone Technology
Now we are moving!
( Dolan, 2009)
5The Smartphone Generation
- Mobile
- access to EMR at any time
- Connected
- to EMR interface
Catch me if you can!
6First stand-alone EMR for the iPhone was
launched in September of 2008.
- The popularity, convenience, and technology of
Smartphones will allow professionals to access
Electronic Medical Records at any time or place
changing the face of healthcare forever.
Keep moving!
(Dolan, 2009)
7CareTools iChart for iPhone
- iPrescribing
- Prescriptions can be sent directly and securely
to patients pharmacy - iBilling
- A tool for organizing diagnosis and procedure
codes using ICD9 codes - iLab Reports
- A lab and study organizer, labs can be reviewed
and signed - iNotes
- Create and review clinical notes
Patient records in the palm of your hand
(Berg, 2008)
(Caretools), 2008
8iNotes Usability
- Quick patient data entry
- Document patient photos
- Automated note integration
- Automated dictation
- Customize documentation templates
- Sharing of patient information
Information management at the point-of-care
(Berg , 2008)
(Caretools, 2008)
9Database Management System (DBMS)
- Set of software programs
- Controls creation and maintenance of an
organizations database including access by end
users - Organize, store, manage and retrieve data in a
database
(Macios, 2009)
10Review of Database Management System
- A clinical system
- Accessed by all healthcare providers
- Documentation, billing, physician ordering,
scheduling, access to lab results, digital images
and patients medical records - Local Area Network and Point of Care
- Health Level 7 (HL7)
Now we are Connected!
(Berg, 2008)
11Advantages Mobile Technology Use for EMR
- Documentation at point-of-care
- Enhanced communication between patients,
physicians, hospitals and pharmacies - Capture real-time financial information
- Streamline work flow
- Ability to interface with larger servers
- Error reduction
(Zabrek, 2008)
(Dolan, 2009)
12DisadvantagesMobile Technology Use for EMR
- Currently requires Web and Broadband access
- Applications only available for iPhones and iPod
touch - Privacy issues
- Limited remote access
- Interface issues
- Old patient record incorporation
(Berg, 2008)
(Dolan, 2009)
13Mobile EMR TechnologyEthical and Legal Issues
- Medical records must be kept in unaltered form
and authenticated by creator - Preservation of content and structure
- Economic stimulus package aims at offering
incentives to physicians that adopt EMR
(mHealth Initiative, 2009)
14Mobile EMR and Nursing Competencies
- Proficiency in E-mail and mobile phone text
message technology - Skilled use of internet to locate and download
information - Competent in computerized monitoring systems
- Identify the basic components of a computer and
mobile phone system - Perform basic troubleshooting of applications
used - Participate in the selection, design,
implementation, and evaluation of the systems
(McGonigle Mastrian, 2009)
15Functions and Responsibilities ofInformatics
Nurse Specialistin use of Mobile EMR
- Responsible for Education
- Manages and evaluates the system
- Develops the application to meet nursing needs
- Will use Evidence Based Research in development
of system - Will manage data reliability and integrity
(McGonigle Mastrian, 2009)
16Conclusion Future Healthcare
- Federal mandate for EMR by 2014
- Physician use of mobile phones 100
- Smartphone applications for use by practitioners
to allow mobile access to review and create EMR - Need for Informatics Nurses and Informatics Nurse
Specialist
I am catching up to you!
Oh No!
(mHealth Initiative, 2009)
17References
- Waegemann, C.P. (2008). Cellphone EMR Can you
cure me now?. Emergency Physicians Monthly,
Retrieved 06/05/2009, from http//epmonthly.com/in
dex2.php?optioncom_contenttaskviewid228pop1
- Dolan, P.L. (05/25/2009). Can a surge in
physicians' use of smartphones ripple to health
IT adoption?. American Medical News, Retrieved
06/05/2009, from http//www.amaassn.org.ezaccess.l
ibraries.psu.edu/amednews/2009/05/25/bil20525.htm
- (2009). mHealth Initiative. Retrieved 06/05/2009,
from mHealth Initiative INC. Web site
http//www.mhealthinitiative.org/ - (2009). manhattanRESEARCH. Retrieved 06/05/2009,
from Taking The Pulse Physicians and Emerging
Information Technologies Web site
http//www.manhattanresearch.com/Products/Strategi
c_Advisory/ttp/
18Macios, A. (03/16/2009). The 411 on cell phone
applications in healthcare. For The Record,
21, Retrieved 07/13/2009,from
http//www.fortherecordmag.com/ftr_coverstory.shtm
l (2008). Caretools. Retrieved 07/13/2009, from
Caretools.com Web site
http//www.caretools.com/about_technical.html
Zabrek, E. M. (2008). Robust and affordable
medical apps. Smartphone Magazine, 1(2),
87-89. Berg, T (07/22/2008). Digital medical
record system for iPhone. Retrieved
07/13/2009, from eNewsChannels Web site
http//enewschannels.com/2008/07/22/enc3434_170851
.php McGonigle, D., Mastrian, K. (2009).
Nursing informatics and the foundation
of knowlege.Sudbury Jones and Bartlett
Publishers, LLC.