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Future Healthcare

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Title: Future Healthcare


1
Future Healthcare
  • The
  • Smartphone Ripple
  • By
  • Lorraine Gdanetz, RN

2
Objectives
  • 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

3
Future 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)
4
Smartphone Technology
Now we are moving!
( Dolan, 2009)
5
The Smartphone Generation
  • Mobile
  • access to EMR at any time
  • Connected
  • to EMR interface

Catch me if you can!
6
First 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)
7
CareTools 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
8
iNotes 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)
9
Database 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)
10
Review 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)
11
Advantages 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)
12
DisadvantagesMobile 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)
13
Mobile 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)
14
Mobile 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)
15
Functions 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)
16
Conclusion 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)
17
References
  • 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/

18
Macios, 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.
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