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Future Healthcare

Future Healthcare. The Smartphone Ripple By Lorraine Gdanetz, RN. 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

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Future Healthcare

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  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! (manhattanResearch, 2009) (Waegeman, 2008)

  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 (Caretools), 2008 (Berg, 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” (Caretools, 2008) (Berg , 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 (Dolan, 2009) (Zabrek, 2008)

  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 (Dolan, 2009) (Berg, 2008)

  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/index2.php?option=com_content&task=view&id=228&pop=1 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.libraries.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/Strategic_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.shtml (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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