wireless world mobile computing in healthcare frank j fortner iatric systems l.
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Wireless World Mobile Computing in Healthcare (Frank J. Fortner / Iatric Systems). Objective Understand current technologies, trends and philosophies driving the healthcare industry to become an increasingly more mobile landscape. Consider The Following….

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slide2

ObjectiveUnderstand current technologies, trends and philosophies driving the healthcare industry to become an increasingly more mobile landscape.

slide3

Consider The Following…

  • 5.5% of IT budgets were devoted to wireless applications in 2004 (Forrester – 2004)
  • Healthcare industry to spend $7B in wireless technology by 2010 (Focal Point Group – 2004)
  • 80% of hospitals surveyed have or plan to launch a wireless solution (IDC – 2004)
  • 79% of hospitals surveyed plan to deploy wireless solutions in 2005 (HIMSS – 2005)
slide4

Driving Forces

  • Reduction of Operating Costs
  • Reduction of Medical Errors
  • Good Buddies - Physicians & PDAs
  • FDA Bar Code Ruling (Feb 2004)
  • JCAHO 2005 National Patient Safety Goals
  • Advances in Mobile/Wireless Technology
  • Increasing number of tech-savvy workers
slide5

Wireless World Topics

  • Moving to the Bedside
  • Technology Increasingly Mobile
  • Examples of Mobile Solutions
  • Mobile Hardware & Barcoding at POA
  • Wireless Network Security
  • Future Technologies
  • Things to Consider…
slide6

Moving to the Bedside

  • Point-of-care technology (bedside) is becoming increasingly mission critical
  • Siemens study finds 97% of health care leaders believe IT will improve care
  • 85% said IT is crucial in improving the process of treating and handling patients
  • 50% of medical professionals say mobile computers reduce their errors (Skyscape – 2004)
slide7

Moving to the Bedside

  • Bedside computing gives caregivers a final safety net. One last error prevention point.
  • Scanning barcode on patient wristbands ensures positive patient id
  • Scanning barcode on medications allows checking of 5-rights
  • Scanning barcode specimen labels ensures the right label is put on a specimen tube
slide8

Technology Increasingly Mobile

  • Wireless LAN Technology (up to 54Mbps)
  • Short range: Bluetooth gaining momentum
  • Cellular WAN data syncing (14-700Kbps)
  • Broadband “aircards” for laptops, PDAs
  • Devices (laptops, PDAs) are shipping with 802.11 wireless built-in (no need for cards)
  • Smart Phone PDAs with Windows Mobile
slide10

Examples of Mobile Solutions

  • Clinical Result Reporting
  • Clinical Result Documentation
  • Medication Verification / Scanning Meds
  • CPOE
  • Phlebotomy / Specimen Collection
  • Charge Capture & Materials Management
  • e-Prescribing
slide11

Examples of Mobile Hardware

  • Tablet PCs
  • Wireless on Wheels (WOW!!)
  • Handhelds
  • SmartPhones
  • Barcode Scanners
  • Mobile Printers
slide12

Wireless on Wheels (WOW)

  • Roll to bedside in cart form
  • Fully equipped; full functionality
  • Barcode scanners attached (or wireless)
  • Room for extras such as a printer on cart
  • Full keyboard for typing documentation
  • Allows full access to Meditech routines such as document medications
slide13

Tablet PC

  • 90% of Nurses are reluctant to use tablets
  • Some docs use them for daily clinical work
  • Cite size, weight and battery life as issues
  • Weight, size, durability, battery life
  • Input is much more difficult than WOW
  • Not practical for “hands” on care giving
  • Tendency to get very hot!

(Above figures via Spyglass Consulting – reported in iHealthBeat

slide14

Handhelds

  • Palm now shipping on Windows Mobile
  • Palm O.S. vs. PocketPC
  • Microsoft has won the enterprise (again)
  • Symbol makes great choice at bedside
  • Built-in WiFi, integrated barcode scanner
  • Future PDA apps will use more Microsoft dev tools such as. Net compact framework
slide15

SmartPhones

  • Power of PDA + email, txt msg, internet
  • Integrated, all-in-one device
  • Ability to connect / sync data via cellular
  • Run “thick” or “thin” client applications
  • Ability to auto-switch from cellular to WLAN
slide16

Mobile Printers

  • Ability to print barcode labels on the fly
  • 802.11x
  • Improves specimen collection on the floors
  • Eliminates need to print ahead of time
  • Gives flexibility to combine or print extra labels
slide17

Barcoding at Point of Administration

  • Medication Administration / 5 Rights
  • Positive Patient ID (#1 goal JCAHO)
  • Specimen Collection & Verification
  • Charge capture of patient issue items
  • Best solutions are WOW and Handheld
  • Barcode readers come in both wired and wireless (Bluetooth) flavors.
slide18

Wireless Network Security

  • Available security tools and protocols
  • Security is the first order of business
  • WEP
  • EAP, LEAP, PEAP, EAP-TLS, EAP-TTLS...
  • Making the right decision
  • Solutions must be compatible
slide19

Future Technology & Predictions

  • 802.11n (100Mbps) at 300 feet
  • RFID may become prevalent in healthcare
  • Increase in usage of 2D Barcodes
  • Internal VOIP apps. for Phones / PDAs
  • Handhelds approaching PC power
  • POA software commonplace by 2010
slide20

Things to Consider…

  • Understand the hardware limitations Includes: durability, battery life, processor
  • How will data be send to mobile device? Includes: real-time, dock/sync, wireless sync
  • Future migration path; how will it evolve?
  • Effects on current processes; good fit?
  • Identify special networking needs early