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Beth Israel Deaconess Medical Center Harvard Medical School

Beth Israel Deaconess Medical Center Harvard Medical School. Tablets in Healthcare: Not Just Pills Anymore Henry Feldman, MD Chief Information Architect. Division of Clinical Informatics, BIDMC.

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Beth Israel Deaconess Medical Center Harvard Medical School

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  1. Beth Israel Deaconess Medical Center Harvard Medical School Tablets in Healthcare: Not Just Pills Anymore Henry Feldman, MD Chief Information Architect Division of Clinical Informatics, BIDMC

  2. There are no conflicts of interest in this presentationFunding Sources: Dasman Diabetes InstituteHaCIRICNational Institutes of HealthRobert Wood Johnson FoundationClinical CareAdvisory Boards (unpaid)Simulconsult Inc, StrictlyPersonal Inc

  3. Tablets in Healthcare • Promised for decades • Supposedly the deus-ex-machina for healthcare providers • Never suited the task well

  4. Tablets in Healthcare • Physicians have wanted a portable patient record they can round with for millennia • The devices have come with a bunch of limitations, that have limited utility until now.

  5. Early Tablets in Medicine • Heavy • Poor Battery Life • Poor user interface • Expensive • Essentially desktop OS glommed onto pen interface

  6. And Then...

  7. Concerns • Ruggedness • Infection Control (né tablet as fomite) • Security • Cost • User Interface

  8. Ruggedness and Infection Control

  9. Use in the OR * Your Milage May Vary....

  10. Security • iOS more secure in general than a typical desktop (heavily sandboxed) • Lack of flash a good thing! • Biggest risk is losing the device • Don’t have local storage (our EHR is web only) • Remote location and Wipe

  11. Cost • $499 for lowest iPad (which is more than sufficient since heavy local media storage is not a real feature of healthcare) • At our medical center the overwhelming majority are self purchased by the physicians • Which tells you about the cost-benefit, since we are spending our own money

  12. User Interface • Since most application development in HIT is web based, the iPad (and other tablets) work very well natively • Native apps can add additional utility when needed, but a well designed HTML 5 application is universal (and works on your desktops too) and are much cheaper • Need to think about location and size of clickable targets (lots of tiny links are painful on a tablet)

  13. The “Killer App”

  14. How it Has Changed My Practice The hospitalized patient can be as involved as an office based patient can be

  15. So In Summary • More rugged than folks think • Security needs to be carefully thought about, but is solvable • Location services present new opportunities • Bringing care to the bedside presents many new opportunities to engage patients • Relatively inexpensive

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