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Point-of-Care Computing: PDAs, Health Care and the HIM

Point-of-Care Computing: PDAs, Health Care and the HIM. Ralph La Tella B.App.Sc.(Hons). AFACHSE Health Information Management Association of Australia. What are PDAs?. Handheld or palmtop computers Originally designed as PIMs (Personal Information Managers)

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Point-of-Care Computing: PDAs, Health Care and the HIM

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  1. Point-of-Care Computing: PDAs, Health Care and the HIM Ralph La Tella B.App.Sc.(Hons). AFACHSE Health Information Management Association of Australia (c) 2005 Medical Software for PDAs

  2. What are PDAs? • Handheld or palmtop computers • Originally designed as PIMs (Personal Information Managers) • All PDAs come with built-in software • Information may be entered using handwritten gestures, using virtual (on-screen) keyboard or by mini- keyboard FOR MORE INFO... www.medicalsoftwareforpdas.com

  3. Do PDAs make sense? (c) 2005 Medical Software for PDAs

  4. Personal vs. Functional PDAs – Truly personal, portable computing power (c) 2005 Medical Software for PDAs

  5. The PDA Market: OS Wars FOR MORE INFO... www.medicalsoftwareforpdas.com

  6. Palm or Pocket PC ? • Only the two most popular (Palm & Pocket PC) have a large developer focus and thus hold the majority of market share • Avoid immediate redundancy (built-in) • Caveat Emptor FOR MORE INFO... www.medicalsoftwareforpdas.com The Palm OS logo and the Pocket PC logo are the Registered Trademarks of Palm, Inc. and Microsoft, Inc respectively and are used in this presentation purely for illustrative purposes.

  7. Medical Relevance: Why PDAs in Healthcare? • Clinical working environment is highly mobile with decisions made at the bedside. • The size, shape and performance of computing devices that can be used in such an environment are constrained by the environment (Arshad et al 2002). • Handheld computers (PDAs) mobilise caregivers from the constraints of accessing data at fixed terminals. (c) 2005 Medical Software for PDAs

  8. PDAs in Use: Who, what and when? • Who uses a PDA & why? • More than 50% of doctors in the USA (Skyscape survey, Dec 2003). • 85% of physician agreed that by using a PDA they had decreased the number of potential medical (prescription) errors. • Almost 90% of the doctors surveyed concluded that PDAs help them provide better care. • Almost 20% of respondents concluded that PDA use enabled them to treat at least 3 more patients per day.

  9. Skyscape Survey • Does PDA use improve the overall quality of patient care? • How? (c) 2005 Medical Software for PDAs

  10. Potential Benefits of PDAs in Health Care • By providing access to data where and when it is needed: • Through the sequential review and entry of data (via interactive, web-based forms and databases), and • The retrieval of data (lab results and other Dx) at the patients bedside. (Journal of Surgical Endoscopy 16(1):221 – 3 Jan 2003)

  11. How are PDAs used? • Communication. • Document Management (e-Texts). • Database Management (DBMS). • Electronic Textbooks. • Medical Calculators. • Coding (CPT/ICD-9).

  12. Point of Care Computing: A summary DATA RETRIEVAL Legacy Information System The Point of Care DATA CAPTURE “Handhelds will likely become vital tools in the practice of medicine”. Dr Peter J. EmbiCleveland Clinic Journal of Medicine. 2001. Vol. 68, (10).

  13. Opportunities for HIMs PDAs / POC systems: The New HIM / Medical Informatics Frontier Here • Development • Database Design / Forms Design • Diagnostic tools / Clinical Pathways • Integration of PDAs & Legacy Systems • Security & User Access Protocols / VoIP • Training • Provide PDA training to Clinicians • Provide Multimedia Materials for students • Provide technical support to users • P.O.C Resource Management • Create PDA compliant web applications • Quality Activities for Mobile Systems • Providing Data Analysis Services • Clinical Data Warehousing & Distribution

  14. Where to from Here? • There has never been a better time to add-value to your career: • For those in Health I.T / Health Informatics • Extend your knowledge to PDA / Tablet PC applications particularly in the area of Relational Database applications – for the majority of you the transitional learning curve will be flat. • Champion the cause. Be at the leading edge – clinicians WILL turn to you for support & training. • For those in traditional HIM environments: • Find out how your knowledge of specific processes could be ported over to PDAs to provide niche solutions both within the MRD and other departments (e.g. record tracking using a bar code enabled PDA). There is an amazing lack of standards (in terms of data items required by various clinicians). Your skills are invaluable.

  15. Case Notes Project: MedLogs Client: PMEFQ Scope: A tool forming the basis of a system of assessment of 1st year (junior) doctors Initial Costing: (by non-HIM, IT- only, Canadian firm) = AUD$120,000 Final Costing: (HIM) Nowhere near 10%

  16. Recommended Software for Development • HandBase • Easy to learn and use • Has desktop PC component so you can build databases on your PC then download to your PDA • Handheld databases may be uni/bidirectionally synchronised with MS Access tables • Relatively inexpensive • Pocket PC and Palm PDA versions • Able to synchronise to web-based database http://www.handbase.com

  17. Thank you Thank you for your interest and your attention! For further information – please contact me at: editor@MedicalSoftwareForPDAs.comor Visit: www.MedicalSoftwareForPDAs.com

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