Health Ipad

HealthIPADfor every physician

To Steve Jobs

From Dorine SijpkensApril 2010

World is changing

More people

Less resources

Higher expectations

More elderly

Not enough doctors

Need for global health care

Current Health care

Medical files on paper

Every hospital works with own electronic or paper files

Not enough cooperation between

doctors and patients

doctors and doctors

hospitals

pharmacists en doctors

countries

So we need to do it better

Databases must be available, with copies in every part of the world and supported by physicians

Patient responsible for own file

Simple and Cheap

Easy and Fast

Research-possibilities

Link to knowledge and expertise

Payment healthcare centralized

How can we make it better

We need the IT work for us

Use the results of the information of other doctors and patients

Advise based on the information of the patient linked to new data from labs and tests

Every physician

1 HealthIPAD And use only one database for

the information of the patients

Let the physician be able to adjust the HealthIPAD with apps according to own needs in their own language

Here is my dream HealthIPAD

To be adjusted by programmers who have more time and knowledge than I have

To be adjusted by many physicians working with the program

HealthIPAD Log in

Physician

Password

Iris scan

Finger scan

HealthIPAD

Search own patients

Add new patient

Phone numbers colleagues

Background information

Own files

Calling and e-mail

Other apps

Log in

Physician

Password

Iris scan

Finger scan

Patient

Password

Iris scan

Finger scan

NameDOB: --/mon/--Tel / e-mailGeneral PhysicianInsurance

Medical historyDate: diagnoseDate: diagnoseDate: diagnoseDate: diagnose

Family medical history

AllergiesDate: allergyDate: allergyDate: allergy

Current medicationsMedication 1 doseMedication 2doseMedication 3 doseMedication 4 doseMedication 5 doseMedication 6 dose

IntoxicationsSmoking: Current PastAlcohol: Current PastOtherCocaine: current Past

Social informationRaceCountry of BirthIn country sinceFamilyJob

Timeline

16/mar/10 General physician15/mar/10 lab10/mar/10 pharmacist

04/jan/10 eye laser31/dec/09 eye doctor hospital12/nov/09 brain contusion12/nov/09 radiology x4

Sep/09 labSep/09 internal medicine

5/jul/09 internal medicine1/juli/09 cardiologist hospital20/jun/09 lab20/jun/09 general physician

04/apr/09 chirurgy hospital16/mar/09 lab02/mar/09 OK – nefrectomyri01/mar/09 radiology

General information Patient DOB

NameDOB: --/mon/--Tel / e-mailGeneral PhysicianInsurance

Medical historyDate: diagnoseDate: diagnoseDate: diagnoseDate: diagnose

Family medical history

AllergiesDate: allergyDate: allergyDate: allergy

Current medicationsMedication 1Medication 2Medication 3Medication 4Medication 5Medication 6

IntoxicationsSmoking: Current PastAlcohol: Current PastOtherCocaine: current Past

Social informationRaceCountry of BirthIn country sinceFamilyJob

Timeline

16/mar/10 General physician15/mar/10 lab10/mar/10 pharmacist

04/jan/10 eye laser31/dec/09 eye doctor hospital12/nov/09 brain contusion12/nov/09 radiology x4

Sep/09 labSep/09 internal medicine

5/jul/09 internal medicine1/juli/09 cardiologist hospital20/jun/09 lab20/jun/09 general physician

04/apr/09 chirurgic hospital16/mar/09 lab02/mar/09 OK – nefrectomyri01/mar/09 radiology

General information Patient DOB

Current information

Specific Anamneses:

General Anamneses:

Physical examination:

General

RR, pulse, length, weight, BMI

Head/Neck

Cor

Pulm

Abd

Extremities

Skin

Lymfenodes

Specific for specialty

Additional testing

Laboratory results

CDC

Chem

Bacteriology

Virology

Radiology

Date X-ray: conclusion

Date Echo abdomen: conclusion

Pictures and movies

Connecting care

Glucose

Tension

Other?

Problem list and Conclusion

Problem list

Problem 1: differential diagnoses

Problem 2: differential diagnoses

Problem 3: differential diagnoses

Conclusion

Free text

Summary for letter

Free text

Arrangements for patient

Order tests

• Laboratory

• Radiology

• Nuclear

Inter collegial consults

Orders in case of clinical admission

Make appointments

Medication changes – link to medapp

Generate and send letter / mail

- Period … - …

- To others involved

Research and teaching value

Having information of diagnoses, laboratory results and medication together during period of time will give much more insight in medication working and side effects

Information can be collected anonymous

Putting on and off suggestions of the program will give the student and physician a quick learning curve

Attaching with background information and links to articles and “up-to-date” will promote evidence-based healthcare

End of consult

Patient decides if the physician keeps access to the file

Use information for research purposes

Use information for preparing for next consult

Enable physician to give answers on additional question patient

Just a HealthApp?

No, we need one database,which has to be maintained centrally, which has to have multiple copies and has to keep the patient information private

No, we need medical knowledge to implement

guidelines, protocols and evidence based information

We have to work together!

Conclusion

HealthIPAD

Good for Patients

Good for Doctors

Cost effective