Maximizing Your PDA Investment & Planning for the Future March 17, 2008 Allison Weich

Maximizing Your PDA Investment& Planning for the FutureMarch 17, 2008

Allison Weich

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Who is More Likely to Own an MP3 Player?

A. U.S. Physician

B. 18-34 Year Old Male

C. 18-34 Year Old Female

Resource: Manhattan Research

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Can you envision this?

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The Zen of PDAism

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“Tip of the Iceberg”

Connect the Dots between the Mobile Device, Cell Phone, Desktop & Web

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Welcome to “e” Electronic Evolution in Mobile Healthcare!

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Agenda

Historical Preview

Quick review of the what, when and how of the handheld devices (or PDAs)

ROI

Can you expect to save time?

Enhance efficiencies? Improve quality of

care?

Handhelds in Healthcare

Rapid adoption by healthcare professionals

Case Studies

What is available today Who is doing what

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How Did We Get Here?

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Then (August 3, 1993)…

Processor: Motorola processor running at 20 MHz.

Memory: 640k RAM and 4 MB ROM.

Display: reflective LCD display has a resolution of 336x240 in black & white.

Expansion: One PCMCIA Type II card slot

Ports: LocalTalk compatible serial port, as well as a low-power, half-duplex, infrared transceiver that transmits at 9600 baud at 1 meter.

Battery: 6V AAA alkaline batteries which last 14 hours, and a 4.8V NiCd battery which lasts 4 hours.

Remember when?

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Now!

State-of-the-art processors 400MHz+ speed

128 MB Program Memory Storage cards up to 2GB!

Over 100 books in your pocket!

16-bit color Phone/wireless

integration Voice Recording Digital & Video Camera MP3 player

It’s not just an ADDRESS BOOK

any more!

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Spectrum of Devices

Two Piece Wireless data PDA

Integrated Wireless data PDA with telephony

Voice-centric PDA with data capability

Traditional PDA

Traditional mobile phone

PhonesCommunicatorsPhone PDAHandhelds Campus PDA

PDA Phone

SmartPhones

High-endMobile phonePIM capability

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Critical Problem

Health Professionals Every day mobile knowledge workers have to make critical decisions – while on the go

Unfortunately…

Information-is distributed-changes rapidly-not aggregated in-context-not structured for rapid decision making

Actionable Information

Need to have TRUSTED & UP-TO-DATE information in-context for making informed decisions – rapidly and effectively

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Handhelds & Healthcare – Perfect Partners

Critical Need in Healthcare

Need for Point of care access – current technologies are inadequate

Quick access to large volumes of information for better decision support

Platform is Right

Form factor is suitable New devices pack

power! Handy & mobile Non-intrusive to the

Physician Workflow

Applications are Available

Personal Information Management

Medical References Evidence Based Data Clinical Calculators Decision Support Tools Guidelines Billing and Coding ePrescribing EMR (subset)

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Rapid Healthcare Practitioner Adoption

Physicians are four times more

likely as other consumers to own

PDAs. 45% of North American physicians

own PDAs, compared with 11% of

the general population. Almost two-thirds, or 62%, of

physicians less than 43 years old

own PDAs, while 31% of physicians

above age 43 have themSource: 2004 Forrester Research Inc.Majority use

PDAs for REFERENCE

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… including Specialists

The Rowin GroupA survey of physicians based on three focus groups and 600 questionnaires

PDA Use - Specialists:

- ID specialists: 66%- Cardiologists: 61%- Oncologists: 50%- Neurologists: 50%- Psychiatrists: 50%- Internists: 44%

Over 1600 medical practitioners polled by Skyscape:More than 78% have at least three medical references on their PDA88% use PDAs to check drug references

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The High Level Benefits of PDAs

Improved decision-making – Supports decision making “as fast as medical practitioners can think”

Critical Information in Context - Provides the right information including large volumes of references when and where it is needed

Instantaneous access to Information without Training - Retrieve most information quickly and intuitively

Single Unified Interface - Integrate reference information with transactions in a completely seamless manner

47% of hospitals recently surveyed have mobile initiatives (in progress or complete)

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Intuitive & Comprehensive

Quick Reference

Clinical Calculators, Tools

Charge Capture

e-Prescribing Patient Records

In-context

Alerts & Messages

Guidelines & Algorithms

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Wireless Alerts

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Context Oriented Linking & Messaging

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How to Go Mobile Today!

Focus on the solutions that… Help reduce errors (thereby improve quality patient care) Are intuitive to use Provide immediate value to your daily activities Save you time

Hardware Options Get hardware you believe will last at least for a year and a

half Consider Leasing if appropriate

Solution Options Medical References - a great place to start, minimal

paradigm shift Several applications to support Charge Capture, HIS

integration, Clinical Documentation, etc

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Case Studies

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Scenario - Academic Setting

University of Louisville 1st – 4th year medical students

Drexel University ACE, Co-op and BSN Nursing students

Vanderbilt University 7 nursing specialties

UTMB Nursing program

East Carolina University 3rd year students

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Product Mix

University of Louisville

Stedman’s Concise, 5MCC, A2Z Drugs

Drexel University Diseases & Disorders: Nursing Therapeutic Manual, Lab & Diagnostic, Drug Guide for Nurses, Nursing Procedures, Taber’s, Assessment across the lifespan

UTMB Nurses Pkt Guide, Nurse’s Fast Facts, Procedure manual, Drug Guide for Nurses, 5MCC

East Carolina University

Tabers, Drug Guide for Physicians, 5MCC

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Categories of Information Resources

Dictionaries Clinical References Drug Databases Drug Interaction Guides Lab & Diagnostics EBM Alternative Medicine Coding Calculators & Tools Board Review Material Guidelines

Dynamic Information Resources

Drug News & Alerts CDC FDA NIH AHRQ Societies & Colleges: ACC, ACP, APPI

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Scenario – Private Setting – (Adoption Rate) PDA adoption Institution wanted to validate that physician adoption was

creating measurable ROI Charge Capture Solution on Pocket PC devices In addition Physicians from 9 departments were given

PDAs with 5 references. At the end of 8 weeks, results from survey to find out:

• How often they used their PDAs• How much time physicians saved doing research using a

PDA• The % of medical errors avoided by using the PDA at the

point of care

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Scenario – Private Practice – (Determine ROI in Messaging)

Messaging Institution wanted to provide a network of physician users

with access to medical references and context sensitive messaging The solution was developed to assist physicians during

point-of-contact encounters with patients The project included a list of preferred drugs, a list of

pharmacies, and a messaging application Internal content management for all applicable

sections, internal / external security was also included. The solution provided bi-directional linking capabilities

between the messaging application and the drug reference applications

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Scenario – Institution – (Customization)

Corporate Directory for Handhelds Institution wanted to put its employee information on

handheld devices so that it was easily accessible when employees were on the go

The information • Was indexed by employee name for easy access & seamless

navigation • Included

– Contact information– Location, job title, and phone number

• Was regularly updated Security was also implemented via a password and

encryption on the handheld device

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How Often Do You Use Your PDA?

Survey from PDA Users (>400K) Survey Results based on responses from all specialties

100% Users Access PDAs at least 1-3 times per day!

6-10x Per Day36%

11-25x Per Day24%

4-5x Per Day19%

>25x Per Day11%

1-3x Per Day10%

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Immediate Benefits

Measure the following: Time Savings Improved Patient Care Improved Patient Satisfaction More Patient Encounters Faster Patient Discharges Improved Compliance to Procedures/Guidelines Improved Coverage/Communication between Peers Improved Physician Autonomy/Satisfaction

Set up Personal Expectations Incremental Functionality Institutional Goals

Your mileage may vary!

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5-10 min

5-20 min

Instant Access to detailedClinical Information

5-20 min

5+ min

5+ min

5 min

Instant access to drug databases, drug interaction tools

Prescribe & give orders

right from your PDA

Ability to get messages,

alerts10 min

Ability to enter diagnosis, ICD-9 and procedure codes in HIS Instant access to patient meds

& patient history

15 min

Ability to access

guidelinesCheckFormularies

PDA’s Save Time, Improve Efficiency

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A Full Range of Specialty Titles Are Available From a Number of Mobile/Medical Reference Suppliers

SpecialtiesCardiologyDentistryDermatologyEmergency MedicineEndocrinologyGastroenterology and HepatologyHematologyInfectious DiseaseInternal MedicineNephrologyNeurologyOBGYNOrthopeadicsPediatricsPulmonary MedicineRheumatologySports MedicineToxologyNursing

…many more…

Representative Titles Davis’s Drug Guide

Drug Interaction Facts - iFacts

Taber’s Cyclopedic Medical Dictionary

Nurse’s Manual of Lab & Diagnostic Tests

Diseases & Disorders: A Nurse’s Manual

Taylor’s Clinical Nursing Skills

Nurse’s Quick Check: Diseases

Nursing Drug Handbook

Mosby’s 2007 Drug Reference

Nursing Drug Handbook

Lippincott’s Review For NCLEX-RN

Stedman’s Concise Dictionary

Nursing Procedures

… many more …

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Latest Platforms…

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How About You?

Will YOU be part of the Mobile Healthcare Explosion?

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Quick Demo

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Quick Demo On Skyscape’s Emulator and Q&A’s

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Allison Weich, [email protected]

Thank You!