Mobile computing in medicine

transcript

Mobile technology in medicine

Drew ProvanBarts & The London School of Medicine & Dentistry

Queen Mary University of London

drewprovan@mac.comUK/OTH/0913/0024DOP September 2013

Monday, 9 September 13

I have no shares in Apple

Technology advancesmHealthWhy are iPad/iPhone so useful?Who is using this tech?Personal productivity app choices

The world has gone digital

24/7 communication

instant access to information whenever we

want itMonday, 9 September 13

Tech addiction

http://techland.time.com/2012/08/16/your-life-is-fully-mobile/

could not go a single day without their cellphones

sleep with their phone next to them

check their phone every 10 minutes

Last thing we touch before sleep

first thing we reach for when we wake

Less use of paper records

Electronic records, radiology, results, etc

NHS transformed

Electronic patient records

Appointment managementElectronic remindersVideo conferencingDigital assets (textbooks,

protocols, formulary)Data capture (epidemiology, planning, targets)

NHS Digitisation

Electronic patient records

Appointment management

Electronic reminders

Video conferencing

Digital assets (textbooks, protocols, formulary)

Data capture (epidemiology, planning, targets)

Digital technology changing the way we

communicatesocialiseteachdeliver healthcaredo business

Significant advances in IT?

Mobile computing

Cloud services

O!ce 365DropboxiCloudEvernoteGoogle docsAdobeFacebook, Twitter, etcIn-house cloud service

Key to mobility

Keep everything in sync

TelehealthMonday, 9 September 13

Mobile health advantages

BYOD — reduced cost for employer

Not tied to desktop

Update notes, review results etc anywhere

Share results at bedside

mHealth

5000 fitness/healthcare apps

Remote monitoring BP, glucose, chronic disease etc

Reduce hospital readmission rate

Revenues from remote patient monitoring $1.9 bn by 2014

What do we want?

PortableInstant onConnectedEasy to use

Functionality

“o!ce” functions

Browsing

Store & access files, PDFs, video, etc

High quality display

Access to Electronic Patient Records (EPR), radiology, results, letters

What’s available?

Smartphones

iPhoneBlackBerryGoogle AndroidMicrosoft Windows 8Nokia Symbian

Tablets

iPadAndroidBlackBerry PlaybookWindowsothers

Why are iPad and iPhone so useful?

SimplicityInstant on & fastGreat screen (pics/movies)e-reader, PDFs, Word files, x-raysCheap to deploySecure (CESG*)

CESG is the Information Assurance arm of GCHQ

Key feature: content

>900,000 total iOS apps

375,000 for iPad

20,000+ medical apps

Medicine, nursing, dentistry

Number growing

>50 billion apps downloaded

Can iPads/iPhonesimprove patient care?

More (quality) time with patient

Better education of patients

FaceTime/Skype calls — docs, patients

Remote monitoring (symptoms, results)

No barrier — not “computers”

Who’s using this technology?

Apple (iOS) devices

Canada OttawaMount Sinai, Toronto

USACedars Sinai, USAMemorial Hermann, USASt Louis Children’s Hospital, USA

Japan Jikei University Hospital, JapanTeikyo University Chiba Med Center, Japan

AustraliaSouthern Health (speech)Casey Hospital, VictoriaMelbourne, others

Pilots in UK (Apple)

Leeds General Practice

Oxford Radcli"e PharmacyElectronic Patient records

London Guys Electronic Patient RecordsResults, x-rays etc

London Newham Electronic Patient Records

Manchester iPod Touch for nurses

Are they secure?

Are they secure? Yes

* Inactivate camera, central mx, prevent access if poor compliance

Security

Hardware & software encryption

Wi-Fi: WPA/WPA2, 802.1X authentication

The trend

Desktops/laptops used less

Mobile technology will dominate

Hospitals, schools, universities, business, etc

Less use of books and paper records

Communication improvements

Location-based information

Geofencing

Clinical cases on arrivalDirections to hospitalMedication updatesNext appointment info

Augmented reality: Blippar

blippar.comMonday, 9 September 13

Barriers CostUnfamiliar IT departmentsPerceived security issuesEasy to steal

Personal app choices

Social/professional networking

Biomed Experts

Twitter

facebook

digitome

Google+

Cloud computing

iCloud

Downsides

No “folder”

Hard to see files, move, delete etc

Real work!

1Password

Printing

Printing: Print n Share

VNC (virtual network computing)

Screens

Things

Word docs ➡ Pages, Documents to Go

PowerPoint ➡ Keynote, Documents to Go

Excel ➡ Numbers, Documents to Go

PDF files ➡ iBooks, Good Reader

File storage ➡ Dropbox

Academic paper storage ➡ Papers

Notes, photos, etc ➡ Evernote

Business networking ➡ LinkedIn

Notepad ➡ Penultimate

To-do lists ➡ Things

Install limited number of productivity apps

Learn to use them

Integrate with desktop/laptop

Will mobile tech replace laptop?

Information consumption vs. authoring

Capacity

Editing, slide design, illustration

Some apps similar but not the same

File management awkward (no folders)

Typing

Summary

Mobile technology has changed everythingUnstoppable — not going awayNeed to integrate into practice, teachingMobile devices can aid productivityWe are willing to use themIT departments need to get on board