Is it time for Surface applications at the point of care?

Heartland Health and Clinic

October 10, 2011David Voran, MD

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CHC 2011

Point-Of-Care Devices and Real Time Use

Leveraging technology at the point of careExpands breadth of primary care services and diagnosticsImproves documentationInvolves the patient, increases trust and satisfaction

Big, touch sensitive screensHP 600t/9000 and HP 610t/9300

CamerasEye-Fi SD cards

USB Imaging DevicesProscopeEarscopeMiR Spirometer

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CHC 2011

Connect everything to the exam room computer

Bodelin Proscope

Dino-Lite Earscope

MIR Winspiro

Eye-Fi cards: Enable easyreal-timehands-off transfer of photos into EMR

Looking forElectronic scalesStadiometers

Diagnostic Tools Other Information Tools

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CHC 2011

POC Technology

Evolution notebook > tablet > standard workstations > expanded large screen workstations > multi-touch wide-screen devices

Device is as much for the patient as the providerUsed as a “window to the world”Technology to do as much diagnostic screening at the point of care as possible

Specialists should only get those patients who’ve been screened

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CHC 2011

Power Form Modifications for Patients (and iPads)

Avoid radio buttonsDifficult even with large monitors and iPads

Grids are relatively easy

Spacing is an issue

Larger boxes enable easier patient entry

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CHC 2011

Free text for signatures or drawings

MS OneNote TemplateMulti-step processOpen up One-Note > Choose appropriate procedure pageReview and have patient sign (draw) in the appropriate areaSave page as PDFImport document into clinical notes like this:

Older 600’s and 9000’s are too verticalHave moved to 610t and 9300 where unit slides down

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CHC 2011

Next phase

Drawing/Signature Controls

Make PowerForms much more usefulCould be applied to PowerNotes and other interactive tools

Citrix recognition of locally connected devices

Many low cost devices have limited shelf lifeNeed to be able to do this without involving back-end configurations

Signature/Drawing Boxes

Multi-touch version of Citrix• Don’t know if it will

ever be created

Exam room surface applications

iPads and other tablets and touch enabled devices linked into PowerChart

Future Directions

CHC 2011

Demonstration

Just a small taste of what’s to come