Mobile computing in medicine

Mobile technology in medicine

Drew ProvanBarts & The London School of Medicine & Dentistry

Queen Mary University of London

[email protected]/OTH/0913/0024DOP September 2013

Monday, 9 September 13

mailto:[email protected]

mailto:[email protected]

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

84%

50%

20%




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


Mobile computing



Cloud services

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


Key to mobility


Keep everything in sync





TelehealthMonday, 9 September 13

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?


Yes

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

LinkedIn

Biomed Experts

Twitter

facebook

digitome

Google+


Cloud computing


iCloud


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


NO

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



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