Saving Lives, Saving Money--PDAs in Healthcare

Kelli Bravo, Director of Marketing, Skyscape, Inc.Steven L. Romiti, MD, ED Director, Northeastern Regional Hospital

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Agenda

Introduction

Market Trends

Improved Efficiency examples

Case Studies

Questions

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Can Modern Technology

give us a New Way to Look at

Medical Information?

30,000 – 75,000 patients die each year due to medical errors

Physicians spend 30% of their time on administrative tasks

Most physicians carry index cards or scraps of paper in their pockets with patient information

30% of physician return-phone calls come from pharmacies

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Healthcare’s Critical Problem

Every day mobile knowledge workers e.g. physicians, healthcare professionals, services, have to make business- and health-critical decisions – while on the go

They require actionable information to be provided in context for making informed decisions- rapidly and effectively

Today’s critical problem – Information is not actionable Information is distributed over several different sources Information changes rapidly Information is not aggregated in the “correct context” Information is not structured for rapid decision making

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Decision Making At Point-of-Care

THINK REFER ACT

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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 when and where it is needed

The Power of Medical Reference in your Pocket - Carry large volumes of reference information in handheld devices

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

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

49% of hospitals recently surveyed intend on introducing mobile technologies within two years

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Rapid Physician Adoption

67%of ACP-ASIM

members will use PDAs by

the end of 2002

Majority use PDAs for

REFERENCE

The Rowin Group

A survey of physicians based on three focus groups and 600 questionnaires

PDA Use Highest Amongst Specialists:

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

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State of the Software Very Encouraging

!

Reference Software

Charge Capture

Medical Records?

E-Prescribing

Clinical Calculators

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Useful, Intuitive Products

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Extensive & Growing Portfolio

SpecialtiesCardiologyDentistryDermatologyEmergency MedicineEndocrinologyGastroenterology HematologyInfectious DiseaseInternal MedicineNephrologyNeurologyOBGYNOrthopeadicsPediatricsPulmonary MedicineRheumatologySports MedicineToxology

Representative Titles

The Washington Manual of Medical Therapeutics

Physicians’ Desk Reference

Griffith’s 5 Minute Clinical Consult

The Medical Letter

The 5-Minute Infections Disease Consult

The 5-Minute AHA Cardiac Consult

The 5-Minute Emergency Medicine Consult

The 5-Minute Sports Medicine Consult

NeoFax

Drug Facts - A2zDrugs

Drug Interaction Facts - iFacts

Mosby’s Drug Consult

Nelsons’s 2002-2003 Pocket Book of Antimicrobial Therapy

Bartlett, 2002 Pocket Book of Infectious Disease Therapy

The Johns Hopkins Hospital 2002 Guide to Medical Care of

Patients with HIV Infection

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What can Mobile Solutions do for you? – Today!

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

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

Medical References A great place to start – mature and stable technologies Get trusted titles

Who from? Several in the market Skyscape provides the right solution

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Where to Save Time & Money?

A patient ask you about a possible drug interaction you are unfamiliar with, you? Tell her you will get back to her, look it up and call back later You step out of the room and look it up You prescribe the medication knowing the pharmacy will look it

up

You pull out your PDA, get the answer, convey it and build a stronger relationship with this patient! Saving yourself 2 pharmacy call backs and 1 patient call back while reducing the chance for errors.

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Saving Time, Saving Money – Potential Time & Cost Losses

Researching Unfamiliar drug interactions Unfamiliar diseases All available drug options Formulary options

Follow up calls from Pharmacy regarding a drug interaction question Pharmacy regarding illegible prescription Patient/pharmacy with confusion on dosage from pharmacy vs. prescribed Patient/pharmacy when prescribed drug not covered by payer

Reading lists of FDA updates/institution updates Searching for

A patient chart The medical journal that has new information relating to one of your patient’s

conditions ICD9 codes

Dealing with billing/admin issues Lugging heavy texts to your other office/hospital/group…

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Saving Time, Saving Money – Potential Time & Efficiency Savings

Action Time Savings

Savings

Instant access to detailed clinical information 5 – 20 min Critical patient life saved

Instant access to drug databases 5 – 20 min Time to return 2 patient phone calls

Instant access to drug interaction data 5 – 20 min Time enough to visit with another patient; extended time with same patient

Instant access to FDA updates, linked to the drug you are prescribing

5 min Improved prescribing and fewer calls from the pharmacy

Ability to prescribe & give orders right from your PDA

5 – 10 min Fewer errors; fewer calls from pharmacies

Ability to check formularies from your PDA 10 – 20 min Fewer calls from patients & pharmacies when prescription not covered by payer

Instant access to dosages 5 min Fewer errors

Ability to get messages 5 min Alerted of patient changes or hospital updates

Instant access to Journals linked by drug and disease

15 min Up-to-date information instantly available for a patient you are treating

Ability to enter diagnosis, ICD-9 and procedure codes in HIS

10+ min Fewer errors, fewer billing follow ups, faster payment

Instant access to patient history 15 min More quality time with patient and time to visit another patient

Clinical references, drug books and interaction guides are all integrated on your handheld

10 min Information where you need it; No more book carrying; No more back pain!!

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Case Study I – Context-Sensitive Clinical, Drug Database and Drug Interaction information

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How I use my PDA - Steven L. Romiti, MD

How I use my PDA

Double checking to ensure I’ve included all details of a workup

Determining a diagnosis when it’s a toss up between 2

Verifying that I’m asking all the right questions

Drug database information access when prescribing

Checking interactions while prescribing

Patient Communication – let them see the data concerning them

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What I use on my Palm M505 PDA – Steven L. Romiti, MD

Content Clinical References

• 5-Minute Clinical Consult published by LWW powered by Skyscape Drug Databases

• A-Z Drug Facts published by Facts and Comparisons powered by Skyscape• Physicians’ Desk Reference from Thomson powered by Skyscape

Drug Interaction Guides• Interaction Facts published by Facts and Comparisons powered by Skyscape

Calendar Address Book

Personal Work - Hospital Referral lists

Other

Memory Requirements

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Thanks!

Kelli BravoSteven Romiti, MD