Download to read offline
Uploaded byDavid Voran
Is it time for surface applications at the point of care
The document discusses the advancements and potential of surface applications and point-of-care devices in primary care, highlighting the benefits of real-time diagnostics and enhanced patient involvement. It emphasizes the transition from traditional devices to multi-touch, large-screen technologies and suggests improvements for patient data entry and documentation processes. The future direction points towards integrating these technologies more seamlessly into clinical workflows and enhancing the overall patient experience.
More Related Content
![Hp Smart Touch Chart Tab Jp Version[1].Ppt [Autosaved]](https://cdn.slidesharecdn.com/ss_thumbnails/hpsmarttouchcharttabjpversion1ppt-autosaved-1226503503590356-9-thumbnail.jpg?width=640&height=640&fit=bounds)
Similar to Is it time for surface applications at the point of care
Is it time for surface applications at the point of care
- 1. Is it timefor Surface applications at the point of care?Heartland Health and ClinicOctober 10, 2011David Voran, MD
- 2. Point-Of-Care Devices andReal Time UseLeveraging technology at the point of careExpands breadth of primary care services and diagnosticsImproves documentationInvolves the patient, increases trust and satisfactionBig, touch sensitive screensHP 600t/9000 and HP 610t/9300CamerasEye-Fi SD cardsUSB Imaging DevicesProscopeEarscopeMiR Spirometer
- 3. Connect everything tothe exam room computerDiagnostic ToolsOther Information ToolsBodelin ProscopeDino-Lite EarscopeMIR WinspiroEye-Fi cards: Enable easyreal-timehands-off transfer of photos into EMRLooking forElectronic scalesStadiometers
- 4. POC TechnologyEvolution notebook> tablet > standard workstations > expanded large screen workstations > multi-touch wide-screen devicesDevice 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 possibleSpecialists should only get those patients who’ve been screened
- 5. Power Form Modificationsfor Patients (and iPads)Avoid radio buttonsDifficult even with large monitors and iPadsGrids are relatively easySpacing is an issueLarger boxes enable easier patient entry
- 6. Free text forsignatures or drawingsMS 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
- 7. Next phaseDrawing/Signature ControlsMakePowerForms much more usefulCould be applied to PowerNotes and other interactive toolsCitrix recognition of locally connected devicesMany low cost devices have limited shelf lifeNeed to be able to do this without involving back-end configurationsSignature/Drawing BoxesMulti-touch version of CitrixDon’t know if it will ever be createdExam room surface applicationsiPads and other tablets and touch enabled devices linked into PowerChartFuture Directions
- 8. DemonstrationJust a smalltaste of what’s to come
Editor's Notes
- #3 Interactions with patients at the point of care are going to of increasing importance as we continue the digitalization of medicine. We have found there are a number of off-the-shelf technologies that are readily available to streamline and increase the collection and incorporation of information in real-time in the exam room during an office visit.These include large format touch sensitive computers, cameras wirelessly connected with the network and a variety of devices plugged into the in-room device via USB or Blue Tooth connections.
- #4 An ever increasing number of devices are being produced that are simple to use, plug into local PC’s and networked devices, inexpensive (an order of magnitude less expensive) than previous specialized diagnostic services.Al of these lower the cost and push formal diagnoses down into the primary care physician’s office enabling just-in-time screening, avoiding costly specialist referrals and speed up the time to treatment.
- #5 First, we started several years ago with hand-held tablet PC’s in the hands of nurses and physicians with the notion that mobility was the most efficient and important way to go digital. It didn’t take us long to figure out that as we went to point-of-care use the computer was as much for the patient as it was for the provider. Hand-held computers were not designed for this.We installed desktop computers on small movable tables and very quickly went from standard 17” to 19” monitors, then installed 21” swivel monitors because some data looked best in landscape and other data in portrait mode (as illustrated above). Then we moved to 23” touch screen all-in-one devices to further reduce the footprint and mobility of the devices as well as begun to involve the patient interacting with the computer (consents, patient education, etc). We now think that we’ll be using 52” or larger interactive wall-mounted touch screens as the price of that technology drops to the $1-2,000 range.As an aside we think the total technology investment per ambulatory exam room suite will continue to hover around $2500. Those that aren’t investing that amount per year per room are probably on the wrong side of the “wave”.
- #8 Our experience has revealed several shortcomings that need to be addressed in order to meet future needs:Need for a Drawing/Signature control (either built into the existing CAMM drawing tool or a separate tool that can be launched and/or incorporated into PowerForms)Improved ability for numerous off-the-shelf devices to be plugged in and communicate directly with the Citrix application servers instead of intermediary software and circuitous data paths. We see a flood of devices that’ll be very useful but probably only be “current” for 6 months or so before being replaced by another better approach or version. Right now it can take 6-12 months for one configuration to go through all of the formal change-control processes and channels and by the time the approval for the configuration is process the devices has long been thrown away.And what about a ton of smart-phone based devices coming on stream?