saving lives, saving money--pdas in healthcare kelli bravo, director of marketing, skyscape, inc....
TRANSCRIPT
Saving Lives, Saving Money--PDAs in Healthcare
Kelli Bravo, Director of Marketing, Skyscape, Inc.Steven L. Romiti, MD, ED Director, Northeastern Regional Hospital
Mobile Health Presentation 2
Agenda
Introduction
Market Trends
Improved Efficiency examples
Case Studies
Questions
Mobile Health Presentation 3
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
Mobile Health Presentation 18
Thanks!
Kelli BravoSteven Romiti, MD