iPad

Siemens Innovations 2010 Presentation

Submitted by JFahrni on Wed, 08/11/2010 - 09:33

Today was the big day. I gave my presentation at about 11:00 am and it cleared the room. There were about 100 attendees for the CPOE presentation just prior to mine and about 90 of those people got up and left when it came time for me to do my thing. I guess mobile pharmacy just isn’t interesting to most people.

Anyway, the presentation is below. There is an embedded video near the end that didn’t pull into SlideShare. It’s about a 30 second look at how we use Citrix on the iPad to access various clinical applications. I attempted to upload in to YouTube, but kept getting an error. I’ll try again later. If you want to see the elongated version of the videos simply go to YouTube and type in “Kaweah Delata iPad“, or something similar, and several options will pop up.

via jerryfahrni.com

Posted via email from fahrni's posterous

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Lexi-Comp not so Compromising

Submitted by pillguy on Wed, 05/26/2010 - 18:09
If you are planning on dropping a few hundred dollars on Lexi-Comp's suite of drug and medical information databases, read this first.  Some of you may not be aware, but there are two hidden "features" of the subscription.  I say hidden because they are in fact fine print, but not very intuitive.  FIrst I should mention Lexi-Comp has been my gold standard for medication information over the past 2 years.  They provide referenced, frequently updated information to subscribers.  I use the Lexi-Complete product, which offers over 14 databases.  

The two features I ran into were:

1.  Inability to access databases the DAY after the subscription is set to expire.  Unlike a nice book, once your subscription runs out the data is no longer yours.  No access at all.  I was hoping to just get access without any updates.  I guess in my mind the subscription covers updates to the information, and that is the main motivation for using a digital version over print.  Sorry Lexi-Comp, but I do not agree with your defin

2.  One subscription, one device.  So I was ok with #1, because in previous years I was able to pay one time (albeit hundreds of dollars) and put it on 2 devices.  After calling Lexi-Comp Support, they claim that was bug, and I violated the terms of use.  So this year after dropping just over $500 for a 2+ year subscription, they inform me that I will need to drop an additional $500 to get the same program on a device that is sitting right next to my iPhone on my desk in front of me.  No thank you.  

Sorry Lexi-Comp, but I do not agree with your definition of subscription, nor your idea of digital rights management.  You should review some of the more established online content distribution models, such as http://www.audible.com/ .

The rise of the tablet, the cloud and ubiquitous computing

Submitted by JFahrni on Wed, 05/05/2010 - 08:08

There’s a great article in the April 2010 issue of Wired that spends a lot of time talking about the Apple iPad and the paradigm shift created by the development of new technologies like it. The author does a nice job of not only looking at the fantasy like love affair everyone has with the iPad, but also the reality of what’s not perfect about it and where other aggressive competitors can take advantage and drive the tablet market even further.

One part of the article I found particularly interesting was a comparison between the strict Apple-centric vision of computing and the open less stringent vision of Google's. “In some ways, Chrome is even more radical than the iPad. Spawn of a pure Internet company, it is itself pure Internet. While Apple wants to move computing to a curated environment where everything adheres to a carefully honed interface, Google believes that the operating system should be nearly invisible. Good-bye to files, client apps, and onboard storage — Chrome OS channels users directly into the cloud, with the confidence that the Web will soon provide everything from native-quality applications to printer drivers”

The iPad goes live at BIDMC

Submitted by John Poikonen on Sun, 04/11/2010 - 11:10

The iPad goes live at BIDMC

The following is a guest post from Dr. Larry Nathanson MD, who leads BIDMC's Emergency Medicine Informatics efforts. (Note that the photo contains only fictitious patient names):

via geekdoctor.blogspot.com

Repost from http://geekdoctor.blogspot.com

Posted via web from RxDoc.Org

Apple releases iPhone OS 4.0 SDK

Submitted by pillguy on Thu, 04/08/2010 - 18:23
http://www.apple.com/iphone/preview-iphone-os/

For those iPhone users, Apple has added some very nice new features to the soon to be released 4.0 version of software for iPhone, iPod Touch, and iPad. If you are like me and have a hundred or so apps on your phone, the Folders feature might be the best of the lost. Multitasking is nice, and it appears Apple spent a great deal of time engineering it to save resources on the devices. A unified inbox is also new, allowing easier management of multiple email accounts on 1 screen. I am a big threaded conversation user in Outlook, and was happy to see Apple adding this feature to Mail. The iPhone and iPod Touch versions will release this summer, with the iPad sometime in the fall. Some of these features could have some benefit to heavy users, for instance using the iPad while on rounds in a hospital might require you to look at 2 or 3 different apps. Multitasking makes this much smoother.

Posted via email from pillguy's posterous

Quick update: Pharmacy iPad use

Submitted by JFahrni on Wed, 04/07/2010 - 20:57

I've been running around the pharmacy with a new iPad for the last couple of days. Actually, I've been handing it off to pharmacist after pharmacist for the last couple of days. After seeing the device, they all of a sudden have some interest in it. Go figure.

My hope is to use the iPad as a tool for the pharmacists on the floor to access patient data, drug information resources, etc. The advantages of the devices are its size and weight - the iPad actually fits in the outside pocket of the pharmacists lab coat - along with its 10-plus hour battery life. 

The pharmacists are currently using a combination of Motion J3400 and Dell XT2 tablet PCs. They appear to like both devices, but the two most common complaints I hear are that they are heavy and have poor battery life.

The iPad is using Citrix Receiver to access a "virtual pharmacy desktop". The virtual desktop has all the clinical applications that the pharmacists typically use during rounds plus access to Lexi-Comp, UpToDate, Micromedex, etc.

The Citrix Receiver works well and I was pleasantly surprised by the response of the applications inside Citrix on the iPad. I was expecting the same sluggish response that I've seen from many virtual desktop connections, but not this time.

I'm looking forward to getting a few iPads up on the floor in the pharmacists hands. The interest level along with the ease of carrying the device might make it useful. Only time will tell. There are some images here for those interested in seeing some screen shots.

PracticeRx app from Doctor's Digest/ISMP

Submitted by jlassiter on Wed, 02/17/2010 - 11:43

PracticeRx by Doctor’s Digest delivers real time breaking news about medication safety (including instant alerts and hazard alerts of National Importance) to your iPhone/iPod Touch, PLUS the latest practice management and medication safety tips and instant error reporting tools from Doctor's Digest and the Institute for Safe Medication Practices (ISMP).

Doctor’s Digest and ISMP Essential Practice Tips, with links to FREE ISMP medication safety material, and in-depth information on the same or other practice-management topics at www.doctorsdigest.net. Tips will be uploaded twice weekly and are based on cutting-edge information from over 1,600 thought leaders and experts from the Doctor's Digest practice management medical journal and the latest medication safety expertise from ISMP, available in text, audio and video format.

MERP - Medication Errors Reporting Program – - A direct link to a HIPAA-compliant error reporting form from ISMP with three options right from this App: NOW…report errors via one-touch direct dial directly to ISMP, leave a voice-recording, or complete a HIPAA-compliant form.

ISMP – MedSafety Alerts -- Audio Alert accompaniment of urgent drug alerts in real time.

...More

via itunes.apple.com

Very cool [free] new application for iPhone - and, eventually, for the iPad - that has built int medication safety information and reporting from ISMP.

Will hype for iPad in healthcare translate into benefits for pharmacy?

Submitted by JFahrni on Tue, 02/16/2010 - 22:33


Unless you’ve been comatose for a while, you’ve certainly heard about the Apple iPad. The device has already been crowned the de facto device for everything from e-reading to creating a new wave in healthcare unlike anything we’ve ever seen. Of course this is all speculation as the device hasn’t been officially released yet.

Many people have speculated that the iPad will be a great device for healthcare. Whether or not that will be the case remains to be seen. One thing is for certain: everyone is banking on the iPad being a big hit in healthcare. Based on the success of the iPhone as a favorite among physicians and nurses, this certainly isn’t a wild prediction. Will this success translate to the pharmacy? Good question.

One in Five Physicians Likely To Purchase an iPad

Submitted by jlassiter on Thu, 02/11/2010 - 15:56

Epocrates®, Inc., today announced its top-ranked clinical reference application for the iPhone® and iPod® touch devices will be customized for the new iPad™ computer tablet. The iPad is already receiving a warm reception from the healthcare industry with nearly 20 percent of clinicians expressing plans to purchase in an Epocrates survey conducted days after the Apple announcement.

"By optimizing our software for the iPad, we are capitalizing on the larger screen real estate and interactivity provided by this sophisticated device. We are committed to providing the most productive experience at the point of care, keeping physicians informed and focused on the patient rather than searching for answers," said Rose Crane, chief executive officer of Epocrates. "We are continuing to explore the advanced capabilities of the iPad and ways it can help Epocrates address the evolving healthcare technology needs."

In addition to announcing its engineers are using Apple's SDK to optimize Epocrates' offerings for the iPad, Epocrates surveyed more than 350 clinicians to gauge their interest in the new tablet. Findings include:

  • Nine percent of survey respondents plan to buy the iPad when it was immediately available,
  • Another 13 percent plan to buy it within the year,
  • Thirty-eight percent of respondents expressed interest in the iPad with the request of more information to solidify their purchase decision.
via epocrates.com

I suspect that we'll see a lot of uptake by providers, however, I wonder if our health-systems' IT infrastructures are ready for the demand?

10 healthcare industry views on the iPad

Submitted by jlassiter on Wed, 02/03/2010 - 15:43

iPad 3

HITSP Chair Dr. John Halamka: “The iPad comes closer to my requirements than other devices on the market. However, the ideal clinical device would include a camera for clinical photography and video teleconferencing. Entering data via the touch screen with gloved hands may be challenging on a capacitance touch screen. Holding the iPad with one hand means hunt and peck typing with the remaining hand. The device is a bit large for a white coat pocket, may be hard to disinfect, and may not be tolerant of dropping onto a hospital floor. I look forward to trying one to validate these assumptions. My general impression is that it is not perfect for healthcare, but it is closer than other devices I’ve tried.” More (John D. Halamka, MD, MS is CIO of the Beth Israel Deaconess Medical Center, CIO and Dean for Technology at Harvard Medical School, Chairman of the New England Health Electronic Data Interchange Network (NEHEN), CEO of MA-SHARE, Chair of the US Healthcare Information Technology Standards Panel (HITSP), and a practicing emergency physician.)

Mountain View-based El Camino Hospital Vice Chief of Clinical Operations, Cheryl Reinking: “You could use this [iPad] in the operating room, when you need to document things quickly, or in the lab,” Reinking told the SF Chronicle. “Physicians could use the device at the bedside to make notes, or use it as a reference for medications. It could be an amazing tool.” More

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