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Transcript of Mobile Device Apps: What to Have at Your Fingertips Ryan B. Jacobsen, PharmD, BCPS Clinical Pharmacy...
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Mobile Device Apps: What to Have at Your
FingertipsRyan B. Jacobsen, PharmD, BCPS
Clinical Pharmacy Specialist & Clinical CoordinatorClinical Assistant Professor
University of Iowa Hospitals & Clinics and College of Pharmacy
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DisclosureDr. Jacobsen reports no actual or potential conflicts of interest associated with this presentation
Dr. Jacobsen indicates that off-label use of medication will not be discussed during this presentation
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ObjectivesReview the most popular software applications (APPs) for clinical practice
Review some popular software applications (APPs) for patient engagement
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OutlineBackground on APPs and handheld technology
Clinical practice (“Point of Care”) APPs
Patient engagement/education APPs
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029126/pdf/ptj3905356.pdf
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Demand for Access
Communication: voice calling, video conferencing, text, email
Hospital Information Systems: electronic health records, clinical decision support systems, laboratory information
Informational resources: textbooks, guidelines, medical literature, drug references
Clinical software applications: disease diagnosis aids, medical calculators, risk stratification
Mosa AS, Yoo I, Sheets L. A systematic review of health care apps for smartphones. BMC Med Inform Dec Mak. 2012 Jul;12:67
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Mobile PlatformsAndroid
Apple (iOS)
Windows (Microsoft)
Other
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http://www.idc.com/prodserv/smartphone-os-market-share.jsp
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Health Care Professionals
87% use smartphone or tablet at work
~80% of physicians use iPhone
~66% of physicians own tablet & 54% use in practice
80% of physicians age 55 & older use smartphone
Chase J. Ipads and other drugs. Medical Marketing & Media: The Interactive Guide. 2013:10-11.
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APPsSoftware applications (APPs)
Not all of them are available in all platforms or operating systems
Some are free, some cost $$$
Some are:Great
Okay
Fun/entertainment
Bad
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Limitations. . . A word of caution
Lack of oversight with respect to standards and content
Security and patient privacy
Impact on provider-patient relationships
Impact on education
Diagnostic or therapeutic efficacy claims
Blurred lines between personal and professional use
Best approaches to use
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Android OSNumerous APPs<Apple iOS
Often lag behind Apple iOS but improving
Most of the popular medical APPs are available
play.google.com
www.imedicalapps.com
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Apple iOSiPhone, iPad, iPod touch
Very popular among healthcare professionals
>1.2 million APPs
Apps for Health Care Professionals on iTunes
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Nursing Apps
Imaging Apps
Patient Education Apps
Personal Care apps
Reference Apps
Medical Education Apps
EMR and Patient Monitoring Apps
iTunes
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http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ConnectedHealth/MobileMedicalApplications/ucm255978.htm
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App TitleCategory:
Platform:
Cost:
Pro’s
Con’s
Please feel free to share your experience with any of the APP’s throughout this presentation
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UpToDateCategory: Medical Reference
Platform: iOS, Android
Cost: $495/year (*free with institutional access)
Pro’s: comprehensive (10,000 conditions), evidence-based, “up to date”
Con’s: $$$, updated quarterly
*http://www.imedicalapps.com/2013/07/uptodate-free-iphone-ipad-hospital-subscription/
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MedscapeCategory: Medical Reference-multipurpose
Platform: iOS, Android
Cost: Free
Pro’s: clinical reference (4,400 conditions), drug info, interaction check, medical news, CME
Con’s: some user info may be shared with Pharma, not the most up to date, advertisements
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EpocratesCategory: Drug Reference & More
Platform: iOS, Android
Cost: Rx (free), Pro ($99/yr), Essentials ($159/yr), Essentials Deluxe ($199/yr)
Pro’s: Drug Interaction check, Pill identifier, Drug info, easy to use, multiple features
Con’s: “free”-some adds (Pharma), $$ for added features
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EpocratesRx-Free:
Drug interactions, Pill ID and pictures, Drug Info, Formulary, Pricing estimates, Calculators, Tables, AHRQ ePSS, BMI tool
Pro:Infectious Disease treatment guide, Brand Name OTC drugs, Alternative Meds, IV compatibility checker
Essentials:Disease monographs, High-res disease images, hundreds of diagnostic and lab tests
Essentials Deluxe:ICD-9 Codes and CPT codes, Medical Dictionary
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LexiCompCategory: Drug reference (primarily)
Platform: iOS, Android
Cost: $175-$215 or >>
Pro’s: comprehensive medication reference, trusted resource
Con’s: $$$
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OmnioCategory: Multipurpose
Platform: iOS, Android
Cost: Base software Free. Add-on references for $$.
Pro’s: multiple popular references available for purchase, one App for all-in-one functionality, customizable
Con’s: interface takes practice, can get expensive
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Johns Hopkins ABX Guide
Category: Infectious Disease
Platform: iOS, Android
Cost: $29.99
Pro’s: Uses same IDSA treatment rec’s as Sanford, detailed info-signs, symptoms, labs
Con’s: $$
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Qx CalculateCategory: Medical Calculator
Platform: iOS, Android
Cost: Free
Pro’s: user interface, free
Con’s: sometimes too fancy
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KidometerCategory: Pediatric reference
Platform: iOS
Cost: $4.99
Pro’s: reference of age-based norms
Con’s: last updated 2012, only iOS
Alternatives: PediQuikCalc, PediSTAT, Pediatric Quick Reference
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Pediatric Quick Reference
Category: Pediatric quick reference
Platform: Android only (was pulled from iOS)
Cost: Free
Pro’s: dosing meds, easy to use
Con’s: double-check dosing
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ASCVDCategory: Risk calculator
Platform: iOS, Android
Cost: Free
Pro’s: simple, easy to use, patient education, statin intensities, guideline info
Con’s: “controversial” risk calculator
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CORECategory: Clinical Orthopedic Exam (CORE)
Platform: iOS, Android
Cost: $39.99
Pro’s: very descriptive, exam signs, special tests for each joint, link YouTube videos
Con’s: $$
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VisualDxCategory: Dermatology
Platform: iOS, Android
Cost: $199.99 essentials; $299.99 complete
Pro’s: search by topic, variety of pics, handy
Con’s: $$$
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PreopEval14Category: pre-op evaluation tool
Platform: iOs
Cost: Free
Pro’s: easy to use, evidence-based
Con’s: not on Android
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Eye Emergency Manual
Category: Eye reference
Platform: iOS, Android
Cost: Free
Pro’s: a lot of content, easy to use
Con’s: ?
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CDC Vaccine Schedules
Category: Immunization reference
Platform: iOS, Android
Cost: Free
Pro’s: up to date, useful info
Con’s: interface
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AHRQ ePSS(electronic preventative
services selector)Category: Screening tool
Platform: iOS, Android
Cost: Free
Pro’s: easy to use, links to A LOT of info
Con’s: links to A LOT of info
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Patient Engagement
APP’sMedication reminders/adherence
Diaries: diet, activity, pain, other
Education
Disease management
Wearable BiometricsFitBit, FuelBand, iWatch
Glucometers, home blood pressure
Evidence is needed to guide whether or not improvements in patient outcomes
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MyFitnessPalCategory: Calorie counter, weight loss tool
Platform: iOS, Android
Cost: Free
Pro’s: easy to use, great features, web & mobile access
Con’s: ?
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Healthy ChildrenCategory: Patient Information
Platform: iOS, Android
Cost: Free
Pro’s: Developed by American Academy of Pediatrics, simple to use
Con’s: App is somewhat “buggy” or slow
Register on website then log in. www.healthychildren.org
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Change Talk: Childhood Obesity and Motivational InterviewingCategory: training &
patient education
Platform: iOS, Android
Cost: Free
Pro’s: innovative, important topic
Con’s:
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The Future is NowiPhone Otoscope
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The Future is NowWireless blood pressure monitor
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The Future is NowWireless Scales
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J Med Internet Res 2015;17(4):e101
n=34830 day hospitalization rate vs. control: Hazard ratio=0.52,P=0.01Mortality rates vs. control: Relative Risk=0.33,P=0.04
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The Future is NowDiabetes management
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The Future is Now
http://www.imedicalapps.com/2015/01/new-study-shows-innovative-use-smartwatch-diagnosis-tremors/
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“10 best medical apps released in February &
March”IM Essential Flashcards
Pepid Elements
ACEP Toxicology Section Antidote App
CDC Tickborne Diseases
Chest X-Rays Free
OB Wheel
FDA Drug Shortages
TriagePic
DementiAssist
Hip Decide
http://www.imedicalapps.com/2015/04/best-health-medical-apps-february-march/10/
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Other APPsDynamed
AGS iGeriatrics
Chronic Pain Tracker
AF Guide (Afib)
MediBabble
Generics
Micromedex
QxMD Read
Journal Club
MedPage Today
Dropbox
Evernote
Others?
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Don’t let technology be a replacement for good patient interaction and human touchbut rather utilize it to make you a better health care professional and to help your patients better achieve their health care goals.