Paton, C. et al.:Mobile Medicine 2.0

• This slideshow, presented at Medicine 2.0’08, Sept 4/5th, 2008, in Toronto, was uploaded on behalf of the presenter by the Medicine 2.0 team

• Do not miss the next Medicine 2.0 congress on 17/18th Sept 2009(www.medicine20congress.com)

• Order Audio Recordings (mp3) of Medicine 2.0’08 presentations at http://www.medicine20congress.com/mp3.php

Mobile Medicine 2.0

By Dr Chris Paton BMBS BMedSci

Research Fellow, University of AucklandPhD Student, University of OtagoDirector, New Media Medicine Ltd

Co-Authors: Alec Holt, Muzaffar Malik, University of Otago

Glossary

• PDA = Personal Digital Assistant

• Smartphone = PDA + Phone

• WiFi = Wireless Networks

• UMPC = Ultra-mobile Personal Computer

• Tablet PC = Tablet Personal Computer

• MCA = Mobile Clinical Assistant

Doctor’s PDA and Smartphone Handbook

• Co-authored with Dr Mo Al-Ubaydli

• RSM Workshops

• Produced a series of online Video tutorials

Mobile Medicine

• Using mobile devices to help doctors and improve patient care

• PDAs and Smartphones (i.e. DIY)

• Tablet PCs (i.e. HIS/EHR)

• In-betweens (UMPCs, etc)

• Medical Devices

• Wireless Networking / Phone Networks

History of Mobile Medicine

• Psion Organizers 1980s• Apple Newton in 1992• Palm Pilot 1996• Pocket PC• Windows Mobile• Smartphones• Tablet PC• UMPC• MCA

My Mobile Computing

• Palm V in 2000

• House Jobs

• List of Patients

• List of Jobs

• Epocrates

PDAs = Mobile Phones

• 1 Billion Mobile Phones Sold in 2006 (Source: IDC) - 22% Rise over 2005

• 5.5 Million PDAs in 2006 - 28.5% Drop over 2005

• 80.6 Million ‘Converged’ devices - 40% Rise over 2005

• Conclusion: What used to be called a ‘PDA’ is now incorporated into mobile phones.

Operating Systems

• Pocket PC = Windows Mobile– Windows Mobile Phone Edition– NOT Windows Mobile Smartphone Edition

• Palm Treo– Palm OS: 650, 680 or 700p– Windows Mobile: 700w

• OSX– Apple iPhone

• Google Android

Organise yourself

• Sync with Outlook– Add and read appointments– Reminders

• Keep emails on you for reference– Push Email – read emails as soon as you get

them

• Contacts– Keep and add contacts– Beaming

Downloading Medical Software

• Free PDA Reference Software– Diagnosaurus– Epocrates– Archimedes

• Buy PDA Textbooks– Skyscape– Unbound Medicine– PEPID– All specialties – most books now available– Searchable, hyperlinked, low-weight!

Archimedes

• Medical Calculator

• E.g.– BMI– GCS– Etc, etc

Oxford Handbook

• Standard handbook for UK house officers

• Example of a textbook on PDA

• Searchable• Includes pictures and

flow charts

Create Databases

• HanDBase

• Log Books

• Patient Lists

• Create any kind of database you like

Keep Up To Date

• Evidence Based Software– UpToDate– Inforetriever

• Pub Med on Tap• AvantGo• RSS Feeds• Browse the Web

Mobile Medicine 2.0

• Accessing live information vs storing software on the device

• Enables social networking applications

• Geographical positioning technology

• Adds new functions for social networking

• What are the medical applications of this?

Geo-Social Networking

• Mobile Phone Triangulation

• GPS– ZYB– Mocospace– Migg33– Limejuice

Web 2.0 Applications

• Facebook

• Twitter

• Google Apps

• Google Maps

Connected Medical Tools

• ePocrates

• Unbound Medicine

• Skyscape

Mobile EMRs

• LifeRecord

• iChart

Problem with PDAs

• Small screen size

• Difficulty data entry

• Not very powerful

• Can be expensive

• Poor usability?

Tablet PCs

• More suited for integration into Hospital Information Systems

• Many EHR programs offer Tablet PC support

• Especially useful for ward rounds and emergency rooms

• Also used by nursing and paramedical staff

MCAs – Mobile Clinical Assistants

• New specification by Intel

• Coalition of EHR companies

• Features:– Easy carry handle– RFID Reader– Bar-code Reader– Wipe clean

MCAs

• Motion Computing and Philips MCAs

In-Betweens

• UMPCs– Like Tablets but slightly

smaller– Lower specs

• Internet Tablets– Nokia– Useful for wireless

environment– Poor support from medical

software companies

Wireless• Allow PDAs/Smartphones/Tablets to access hospital systems and

the internet• Start using online resources:

– PubMed– Cochrane– Email

• Access to hospital record systems• VOIP / Bleep Replacement• Access to internet outside the hospital

– Virtual private networks– Email

• Communication between medical devices and monitoring equipment and mobile computing units.

Medical Devices

• MCA:– Barcode and RFID

• PDA– Spirometry– ECG– BM

Summary

• DIY• Less people are using PDAs but more Phones

have PDA capability• Tablets and MCAs have easier data entry• Rise of EMR and ePrescribing makes MCAs

more useful• Social Networking on Mobile Devices just

starting

Possible Medicine 2.0 Applications• Emergency department updates, providing a

continuous time line of events, flow of data and knowledge through the care period (it is longitudinal and searchable)

• Small social networks can be created for complicated patients who need close and careful follow-ups, doctors can be notified when lab results arrive

• Inform nurses and patients about your whereabouts and activities.

• Tweet Clouds could be utilised, in an instant to provide a snap shot of current admissions, current workload or case type issues for management.

• Support groups with various health conditions.• Ability to participate in "micro-consults" with patients.