Mobile Device Apps: What to Have at Your Fingertips Ryan B. Jacobsen, PharmD, BCPS Clinical Pharmacy...

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

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

ObjectivesReview the most popular software applications (APPs) for clinical practice

Review some popular software applications (APPs) for patient engagement

OutlineBackground on APPs and handheld technology

Clinical practice (“Point of Care”) APPs

Patient engagement/education APPs

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029126/pdf/ptj3905356.pdf

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

Mobile PlatformsAndroid

Apple (iOS)

Windows (Microsoft)

Other

http://www.idc.com/prodserv/smartphone-os-market-share.jsp

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.

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

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

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

Apple iOSiPhone, iPad, iPod touch

Very popular among healthcare professionals

>1.2 million APPs

Apps for Health Care Professionals on iTunes

Nursing Apps

Imaging Apps

Patient Education Apps

Personal Care apps

Reference Apps

Medical Education Apps

EMR and Patient Monitoring Apps

iTunes

http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ConnectedHealth/MobileMedicalApplications/ucm255978.htm

App TitleCategory:

Platform:

Cost:

Pro’s

Con’s

Please feel free to share your experience with any of the APP’s throughout this presentation

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/

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

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

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

LexiCompCategory: Drug reference (primarily)

Platform: iOS, Android

Cost: $175-$215 or >>

Pro’s: comprehensive medication reference, trusted resource

Con’s: $$$

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

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: $$

Qx CalculateCategory: Medical Calculator

Platform: iOS, Android

Cost: Free

Pro’s: user interface, free

Con’s: sometimes too fancy

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

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

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

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: $$

VisualDxCategory: Dermatology

Platform: iOS, Android

Cost: $199.99 essentials; $299.99 complete

Pro’s: search by topic, variety of pics, handy

Con’s: $$$

PreopEval14Category: pre-op evaluation tool

Platform: iOs

Cost: Free

Pro’s: easy to use, evidence-based

Con’s: not on Android

Eye Emergency Manual

Category: Eye reference

Platform: iOS, Android

Cost: Free

Pro’s: a lot of content, easy to use

Con’s: ?

CDC Vaccine Schedules

Category: Immunization reference

Platform: iOS, Android

Cost: Free

Pro’s: up to date, useful info

Con’s: interface

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

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

MyFitnessPalCategory: Calorie counter, weight loss tool

Platform: iOS, Android

Cost: Free

Pro’s: easy to use, great features, web & mobile access

Con’s: ?

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

Change Talk: Childhood Obesity and Motivational InterviewingCategory: training &

patient education

Platform: iOS, Android

Cost: Free

Pro’s: innovative, important topic

Con’s:

The Future is NowiPhone Otoscope

The Future is NowWireless blood pressure monitor

The Future is NowWireless Scales

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

The Future is NowDiabetes management

The Future is Now

http://www.imedicalapps.com/2015/01/new-study-shows-innovative-use-smartwatch-diagnosis-tremors/

“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/

Other APPsDynamed

AGS iGeriatrics

Chronic Pain Tracker

AF Guide (Afib)

MediBabble

Generics

Micromedex

QxMD Read

Journal Club

MedPage Today

Dropbox

Evernote

Others?

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.