Michele L. Hales University of Alberta Edmonton, AB CANADA Chennai, India January 22, 2004 Tablet PCs: Are they the right medicine for you?

Michele L. HalesMichele L. Hales

University of AlbertaUniversity of Alberta

Edmonton, AB CANADAEdmonton, AB CANADA

Chennai, IndiaChennai, IndiaJanuary 22, 2004January 22, 2004

Tablet PCs:Tablet PCs:Are they the right medicine for you?Are they the right medicine for you?

TabletsTablets

Many systems out thereMany systems out there Compaq ComputerCompaq Computer AcerAcer Tatung Tatung Fujitsu Fujitsu NEC NEC ToshibaToshiba

Slate-like vs. convertible tabletsSlate-like vs. convertible tablets A PC that is virtually limitlessA PC that is virtually limitless Will find its place as the most popular form of PCWill find its place as the most popular form of PC

Advantages of TabletsAdvantages of Tablets

PortabilityPortability Can be used by large numbers of people who Can be used by large numbers of people who

cannot typecannot type Lightweight (size of a legal file folder)Lightweight (size of a legal file folder) Large enough to show charts, graphs, and even Large enough to show charts, graphs, and even

radiological imagesradiological images It's faster, and more mobile a laptopIt's faster, and more mobile a laptop Some tablets can run 10-16 hours on a single Some tablets can run 10-16 hours on a single

chargecharge Real-time mobilityReal-time mobility

Three Means of Data InputThree Means of Data Input

1)1) You can write notes that are You can write notes that are automatically converted to typewritten automatically converted to typewritten text or saved as handwritingtext or saved as handwriting

2)2) You can dictate into the tablet, and your You can dictate into the tablet, and your speech is converted into textspeech is converted into text

3)3) If you want to type, fold back the tablet If you want to type, fold back the tablet screen to reveal a keyboardscreen to reveal a keyboard

““Rich Digital Ink”Rich Digital Ink”

Rich digital ink can be:Rich digital ink can be:EditedEditedSearchedSearchedSent as emailSent as emailManipulated the same way as word Manipulated the same way as word

processed textprocessed text

Where is it going?Where is it going?

Increase use by doctors and healthcare workers, Increase use by doctors and healthcare workers, either as stand-alone tools or as an integrated either as stand-alone tools or as an integrated EPR/EMR system.EPR/EMR system.

Evidence Based Medicine (EBM)Evidence Based Medicine (EBM) Will become an integral part of one’s practice.Will become an integral part of one’s practice. Tablets will accelerate physician adoption of Tablets will accelerate physician adoption of

EMRs EMRs

Applications/SoftwareApplications/Software

Electronic Medical Records (EMR)Electronic Medical Records (EMR)

EMR, Tablets & MobilityEMR, Tablets & MobilityOfficeOffice Physicians, PAs, nurses and office staff have Physicians, PAs, nurses and office staff have

easy access to add, edit or update patient easy access to add, edit or update patient recordsrecords

HomeHome Freedom to view patient charts and search for Freedom to view patient charts and search for

information without going to the officeinformation without going to the office

HospitalHospital Take your patient records with you to the Take your patient records with you to the

hospital using your Tablet and update patient hospital using your Tablet and update patient charts while at the hospital.charts while at the hospital.

EMR AbilitiesEMR Abilities

Taking notesTaking notesCreating referral letterCreating referral letterPrinting medical prescriptionsPrinting medical prescriptionsGenerating patient reportsGenerating patient reportsOrdering lab testsOrdering lab testsViewing resultsViewing results

Benefits of EMRBenefits of EMR More efficient communicationMore efficient communication Download appointment schedulesDownload appointment schedules Transmit and access critical patient informationTransmit and access critical patient information Facilitates more rapid response to clinical deteriorationFacilitates more rapid response to clinical deterioration Prevention of errors and adverse eventsPrevention of errors and adverse events Refill prescriptions and reduce errors due to illegible Refill prescriptions and reduce errors due to illegible

handwritinghandwriting Monitors dangerous drug contraindicationsMonitors dangerous drug contraindications Capture photos of patient's condition and transmit them Capture photos of patient's condition and transmit them

to colleague for second opinionto colleague for second opinion Access to information when visiting housebound patientsAccess to information when visiting housebound patients Tracks billing data and charge capturesTracks billing data and charge captures Tracks adverse eventsTracks adverse events


Electronic Medical Records (EMR)Electronic Medical Records (EMR)Billing Interface SoftwareBilling Interface Software


Electronic Medical Records (EMR)Electronic Medical Records (EMR)Billing Interface SoftwareBilling Interface SoftwareSchedulersSchedulers

Scheduling SoftwareScheduling Software

Manage your patient schedules.Manage your patient schedules.

Keep track of:Keep track of: Check-in timeCheck-in time Time of visitTime of visit Check-out timesCheck-out times Exam roomsExam rooms Patient cancellationsPatient cancellations Patient reschedulingPatient rescheduling


Electronic Medical Records (EMR)Electronic Medical Records (EMR)Billing Interface SoftwareBilling Interface SoftwareSchedulersSchedulersGuidelines & ProtocolsGuidelines & Protocols


Electronic Medical Records (EMR)Electronic Medical Records (EMR)Billing Interface SoftwareBilling Interface SoftwareSchedulersSchedulersGuidelines & ProtocolsGuidelines & ProtocolsDrug DatabasesDrug Databases


Electronic Medical Records (EMR)Electronic Medical Records (EMR)Billing Interface SoftwareBilling Interface SoftwareSchedulersSchedulersGuidelines & ProtocolsGuidelines & ProtocolsDrug DatabasesDrug DatabasesMedical DictionariesMedical Dictionaries


Electronic Medical Records (EMR)Electronic Medical Records (EMR)Billing Interface SoftwareBilling Interface SoftwareSchedulersSchedulersGuidelines & ProtocolsGuidelines & ProtocolsDrug DatabasesDrug DatabasesMedical DictionariesMedical DictionariesMedical CalculatorsMedical Calculators


Electronic Medical Records (EMR)Electronic Medical Records (EMR)Billing Interface SoftwareBilling Interface SoftwareSchedulersSchedulersGuidelines & ProtocolsGuidelines & ProtocolsDrug DatabasesDrug DatabasesMedical DictionariesMedical DictionariesMedical CalculatorsMedical CalculatorsAccess your library databaseAccess your library database

58% of respondents said Tablet PCs worked best at the bedside

29% said PDAs are a better mobile hardware choice for clinicians at the point of care

November 2003 Mobile Opinions survey by November 2003 Mobile Opinions survey by Mobile Health DataMobile Health Data

Tablet PCs are the best mobile hardware for Tablet PCs are the best mobile hardware for clinicians at the point of care - clinicians at the point of care -

Survey: Tablet PCs Favoured at Survey: Tablet PCs Favoured at Bedside Bedside January 2, 2004January 2, 2004

Not just for PhysiciansNot just for Physicians

Hospitals’ nursing staff -Hospitals’ nursing staff -Nurses have started using Tablet PCs Nurses have started using Tablet PCs

loaded with medication management loaded with medication management software to ensure proper dispensing of software to ensure proper dispensing of medications to patients medications to patients

Within the hospital setting, errors have Within the hospital setting, errors have been caught in the dispensing of been caught in the dispensing of medicationmedication

Tablet PC's at RSNA Tablet PC's at RSNA

Educational Exhibits and Presentations include: Tablet PC for Wireless-Acute, Bedside-Acute Clinical

Image Distribution Pen-based Interaction for Workflow Optimization in a

High Throughput Imaging Environment Mobile Access to PACS through Secure Wireless Tablet

PC Wireless Tablets and PDAs as a Vehicle for Radiology,

Multimedia Report Information to Clinicians Anytime, Anywhere

At the Radiological Society of North America (RSNA) 89th

Scientific Assembly and Annual Meeting in Chicago held last December, Tablet PCs played a significant role with multiple educational exhibits and presentations.

Research EnvironmentResearch Environment

Rapidly collect information for clinical trials Rapidly collect information for clinical trials Ease of access to your research Ease of access to your research

databasesdatabasesVersatility, flexibility and mobility offered to Versatility, flexibility and mobility offered to

investigators investigators

Resources for the Healthcare Resources for the Healthcare ProfessionalProfessional

Doctors Gadgets –Doctors Gadgets – www.doctorsgadgets.comwww.doctorsgadgets.com

HealthHealth·IT World - ·IT World - www.imakenews.com/health-itworld/www.imakenews.com/health-itworld/

Mobile Healthcare The Handheld Mobile Healthcare The Handheld Healthcare Authority - Healthcare Authority - www.mobilehealthdata.comwww.mobilehealthdata.com

Windows XP Tablet PC Edition Healthcare Windows XP Tablet PC Edition Healthcare Case Studies - Case Studies - www.microsoft.com/WindowsXP/tabletpc/evaluwww.microsoft.com/WindowsXP/tabletpc/evaluation/healthcarecs.aspation/healthcarecs.asp

BenefitsBenefits

Pen inputPen input Allows for the annotation Allows for the annotation

of patient informationof patient information

Speech inputSpeech input Increases text input Increases text input

speed and frees handsspeed and frees hands

Wireless networkingWireless networking Provides access to Provides access to

information throughout information throughout the hospital or clinicthe hospital or clinic

Digital cameraDigital camera Allows for immediate Allows for immediate

documentationdocumentation

Digital document readersDigital document readers Keeps all reading Keeps all reading

materials in one placematerials in one place

Calendar/SchedulerCalendar/Scheduler Keeps life organizedKeeps life organized

Merck – Tablet PCMerck – Tablet PC

Source:Source: www.microsoft.com/windowsxp/tabletpc/evaluation/casestudies/casestudy.asp?CaseStudyID=13546www.microsoft.com/windowsxp/tabletpc/evaluation/casestudies/casestudy.asp?CaseStudyID=13546

SummarySummary

Provides Flexible, Versatile, Natural Ways Provides Flexible, Versatile, Natural Ways to Workto Work

Maximizes ProductivityMaximizes Productivity Improves CollaborationImproves Collaboration Improves One-on-One CommunicationImproves One-on-One CommunicationEliminates Expensive Hard Wiring of Eliminates Expensive Hard Wiring of

Computer Workstations throughout your Computer Workstations throughout your HospitalHospital

The NEW ENGLAND JOURNAL of MEDICINEThe NEW ENGLAND JOURNAL of MEDICINESpecial ArticleSpecial Article

Patient SafetyImproving Safety with Information Technology

David W. Bates, M.D. and Atul A. Gawande, M.D., M.P.H.

N Engl J Med 2003;348:2526-34.N Engl J Med 2003;348:2526-34.

Documents

Michele L. Hales University of Alberta Edmonton, AB CANADA Chennai, India January 22, 2004 Tablet PCs: Are they the right medicine for you?