Wireless-Doc (the Weblog)
Bill Koslosky, M.D. examines the state of wireless technology and medical applications.

 
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Monday, December 15, 2003
 

E-PRESCRIBING

A Hawaii physicians group offers grants to help doctors switch over to electronic medical records

This is an article about the Hawaii Independent Physicians Association's move to provide grants to its physician members who are willing to implement an electronic medical records system. Dr. Dan Heslinga, a Honolulu family practice physician, is provided as a case in point.

An example of the efficiency provided:

For example, using a paper system, a doctor writing a prescription also would record it in the physician notes, as well as adding the name of the drug to the patient's list of medications posted in the chart, (Dr. Heslinga) said.

"Right now, (a prescription is) a triple entry. With an EMR you enter it once," he said.

It is noted that they use GE Medical Systems' Logician as their EMR system.


4:15:45 PM    

CLINICAL BLUETOOTH

Code Blue Communications Bluetooth Americas Presentation

This is a link provided by Bill Saltzstein of Code Blue Communications Inc. who made this presentation last week. (Unfortunately this is a large PDF file which I'll have to download later on a better connection. I don't see much discussion about medical applications using Bluetooth, so I'm interested in what this might offer.)

Just a suggestion to all tech companies: maybe forget about the PDF format or duplicate the content in HTML. This will serve the online community much better.


1:27:06 PM    

XML SYNDICATION

BitTorrent and RSS Create Disruptive Revolution

This is about as good as any place to enter into the world of news feeds written in XML. The best feature of XML is that it allows the sharing of data or text across different hardware/shareware platforms. This standard is very unprogramming-like, using tags written in plain english. In fact, it was not developed by a programmer per se, but by a lawyer working for IBM, who was working on a more efficient means of managing documents. RSS is the system developed by Dave Winer for generating news feeds in XML, and BitTorrent is an open source system for peer-to-peer sharing.

If you install a "reader" (I'll be evaluating the one I'm loading on my Treo), you can subscribe to the many news "feeds" which are essentially summaries of articles in a particular topic or venue that you want to follow. Because this files are small, they are ideal for mobile devices. Medscape provides these feeds under various clinical medicine topics. I'll probably be conversing with Steve Hoffman very soon about Medscape's involvement with XML.


12:55:32 PM    

PHONECAMS

Phonecams in the Clinical Setting

Recently, I seen a number of articles citing the privacy concerns that arise as phonecams become increasingly prevalent. One of these was an article from the New York Times from last Friday. I found out about this from an opinion posted on Jeff Jarvis' blog Buzzmachine.

He's right about coming to the conclusion that this is a phenomenon which is becoming popular for personal use and also provides instant, networkable images for those who are eyewitnesses at breaking news event.

I would agree with his general feeling of acceptance, but having recently seen a photo posted on one of the public moblog hosting services which showed a view in the OR during a procedure prompted me to think preemptorily. Some companies have already issued a complete ban on all phonecams. Some employees who wish to buy the new Treo are looking for either the release of a new version without a camera or a way to disable and demonstrate to their company's security staff that the camera is indeed not functionable. Something similar could happen in the healthcare sector. It's important now to start discussing possible policies where it could be made clear what are considered to be the boundaries of using phonecams in a patient-encounter setting.


8:53:53 AM    

E-PRESCRIBING

Drug Pricing Added to PDA-based Prescription Software

Mobile Health Data reports on Medix Resources Inc. (New York), and its addition of drug pricing information in its CarePoint suite of prescribing applications is sold through its HealthRamp Inc. subsidiary.

The software now will feature RxPricePoint technology that's designed to help gather pricing data from pharmacies and deliver it to a physician's PDA or smart phone. Physicians can use the application to inform their patients of the pharmacy--either retail or mail order--with the best price for their prescribed drug. Patients also can use the HealthRamp Web site to search for the lowest cost drugs in their area before visiting their physician.


8:29:00 AM    

CLINICAL WLANS

Emergency physicians group standardizes PDA use at Detroit Medical Center.

The December issue of Health Data Management publishes this story about Detroit Medical Center's decision to standardize their implementation of PDA use by purchasing 160 PalmOne Tungsten C PDA's this past summer. Also described is the additional support provided by the center's intranet.

Additionally, (Dr.) Sutariya created a page on Detroit Medical Center’s intranet for physicians to access information about their new PDAs and get links to free medical reference software. Physicians access the intranet on their PDAs, which include built-in Wi-Fi technology, via a wireless local area network that already had been installed in the delivery system’s emergency departments.

Also interesting to note is the view that the Tungsten C's built-in keyboard is essential for getting physicians to use the PDAs on a regular basis.

 


8:17:41 AM    


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