Transcript Tablets in Healthcare: Not Just Pills Anymore Henry Feldman, MD Chief Information Architect Division of Clinical Informatics, BIDMC Beth Israel Deaconess Medical Center Beth Israel Deaconess Medical Harvard.

Tablets in Healthcare: Not Just Pills Anymore
Henry Feldman, MD
Chief Information Architect
Division of Clinical Informatics, BIDMC
Beth Israel Deaconess Medical
Center
Beth
Israel Deaconess Medical
Harvard Medical School
Center
Harvard Medical School
•
There are no conflicts of interest in this presentation
Funding Sources:
Dasman Diabetes Institute
HaCIRIC
National Institutes of Health
Robert Wood Johnson Foundation
Clinical Care
Advisory Boards (unpaid)
Simulconsult Inc, StrictlyPersonal Inc
Beth Israel Deaconess Medical
Center
Harvard Medical School
Tablets in Healthcare
Promised for decades
Supposedly the deusex-machina for
healthcare providers
Never suited the task
well
Beth Israel Deaconess Medical
Center
Harvard Medical School
Tablets in Healthcare
Physicians have
wanted a portable
patient record they
can round with for
millennia
The devices have
come with a bunch of
limitations, that have
limited utility until now.
Beth Israel Deaconess Medical
Center
Harvard Medical School
Early Tablets in Medicine
Heavy
Poor Battery Life
Poor user interface
Expensive
Essentially desktop OS glommed onto pen interface
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Center
Harvard Medical School
And Then...
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Center
Harvard Medical School
Concerns
Ruggedness
Infection Control (né tablet as fomite)
Security
Cost
User Interface
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Center
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Ruggedness and Infection
Control
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Center
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Use in the OR
* Your Milage May Vary....
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Center
Harvard Medical School
Security
iOS more secure in general than a typical desktop
(heavily sandboxed)
Lack of flash a good thing!
Biggest risk is losing the device
Don’t have local storage (our EHR is web only)
Remote location and Wipe
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Center
Harvard Medical School
Cost
$499 for lowest iPad (which is more than sufficient
since heavy local media storage is not a real feature
of healthcare)
At our medical center the overwhelming majority are
self purchased by the physicians
Which tells you about the cost-benefit, since we are
spending our own money
Beth Israel Deaconess Medical
Center
Harvard Medical School
User Interface
Since most application development in HIT is web
based, the iPad (and other tablets) work very well
natively
Native apps can add additional utility when needed,
but a well designed HTML 5 application is universal
(and works on your desktops too) and are much
cheaper
Need to think about location and size of clickable
targets (lots of tiny links are painful on a tablet)
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Center
Harvard Medical School
The “Killer App”
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Center
Harvard Medical School
Beth Israel Deaconess Medical
Center
Harvard Medical School
How it Has Changed My
Practice
The hospitalized patient can
be as involved as an office
based patient can be
Beth Israel Deaconess Medical
Center
Harvard Medical School
So In Summary
More rugged than folks think
Security needs to be carefully thought about, but is
solvable
Location services present new opportunities
Bringing care to the bedside presents many new
opportunities to engage patients
Relatively inexpensive
Beth Israel Deaconess Medical
Center
Harvard Medical School