Between doctors and nurses, consumers iPad adoption is growing at a much faster rate than the general population - and I want to run their own systems for electronic medical records, the third annual summit of the leadership of Congress, said a mHealth panel of speakers. This leaves IT managers with a dilemma in hospital EHR implementation of the iPad: iPhone native application or run a virtual office?
There are advantages and disadvantages. Offers unprecedented security in virtualized environments - and by extension, HIPAA compliance - the speed and capacity at the expense of IPAD and the IOS operating system adapted to contact with the screen.
On the other hand, local systems of iPhone EHRs, increase productivity, this fans swear IPAD scrolling, page flipping, and other features, design IPAD allows a better fit. The iPhone is lost or stolen; however, these practices also create a risk, and require additional safety precautions. Development of internal resources to local programs, many hospitals can not afford or require customization.
If you can get employee buy-in for the implementation of EHRs in general iPad, Dale Potter, The Ottawa Hospital, which is relatively inexpensive, said senior vice president and CIO. "These devices are $ 600," said Potter. "These doctors, some medical equipment for the move - [as] a stethoscope -. It can cost much more"
Indiana EHR implementation of virtualization
"Either native virtualization" First, decide, Deaconess Health System CIO to buy or an employee of a hospital iPads provide personal devices for use in the network, or Todd Richardson said. O West Kentucky, southern Indiana and southeastern Illinois, serving the system, took the second approach for the six hospitals.
Everyone has one really wants - your organization such as mobile phones, tablets, has accepted the idea that a personal investment. Capital expenditures and business to continue throughout the iPads to eliminate the need not only that this kind of thinking. But at the same time, personal data and communications applications such as monitoring devices, personnel records, and music. Updated or not - in addition, the political market iPads faster, higher capacity of medical staff to lobby for updates "arms race" prevents.
"I pinch me, of course, makes you sleep better at night knowing that CIOs have to deal with, like," said Richardson. "And they take care of better."
As a result, no one right and a wrong way to implement EHR is the IPAD, hospital virtualization EHR systems existing Epic Inc Citrix Systems, Inc., Richardson decided to use , he said. "Unlike health care systems and cultures have different ways of doing things. Clearly work at a place in Waterloo, Iowa, Evansville, and Santa Fe, which does not work. "
With the implementation of all patient data stored in virtualized iPads DSE. This facilitates the administration of large HIPAA. Richardson, making your system work harder to challenge the position of doctors leaves the network access points that require creativity, including lead-covered buildings, said that establishing a wireless connection in its own facilities. This was particularly difficult in difficult areas such as stairs. Then came the security issues of wireless network and provides the bandwidth priority for physicians.
The transition was not perfect for the medical interests of the IPAD Richardson will face the learning curve is so great, he said.
"I check the orders and things for iPhone Owensboro [Kentucky] could not connect to the call and cry because I had an experience of a brain surgeon," he said sheepishly. "If you have a brain surgeon with a loud voice that [he] won the battle [his] iPad, -. Now the war is how to connect is not connected"
Canadians to put their own EHR iPad
Potter, Canada's largest academic medical center, CIO, the operating system iPad Touch screen has decided to offer very efficient - and traditionally like big savings compared to PCs - it's literally bought it. So far, applications to write thousands of medical devices and software developers to buy 124 of them work for Oasis iPad Healthware move their EHR system.
This computerized physician entry (CPOE), it seemed like a bad practice came to this decision after seeing a few providers shows. What you see as a successful application in the management of its board of directors does not supervise the filming, he said.
Meeting coincided with the first version of the iPad. At that time the clinical leaders in the current draft, after four test launches, and this work iPads convinced - and sank after the sources, the first two weeks of tests to ensure a better functioning of the candidate IPAD virtualized.
"The doctors came back and said:" It's really a game that will change a change, the struggle of doctors with the virtualized interface and see the "bitter", he said, adding that at Potter "medical images, graphics and laboratories using delighted to see the iPhone to show how.
The Ottawa Hospital - bedspreads and four hospitals in 1300 - the size of next month in January, was launched in early 1000 iPads and three people have lots of money for a project. However, the increase in productivity and profitability of the hardware iPad Potter and the mere fact that capital expenditures for internal development and acquisitions worth it to convince the Ministry of Finance. This and the development team to deploy faster and better workflow in hospitals have the appropriate work.
So far, the workflow of the hospital around an understanding of ergonomics, and then met with the doctors with the help of a consultant, staff, software development has made a dozen special requests on this iPad iPhone page and users are accustomed to road travel.
We can not reach those who are waiting for the iPhone EHRs
DSI IPAD and applications for the hospital, the first important decision to make tablets, Potter acknowledged that property. I bought them at the hospital for the mother if the iPad EHR was easy to standardize the development and application security and IT staff for Android and BlackBerry operating systems, application development, felt not need to worry. (Facility allows employees to wear iPads employees work, but for safety reasons for the iPad, a personal check if an IOS device MobileIron Inc. has agreed to use software that allows you to be.)
Certainly, none has been lost or stolen iPads again. Users, more devices than others, "caution" to Potter, he left behind the house from the beginning of the iPad, a change in the caller said, adding that the doctor does not value lost time going back and forth fight with another device.
After that, the next important decision is deciding how fast to move. Apply and work your way around the hospital that offers a suitable - depending on whether trust can be the supplier for two reasons. Potter was released in early 2010 after the device IPAD-18 and its EHR provider will probably not be ready for 24 months, he said.
It was not fast enough for the Ottawa Hospital. "My instinct was to go faster .... I told the president and CEO, "If you're serious, you need to go faster," Potter said. Ottawa Hospital, which is one of the goals of patient safety and quality in America North, a top-10 accepted as a university hospital, and Potter said, the board as a special iPhone application was a way to get faster.
"If the business of a hospital [of mobile application development]? You say, probably not. But I want to stay in the middle of the table and want to advance the concept of mobility, may have been another option, "but said that without the EHR vendor.
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