As Smartphone Usage Expands, Survey Says Nurses and Nursing Students Want Mobile Access to Credible Drug Data

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Nurses and future nurses are using smartphones at the bedside, and want immediate access to drug reference tools.

 

A recent survey of nearly 4,000 nurses and nursing students found that more and more nurses are turning to mobile technology to help them provide efficient and effective care. Conducted by Lippincott Williams & Wilkins (LWW), publisher of the top-selling Nursing 2013 Drug Handbook, the survey found that 85 percent of nurses and students want a smartphone app version of the drug guide. 

 

LWW’s poll of 3,900 nurses and nursing students found that:

71 percent of nursing professionals use a smartphone for their job

66 percent of students use a smartphone for nursing school

85 percent of respondents want a mobile app version of a drug guide, while 89 percent want access to both an app version and the traditional print version

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Physicians In Nonprimary Care And Small Practices And Those Age 55 And Older Lag In Adopting Electronic Health Record Systems

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By 2011 more than half of all office-based physicians were using electronic health record systems, but only about one-third of those physicians had systems with basic features such as the abilities to record information on patient demographics, view laboratory and imaging results, maintain problem lists, compile clinical notes, or manage computerized prescription ordering.

 

Basic features are considered important to realize the potential of these systems to improve health care. We found that although trends in adoption of electronic health record systems across geographic regions converged from 2002 through 2011, adoption continued to lag for non–primary care specialists, physicians age fifty-five and older, and physicians in small (1–2 providers) and physician-owned practices.

 

Federal policies are specifically aimed at encouraging primary care providers and small practices to achieve widespread use of electronic health records. To achieve their nationwide adoption, federal policies may also have to focus on encouraging adoption among non–primary care specialists, as well as addressing persistent gaps in the use of electronic record systems by practice size, physician age, and ownership status.

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Mobile Health Around the Globe: Telemedicine and Peritoneal Dialysis in India

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ince about 75% of Indians live in remote rural areas and more than 75% of doctors live in cities, there is a large discrepancy in healthcare distribution. The Indian government, with the help of the Indian Space Research Organization (ISRO) has connected rural hospitals with city-based specialty hospitals through their GSAT satellites This network allows those in rural areas to have access to healthcare professionals and specialists. It also allows for mobile telemedicine units in remote villages.

 

A typical small health center telemedicine system includes a computer, software, and several medical devices (EKG, X-ray or scanner). Images and test results can then be sent to specialist doctors who can interpret the results and suggest treatment through video-conferencing.

 

In regards to India’s telemedicine initiative, L.S. Sathyamurthy, Vice President of Telemedicine at ISRO, said,

 

“There are 650 district hospitals, 3,000 taluk [subdistrict] hospitals, and more than 23,000 primary health centers in the country. We must aim to connect all these in phases—first the district hospital connected to speciality hospitals in major cities, then the taluk-level hospitals, and finally the primary health centers, so that nobody, irrespective of his location, is deprived of lifesaving specialty consultation.”

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iPad EHR interoperability progressing as virtualization improves

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Few health IT leaders outside Beth Israel Deaconess Medical Center CIO John Halamka, M.D., or his peers saw the iPad as a health care game-changer upon its release two years ago. Now however, CIOs increasingly view iPad EHR implementations as a way to promote meaningful use compliance among physicians, who love the device. Meanwhile, virtualization vendors are making those implementations more workable.

 

The increase in iPad EHR use also pushes some facilities closer to joining the “bring your own device” — or BYOD — movement, which brings its own security and compliance challenges. On the plus side, adopting a BYOD policy shifts the cost of purchasing the tablet to the employee, as well as the hassles of administering hardware upgrades.

 

If you’re an IT pro working for a health care provider and not already involved in an iPad EHR implementation, chances are you will be, soon: The iPad represents a significant slice of a mobile connectivity pie that will reshape health care, according to Deloitte’s 2011-12 Open Mobile survey, which calls health care the sector most likely to benefit from 4G technology in the coming years.

 

“Mobile is going to be a big part of health care,” said Harry Greenspun, M.D., senior advisor at Deloitte Center for Health Solutions, who noted that health care lags a bit behind other market sectors. “People always ask me, ‘What does the future of health care look like?’ About like the present of every other industry. When you look at how mobile has transformed retail and finance and travel and every other aspect of our lives — health care is going through the same transformation.”

 

The biggest interoperability problem health care software vendors must solve, Greenspun said, is making data ubiquitous despite the wild variation in screen sizes and operating systems. That, while taking into account workflow issues. “Tablets are great for consuming information, but for a lot of folks [tablets are] challenging to generate a lot of information,” he said.

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8 common questions about HL7

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What is HL7?

 

Interoperability, or the back-and-forth exchange of patient health data among different organizations, is seen as the “ultimate IT goal of the modern healthcare system,” when discussing meaningful use, HITECH and the Affordable Care Act, said Brull. “One of the major challenges to healthcare interoperability is defining common standards for structured content of healthcare data and the transport of that data between different systems, created by different vendors,” he said. Creating consensus behind a common healthcare standard is the mission of HL7, which was founded in 1987. “The HL7 Standard was created and has since become widely adopted by vendors worldwide to define content,” said Brull.

 

This and 7 other questions at http://www.healthcareitnews.com/news/8-common-questions-about-hl7

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Health IT Makes Health Care Convenient

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Health IT can free you to focus on your health instead of the everyday hassles of managing your health care.

 

Health information technology (health IT) can make your interactions with the health care system more convenient, more reliable, and less time consuming.

 

Some examples include:

 

Faster, more accurate prescriptions
E-prescribing systems automatically send orders to the pharmacy for you so your medicine can be ready for pickup when you arrive, saving waiting time. E-prescribing can also reduce the potential medication errors such as those made by messy handwriting on a paper prescription.

 

Rapid information sharing
When a provider adds patient notes or test results to your EHR, that information may be available to all health care providers authorized to view your records, so they can have access to the most up to date information about your health. Some health care providers may allow you to access your own health information directly, meaning you no longer have to wait to hear back from your doctor for information such as test results that are normal and may not require an explanation.

 

Reduced paperwork
As a patient, you have probably answered the same questions about personal information and medical history dozens of times on seemingly identical forms. When health care providers share your electronic health information, you may not need to write down the same facts repeatedly.

 

Reduced unnecessary tests
Doctors sometimes order tests that you’ve had before simply because they do not have easy access to prior results. If all your test results are recorded in EHRs that can talk to each other, a health care provider can see prior test results that are available and order only truly necessary tests and procedures, saving time, money, and discomfort while reducing risk.

 

Better follow-up, better follow-through
Many EHRs incorporate reminder systems for both you and your doctor. For example, some EHRs remind your doctor to follow up with you about ongoing health conditions or to offer you information or services in response to changes in your health. At the same time, some EHRs can send you email or text message reminders about making or keeping appointments, staying current with treatment and medications, and other ways to improve health.

 

Secure access to information
In the event of a natural disaster or other tragedy, having your records in an EHR should make it easier to reassemble your records, and to make them available to providers away from home in the event that you need to relocate temporarily or permanently. The Federal Government requires certified systems to meet security standards so that professionals and others you designate can see only the information they need in order to manage your care effectively; your State Government may require additional protections. Learn more about the security of your health information.

 

 

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