Apps And New Technology For Productivity And Medical Practice

Transcript

Tech on the Run — Apps and New Technology for Productivity and Medical Practice Speaker: Jeffrey A. Schwartz Thursday, Sept. 18, 2014 1 – 2 p.m. Jeffrey A. Schwartz With thousands of professional medical apps available and new technology being released daily, it can be difficult to find what you are looking for in the app store. This course will discuss many new applications available to both providers and patients though the use of the internet and smart phone technology. These advancements can help improve provider productivity, bedside diagnostics, and the overall quality of care. Dr. Jeffrey A. Schwartz is the chief medical officer for ECI Healthcare Partners, a leading physician staffing and management company specializing in emergency medicine and hospitalist medicine. He is board-certified in emergency medicine and is a diplomat of the American Board of Emergency Medicine; he is also a fellow of the American College of Emergency Physicians. As an expert in emergency department operations, Dr. Schwartz has worked with hospitals around the country helping them to improve their operational efficiency. Dr. Schwartz also lectures and leads discussions on the topic of “Paradigms in Emergency Medicine” as it applies to the many changes facing the specialty, while also hosting seminars on topics including customer service, physician accountability, new technology and the use of electronic medical records. 9/8/2014 Tech on the Run – Apps and New Technology for Productivity and Medical Practice Jeffrey A. Schwartz, MD, FACEP Chief Medical Officer, ECI Healthcare Partners Emergency Consultants is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Emergency Consultants designates this live activity for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Objectives • Identify and learn to use phone apps designed to improve productivity and bedside diagnostics • Familiarize oneself with educational resources available to patients • Recognize potential uses for new technology in the clinical setting Note: I have no financial conflicts in regards to items discussed in this presentation 1 9/8/2014 mHealthcare Facts • 2013 • 40 million personal health and wellness products sold – 95 million – use phones to look • $3.3 billion ($8 billion 2018) – 45% adults with chronic health • Wearable sensors – 30 million+ up health info (+27%) conditions consider internet essential to disease management • FDA – final guidance for med mobile app developers • Remote monitoring – save healthcare providers $1.96 - $5.8 billion mHealthcare Facts 2 9/8/2014 Healthcare Apps 80% smart phone users want to connect with Physicians on mobile devices Healthcare Apps • Senior citizens – best apps created for iPad – bigger, easier to read • AOA – recommends physicians discuss apps with patients • Drug Companies – 100+ apps and growing • 205 Hospitals with branded apps (2013) • 33% physicians recommend healthcare apps to patients 3 9/8/2014 Apple Healthbook • Movement (steps, miles, calories burned) • BP, HR, Hydration • Biometrics – Glucose • Partners – Mayo Clinic, Cleveland Clinic, Mt. Sinai – Epic, Allscripts Google Smart Lens • • • • Passive glucose monitor Uses tears Google X unit 5 years • Google Glass 4 9/8/2014 Healthcare Apps • 43,700 medical apps in Apple Store • 54% genuine Healthcare apps – 69% intended for consumer/patients – 31% for clinical use 5 9/8/2014 Canopy MediBabble Translator • Translated questions and instructions – with audio playback • Spanish, Cantonese, Mandarin, Russian, Creole • Internet connectivity not required • Yes/No responses • iPhone, Android • Free 6 9/8/2014 Google Translate • Translate 60 languages • Speak phrase – hear translation • Display translations • Favorites list • iPhone, Android • Free Symptom MD • Derived from clinical protocols used in medical call centers Decision Chart – determines need for calling 911 vs. treat at home Home Care Advice • • iPhone, Android $3.99/$2.99 • David Thompson MD – CIO/CMO • • 7 9/8/2014 Pepid • Comprehensive Medical Resource • Medical Illustrations • Differential Diagnosis Generator • iPhone, Android • $250 (2 week free trial) Epocrates • Free • • • • This image cannot currently be display ed. Clinical Drug Information Pill ID Interaction Check Current Medical News, Research • Premium • Evidence based treatment info • Specific Treatment guidelines • Lab Prep, interpretation info for tests & panels • Medical Dictionary • ICD-9 and CPT codes • iPhone, Android 8 9/8/2014 Visual Dx • Compare medical images to patient’s presentation • See differential as you enter patient’s signs/symptoms • On-the-spot patient education using images • • • • iPhone, Android Free trial Drug Eruptions – Free Clinical Packages $49 - $99 Visual Dx • Compare medical images to patient’s presentation • See differential as you enter patient’s signs/symptoms • On-the-spot patient education using images 9 9/8/2014 MedCalc • >200 formulas, scores, scales and classifications • Customizable list of favorite equations • iPhone, Android • $0.99 Calculate (Medical Calculator) • Clinical Calculator and Decision Support Tool • 150 + • iPhone, Android • Free • By QxMD 10 9/8/2014 Pedi Safe – ICU, OR, ED Medications • Broselow Colors • Pediatric/Adult Weight Based Doses • Airway equipment sizes • ACLS/PALS emergency meds • Normal vitals for peds • iPhone, Android • $2.99 ICU Pearls • Over 400+ critical care tips and pearls of wisdom • Save, send tips • $0.99 11 9/8/2014 Neuro Localizer • Enter symptoms or abnormal exam • Neuroanatomical pathways drawn out • Free Ortho Traumapedia • Organized by bone/joint – Facts – Imaging – Classification – Treatment • $9.99 12 9/8/2014 Real World Orthopaedics • Illustrated using plates from Gray’s Anatomy • Overlays detailed radiographic interpretation over each image • Test knowledge with quiz mode • $9.99 uBurn • Rule of Nines • Degrees • Parkland Calculator • iPhone • $1.99 • uBurn Lite - Free 13 9/8/2014 Preg Wheel • Quickly input dates • LMP • Conception • EDC • Displays dates for testing • US, CVS, etc. • iPhone, Android • Free Bellabeat • Pregnancy tracking • Heart Rate • Kicks • iPhone, Android • $129 14 9/8/2014 Glow Nurture • • • • Due date calendar Daily health log Education and Tips Exercise tracker • iPhone, Android • Free EyeChartHD • • • • Snellen and Tumbling E Charts Amsler Grid Ishihara Color Test Plates Randomize whole chart or one line at a time • iPhone • Free 15 9/8/2014 Glasses Off • Improves near vision sharpness by improving image processing function in brain’s visual cortex • Game like interface • 10 min/day, 3x week • Eliminate reading glasses • Free trial Aud-1 • Smartphone hearing aid • Process sound received by microphone and delivers corrected to headphones 16 9/8/2014 Sonosim • Ultrasound training • Integrated didactic, knowledge assessment, and hands-on training • ECIHP discount – 40% off SONO40ECIHP One Minute Ultrasound 1 minute demos ⁻ Hand position ⁻ Descriptions ⁻ Normal images ⁻ Pathologic images ⁻ Free 17 9/8/2014 Smartphone Physical Smartphone Physicals • One Digital Stethoscope • Biomeme – DNA diagnostics 18 9/8/2014 Smartphone Physicals • Cellscope • MobiUS SP1 Ultrasound DermScope • Capture, store and transmit dermatoscopic images • Scope - $1000 • App - $4.99 19 9/8/2014 iDoc24 OScan • Upload skin image • Dermatologist review 24 hours • Pro version • iPhone, Android • $39.99/consult AliveCor iPhone ECG • Wireless recording • 30 sec rhythm strip • Annotate/Email tracing • $199.00 • Interpretation Report $2/$10 20 9/8/2014 AliveCor iPhone ECG • Rx - 1000 adults screened • 1.5% A-fib • 98.5% sensitivity • 91.4% specificity • Coumadin - $4000/quality life year Mobile MIM ResolutionMD • Display Medical Images • MRI, CT, PET, X-Ray, U/S • FDA approved • Free • Must connect to server 21 9/8/2014 Medsnap ID • Uses phone camera to identify pills • Can identify multiple pills at once • Alerts to Drug-Drug interactions • Subscription based iMedipac • Connected pill box • NFC chip – monitors if pill is taken • SMS, email alerts, voice notifications 22 9/8/2014 Adhere Tech • Smart Pill Bottle • Wireless, real-time • If dose is missed – Text message/phone call – Bottle lights up/chimes RxRevu • Rx Optimization • Save $$ on Rx – Dosage equivalency matching – Therapeutic alternatives – Combination splits – Generic substitutions 23 9/8/2014 BakBone • Tablet ring – iPad holder • Invented by ER MD • Sanitized with standard cleaning solutions such as alcohol wipes and hand sanitizer found in hospitals • $29.99 iTriage • Facility locator • Displays wait times for ER • Personal health record storage • iPhone, Android • Free 24 9/8/2014 ZocDoc • Book doctor’s appointment online instantly • View office locations on map • Read reviews of physicians • Track appointments • iPhone, Android • Free Doximity • Professional Network for Physicians • Connect via specialties, medical school, residency, location • HIPAA secure • Fax Service (free) • Text messaging app • iPhone, Android • Free 25 9/8/2014 iBlueButton • Download medical records and personal data from MyMedicare, Aetna, etc. • Share health records • Free, 5 record downloads $1.99 Medlio • Real time look at insurance benefits • Transparency – patient, provider, payer • Communication 26 9/8/2014 Healthcare Bluebook • Guide to Fair Prices – Hospital – Physician – Imaging – Labs – Medications • User contributions • Free Text Messaging – Healthcare’s Secret Weapon • Mobile Engagement – Appointment reminders – Wellness and Behavior Change • Smoking Cessation – Rx reminders and adherence – Insurance enrollment and education 27 9/8/2014 Text Messaging • • • • • Voxiva – Enrolled 100K Medicare and Medicaid patients – Health exam reminders, encourage tracking of weight and activity 92% overweight users set weight goal 44% opted in to get messages 85% messages easy to understand Text2Quit – 75K enrolled, every US state 28 9/8/2014 Text Messaging • Sense Health • Montefiore Medical Center - NY – – – – Randomized control trial Pre-scripted, customized text message Educational, motivational content appointment, medication reminders • 40% gain - Appointment adherence • Modest gain in Medication adherence MediMobile List Runner • In-Patient Rounding – – – – – Charge and data capture HIPAA compliant messaging PCP auto updates Patient handoffs Cloud based • iPhone, Android 29 9/8/2014 Primum Telehealth/Telemedicine • • • • • Patient Demand Cost Efficiencies Specialty Care Minor Acute Care Psych/Mental Health 30 9/8/2014 Telehealth/Telemedicine MDLive 31 9/8/2014 OnLive Desktop Cloud On • View, edit, create Microsoft Office • Integrate with Dropbox, cloud based services • Flash enabled • Free Dropbox • Upload photos, docs, and videos anywhere • Share files, links • Saves to all your computers, phones and Dropbox website • Free 32 9/8/2014 Hammermill Print • Print from iPhone/iPad • Free CamScanner • Scan, auto-crop, edit, PDF, email, text, sync - Free June • Measure sun intensity in real time • Monitor your total daily sun exposure 33 9/8/2014 Beddit • • • • Measures sleep patterns (latency, awakenings), heart rate, breathing, snoring and movement Beddit sensor placed under sheet Ballistocardiography (BCG) measures the mechanical forces caused by heartbeat, respiration and movements of the person in bed $149 Lumo Back • Improve lower back posture to prevent, reduce back pain • Vibrates with slouching • Tracks sitting, standing, steps • Lumo Lift – chest, shoulder, upper back • $149/$69 34 9/8/2014 WiTouch • Wireless TENS unit • Gate Control Theory suppresses the transmission of pain in the nerves • Endorphin release • <$100 Alcohoot Breathometer • Smartphone Breathalyzer • Plugs into headphone jack • App can call Taxi – $119 • Breathometer – $49 35 9/8/2014 SteriPen • Users ultraviolet light • Purifies 16oz in just 48 seconds; 32oz. in 90 seconds • Destroying more than 99.9 percent of bacteria, viruses and protozoan cysts such as giardia and cryptosporidium • $70 - $120 Skulpt Checklight • Skulpt – Body composition/muscle analyzer by electrical current – Fat percentage/muscle quality • Checklight – Measures G Force – Monitors concussive/impact force 36 9/8/2014 • The Device – Diagnose diseases – 15 diseases – Provide ongoing metrics of health (vitals) – Allow monitoring or continuous use of • sensors to diagnose and measure health – Provide awareness of health state – Give confirmation that everything is ok with a consumer – Notify that something is not ok (a "check engine light”) $10 million Scanadu • Measures – HR – Core temp – SpO2 – Respiratory rate – BP – EKG – U/A ? 37 9/8/2014 Activity Trackers • • • • Jawbone Fitbit Scosche Nike • Movement – Steps – Distance – Stairs • Sleep • Calories Activity Trackers • • • • 2014 wearable devices – 90 mil – 16 mil+ fitness trackers 46 mil people used fitness apps in January 13%-22% health risk factor reduction using fitness tracker Mayo Clinic – post stent – Track Vital Signs, activity, diet, educational content – 40% reduction in cardiac readmits – + Weight Loss, - Decreased BP 38 9/8/2014 Breeze MapMyWalk • Tracks steps • Set Goals • iPhone, Android • Free RevUp • Mobile health device/apps dashboard • Personal health coach • Health assessments • Multi-platform 39 9/8/2014 Zepp • • • • Club path/speed/tempo Hand path Compare to Pros Also tennis, baseball Game Golf • Records visual representation of game as played – Fairways hit, putts – Distance 94Fifty Basketball • Visual and audio feedback – Shooting – Dribbling 40 9/8/2014 Vivino • Wine app • Cellar Management • Food recommendations • Free/Pro $4.99 Voyce • Activity tracker for Dogs 41 9/8/2014 Tech on the Run – Apps and New Technology for Productivity and Medical Practice Jeffrey A. Schwartz, MD, FACEP Chief Medical Officer, ECI Healthcare Partners Emergency Consultants is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Emergency Consultants designates this live activity for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 42