Propels in Portable Registering Rising Innovation in eHealth Advancement Third Yearly eHealth Engineers' Summit November

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A typical versatile stage is required to outsider and end client ... Propels in Mobile Computing. Rising Technology in eHealth Development Third Annual ...

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Propels in Mobile Computing Emerging Technology in eHealth Development Third Annual eHealth Developers' Summit November 6 – 8, 2002, Tempe, Arizona Jeff Sutherland, Ph.D. Boss Technology Officer http://www.patientkeeper.com/Jeff.sutherland@computer.org Turning the Promise of Mobile Computing into a Reality

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Truckers can do it! They are worried about survival. 2 out of 3 trucking organizations have vanished as of late Survivors tract costs down to each action that matters on the stacking dock and the truck Roadway Express sorts shipments from numerous clients and terminals, then loads revised merchandise into outbound trailers A standardized identification swipes the waybill, the area, and the ID identification of the loader. A long time back this would have been scribbled on paper. What will happen to healing centers who can't do this in the following decade? The patients? Cone, Edward and Carr, David. Emptying on the Competition . Standard, Oct 2002

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On-Going Learning Required! The normal extensive medicinal services conveyance framework does not charge for >10% of methodology rendered. Accordingly, numerous are losing cash, losing staff, and losing nature of care. Restorative mistake is the third driving reason for death in the U.S. after coronary illness and tumor [JAMA, July 26, 2000, p 483]. The majority of the biggest gathering of lives lost, brought about by medicine blunder, can be spared by having the right data at the purpose of care. Preparation of medicinal information is the quickest (and maybe just) way to doctor reception of basic computerization. Exploiting money related and clinical change openings relies on upon it. The right information on the right patient, at the opportune time and ideal place, for the correct individual is vital to productive operations and patient security. The weight of damage passed on by the aggregate effect of our medicinal services quality issues is amazing… Our present endeavors take after a group of architects attempting to break the sound wall by tinkering with a Model T Ford. National Institute of Medicine, 2001

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Lots of lives to spare Medical blunder is the 3 rd biggest reason for death in the U.S. surpassed just by coronary illness and growth. (JAMA, July 26, 2000, p 483) 12,000 passings/year from superfluous surgery 7,000 passings/year from medicine blunders in healing facilities 20,000 passings/year from different mistakes in doctor's facilities 80,000 passings/year from nosocomial contaminations in clinics 106,000 passings/year from antagonistic impacts of drugs (4 th driving reason for death) 50-90% of solution blunders can be wiped out at time of establishment of computerization at the purpose of care. "There is a developing conviction in all healing facilities, even in those which are best led, there is an awesome and pointless misuse of life. " Florence Nightingale, 1859

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Mobile Patient Safety Solution Increases Revenue Reduces Medical Errors Improves Quality of Life: Extra Time for Doctor

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ChargeKeeper ROI Study North Shore/LIJ Health System Study Background: 86 Inpatient Physicians/22 Departments Participated in Study Results: $888 increment in incomes/doctor/month, basically income caught that was beforehand lost through manual, wasteful procedures ($1 million every year for doctors in study aggregate; $3.5 million when connected crosswise over potential client base) 4.9-to-1.0 advantage to cost proportion illustrated (income) Excludes diminish in slack time: 8 days Excludes upgraded efficiency/work process User Satisfaction Survey: 4.5 on size of 1-to-5

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Proven ROI – Increased Revenue Annual Revenue Increase Benefit to Cost Ratio Participants

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Is There Really a Problem? More than one million prescription related blunders happen in US doctor's facilities every year. Apportioning Transcribing Administration Ordering Source: Gartner Group, Healthcare Business and IT Summit, April, 2002

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Mobile Patient Safety Solution Increases Revenue Reduces Medical Errors Improves Quality of Life: Extra Time for Doctor

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Decision Support at Point of Care HOW DO WE DO THAT? I WANT & NEED: Access to just the information Right Data Right Time Right Place Right NOW

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Decision Support at Point of Care PERSONALIZED Information: StatusKeeper: MY "Inbox" of new patient information The latest clinical results for just MY PATIENTS LabKeeper: Access to "MY patient's" lab result "Banner" an essential lab to stay on the PDA Create individual lab boards with tweaked time allotments Display just basic results RxKeeper: Access to "MY patient's" pharmaceutical profile View just new, dynamic, D/C or "held" solutions NoteKeeper: Access to "MY patient's" clinical notes View by sought note sort: advance, conceding, release, H&P, RN, counsels, and so forth. TestKeeper: Access to "MY patient's" analytic test Only the test outcomes I WANT – smaller scale., way. also, X-beam Key word hunt down sought content DxKeeper: Access to "MY patient's" Problem List View by issue class, i.e., determined, dormant, and so forth

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Reducing Medical Errors – Step 1 Aggregate Results from Backend Systems Mobile Patient Index (mPI) Mobile Patient Index (mPI) Core Application Components Demographics AlertKeeper Desktop Companion Clinical Suite ChargeKeeper Capture charges at the purpose of care with cutting edge code alters and exchange administration. Brisk access to basic results and patient data. LabKeeper DxKeeper RxKeeper NoteKeeper TestKeeper AllergyKeeper VitalsKeeper OrderStatus StatusKeeper

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Reducing Medical Errors – Step 2 Update Selected Results on Backend Systems Mobile Patient Index (mPI) Mobile Patient Index (mPI) Core Application Components Demographics AlertKeeper Desktop Companion Clinical Suite ChargeKeeper Capture charges at the purpose of care with cutting edge code alters and exchange administration. Snappy access to basic results and patient data. Upgrade connections. LabKeeper DxKeeper RxKeeper NoteKeeper TestKeeper AllergyKeeper VitalsKeeper OrderStatus StatusKeeper

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Order Capture – Step 3 Generate electronic requests Order catch in light of: Simple and instinctive in view of request sets for greater part of requests Mobile request catch a cross breed application: Most information dwells on the gadget from synchronization Multiple exchanges happen progressively for request accommodation Drug cooperation checking and choice bolster rules sent to the cell phone works pair with backend clinical frameworks. Constant exchange submits request to fitting back end processor; back end alarming and informing sent to the cell phone gives notices and request status. At the point when availability not accessible request is lined on cell phone for quick preparing when backend accessible.

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Malcolm, B.; Carlson, R.A.; Tucker, C.L.; Willette, C. Veterans Affairs: Eliminating Medication Errors Through Point of Care Devices. Procedures of HIMSS 2000, Session 73, Dallas.

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Mobile Patient Safety Solution Increases Revenue Reduces Medical Errors Improves Quality of Life: Extra Time for Doctor

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Quality of Life Question: How much better is your workday when you can discover your patients on rounds and you have their data readily available?

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Quality of Life Question: How imperative is it for you to see unusual and basic lab values when the outcomes are accessible?

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Quality of Life Question : How much extra solace would you have knowing you had the most current basic patient data?

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Quality of Life Question: How much time would you spare if just the information you needed to see, on just your patients, was sent to you – REAL TIME?

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"The Proof is in the Pudding" "Glens Falls is a group healing center offering an extensive variety of claim to fame treatment through various provincial offices. Inside months, we will have a completely introduced CPOE framework, highlighted and upheld by remote, mobile enterprise capability offered by PatientKeeper of Boston. PatientKeeper Enterprise mapped splendidly to our clinical IT procedure in two ways:     At Glens Falls, we trust that you have to influence innovation to propel innovation. If our doctors aren't driving it, we won't put our cash in it. Our specialists need portable ability and discover PatientKeeper fuses clinical choice support into their work process effectively and flawlessly from wherever they are in the Glens Falls region. 

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Mobile Patient Safety Solution Improves Quality of Life: Extra Time for Doctor Increases Revenue Reduces Medical Errors Provides a hearty stage for freely composed outsider applications which interoperate with clinical frameworks.

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Mobile Platform Requirements: Aggregate, Integrate, Interoperate total coordinate interoperate A typical versatile stage is required to outsider and end client applications on a solitary gadget. This permits institutionalization of information for reporting and association wide execution of value activities. Open benchmarks are required to freely wrote outsider applications on a solitary handheld gadget. Doctors need single signon, patient setting administration, and consistent interoperability of patient information modules. Supporting a quicker, less expensive, portable answer for patient wellbeing activities requires an open versatile stage that permits autonomously wrote applications to , coordinates with beforehand introduced frameworks, and backings transformative substitution or update of existing foundation.

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PatientKeeper Personal Testbed of 45,000 Clinical Users All vital therapeutic information on a Palm Pilot or PocketPC. Intended to coordinate with worldwide therapeutic information framework. Supplier mind, home care, and military care. Harvard Medical School understudies are reviewed on data in this application. 100% selection.

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Platform Ben

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