Palm-Tops in Everyday Practice

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Documents to Go. ▫ Cadillac system, but expensive. ▫ http://www.dataviz.com. ➢ Isilo. ▫ Inexpensive, though highly functional. ▫ Large set of medical documents.
Personal Digital Assistants in the Medical Office

Critical Tool or Toy? ¾ Family

Practice Information Network ((FPIN)) study y indicates that family y physicians encounter 20+ clinical questions per q p day y ¾ Typical physician will stop to look up 3-4 3 4 per day

Critical Tool or Toy? ¾ Delivery

of just in time information could improve p the 7:1 ratio of questions encountered versus answers sought g ¾ PDAs provide an inexpensive, powerful and convenient approach to this problem

Critical Tool or Toy? ¾ Adoption

of new technology generally depends on one function that is considered critical ¾ For the medical use of PDAs that killer application turned out to be Epocrates ¾ 15 faculty, 18 residents and 3 PharmDs all use PDAs in my office

Palm vs. CE ¾ Palm

has current market share in medical arena due to low cost and the original killer app. ¾ Since then literally thousands of applications have been developed using the Palm OS

Palm vs. CE ¾ CE

devices generally have more base memory, y, can be expanded p (Palms ( can now do this as well), have faster CPUs ¾ CE devices are generally more expensive and until recently did not have a free drug information program

Palm vs. CE ¾ New

Palm based machines have more memory, y, with expansion p slots,, and faster CPU speeds ¾ New Palm based machines priced very similar to CE devices ¾ CE have come down in size to be virtually equivalent to small Palms

Palm vs.CE ¾ New

development software bridges the Palm/CE g gap p so more applications will be immediately available for both systems y ¾ Individual use will determine which system is best for each person

Now, what else can I do? ¾ Drug

Information ¾ Drug prescribing ¾ Clinical information ¾ Document D t managementt ¾ Patient information ¾ Billing

Drug Information Systems ¾ Epocrates

was and is the killer app

for Palms ƒ http://www.epocrates.com ¾ PDR

now available for the Palm and CE platforms ƒ http://www.pdr.net http://www pdr net

Prescription Systems ¾ Allscripts

– uses CE platform with internet connection through g office computer ƒ http://www.allscripts.com

Clinical Information ¾ InfoRetriever

(CE or Palm – limited)

ƒ www.infopoems.com ¾ Griffith’s

5 Minute Clinical Consult

ƒ http://www.5mcc.com p ¾ Med.

Lit. http://www.amedeo.com ¾ Numerous other texts ¾ Thousands of documents ƒ http://meistermed.com/isilodepot/ http://meistermed com/isilodepot/

Document Management ¾ Documents

to Go

ƒ Cadillac system, but expensive ƒ http://www.dataviz.com ¾ Isilo

ƒ Inexpensive, though highly functional ƒ Large set of medical documents available on-line ƒ http://www.isilo.com

Patient Information ¾ Patient

Keeper (Palm medical record system) y ) ƒ Better for hospital rounding than true records

¾ Allscripts

(CE medical record

system) ƒ Multiple modules ƒ Designed for offices

Billing and Compliance ¾ Codemeister/

CPT meister ¾ AAFP Long list of ICD ICD-9 9 Codes ƒ www.aafp.org/fpm/icd9.html ¾ STAT

Coder (E&M system)

ƒ http://www.statcoder.com/ ¾ Pocketmed

- charge capture

ƒ http://www.pocketmed.org

Pen-tablet ¾ Developing

a preceptor’s resource machine for the CU Residency y ¾ Pen-tablet or Pen PC device with RF LAN ¾ Drug information, InfoRetriever, Codemeister STATCoder, Codemeister, STATCoder G5MCC, G5MCC web access (Bandolier and others)

Essential Tool ¾ For

those clinicians that do not have an EMR in their office the use of a PDA in the exam room has become an essential tool to improve p clinical care