This presentation covers advances in mobile computing and shows how this can be used in medical practice to improve patient care. The latter part of the presentation covers the apps I use professionally to enhance my medical practice

1. Mobile technology
in medicine
Drew Provan
Barts & The London School of Medicine & Dentistry
Queen Mary University of London
drewprovan@mac.comUK/OTH/0913/0024
DOP September 2013
Monday, 9 September 13

2. I have no shares in Apple
Monday, 9 September 13

3. Technology advances
mHealth
Why are iPad/iPhone so useful?
Who is using this tech?
Personal productivity app choices
Monday, 9 September 13

4. The world has
gone digitalMonday, 9 September 13

5. 24/7
communication
instant access
to information
whenever we
want it
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8. Tech addiction
http://techland.time.com/2012/08/16/your-life-is-fully-mobile/
could not go a single day without their
cellphones
sleep with their phone next to them
check their phone every 10 minutes
84%
50%
20%
Monday, 9 September 13

9. Last thing we
touch before sleep
first thing we
reach for when
we wake
Monday, 9 September 13

10. Less use of paper
records
Electronic records,
radiology, results, etc
NHS
transformed
Monday, 9 September 13

11. Electronic patient
records
Appointment
managementElectronic remindersVideo conferencingDigital assets (textbooks,
protocols, formulary)
Data capture (epidemiology,
planning, targets)
NHS
Digitisation
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12. Electronic patient
records
Appointment
management
Electronic reminders
Video conferencing
Digital assets (textbooks,
protocols, formulary)
Data capture (epidemiology,
planning, targets)
Monday, 9 September 13

13. Digital technology
changing the way we
communicate
socialise
teach
deliver healthcare
do business
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14. Significant
advances in IT?
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15. Mobile computing
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16. Mobile computing
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18. Cloud services
Office 365
Dropbox
iCloud
Evernote
Google docs
Adobe
Facebook, Twitter, etc
In-house cloud service
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19. Key to mobility
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20. Keep everything in
sync
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24. Telehealth
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25. Telehealth
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26. Mobile health advantages
BYOD — reduced cost for employer
Not tied to desktop
Update notes, review results etc anywhere
Share results at bedside
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27. mHealth
5000 fitness/healthcare apps
Remote monitoring BP, glucose, chronic
disease etc
Reduce hospital readmission rate
Revenues from remote patient monitoring
$1.9 bn by 2014
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28. What do we want?
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29. Portable
Instant on
Connected
Easy to use
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30. Functionality
“office”functions
Browsing
Store & access files, PDFs, video, etc
High quality display
Access to Electronic Patient Records (EPR),
radiology, results, letters
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31. What’s available?
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32. Smartphones
iPhone
BlackBerry
Google Android
Microsoft Windows 8
Nokia Symbian
Tablets
iPad
Android
BlackBerry Playbook
Windows
others
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33. Why are iPad and
iPhone so useful?
Monday, 9 September 13

34. Simplicity
Instant on & fast
Great screen (pics/movies)
e-reader, PDFs, Word files, x-rays
Cheap to deploy
Secure (CESG*)
CESG is the Information Assurance arm of GCHQ
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35. Key feature: content
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37. >900,000 total iOS apps
375,000 for iPad
20,000+ medical apps
Medicine, nursing, dentistry
Number growing
>50 billion apps downloaded
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42. Can iPads/iPhones
improve patient care?
Monday, 9 September 13

43. Yes
More (quality) time with patient
Better education of patients
FaceTime/Skype calls — docs, patients
Remote monitoring (symptoms, results)
No barrier — not“computers”
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44. Who’s using this
technology?
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48. Apple (iOS) devices
Canada
Ottawa
Mount Sinai, Toronto
USA
Cedars Sinai, USA
Memorial Hermann, USA
St Louis Children’s Hospital, USA
Japan
Jikei University Hospital, Japan
Teikyo University Chiba Med Center, Japan
Australia
Southern Health (speech)
Casey Hospital, Victoria
Melbourne, others
Monday, 9 September 13

49. Pilots in UK (Apple)
Leeds General Practice
Oxford Radcliffe
Pharmacy
Electronic Patient records
London Guys
Electronic Patient Records
Results, x-rays etc
London Newham Electronic Patient Records
Manchester iPod Touch for nurses
Monday, 9 September 13

50. Are they secure?
Monday, 9 September 13

51. Are they secure? Yes
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52. * Inactivate camera, central mx, prevent access if poor compliance
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53. Security
Hardware & software
encryption
Wi-Fi: WPA/WPA2,
802.1X authentication
Monday, 9 September 13

54. The trend
Desktops/laptops used less
Mobile technology will dominate
Hospitals, schools, universities, business, etc
Less use of books and paper records
Communication improvements
Monday, 9 September 13

55. Location-based information
Geofencing
Clinical cases on arrival
Directions to hospital
Medication updates
Next appointment info
Monday, 9 September 13

56. Augmented reality: Blippar
blippar.com
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58. Barriers Cost
Unfamiliar
IT departments
Perceived security issues
Easy to steal
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59. Personal app choices
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60. Social/professional networking
LinkedIn
Biomed Experts
Twitter
facebook
digitome
Google+
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61. Cloud computing
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62. iCloud
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63. iCloud
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64. Downsides
No“folder”
Hard to see files, move, delete etc
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68. Real work!
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74. 1Password
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75. Printing
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76. Printing: Print n Share
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78. VNC (virtual network computing)
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80. Screens
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82. Things
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96. Word docs ➡ Pages, Documents to Go
PowerPoint ➡ Keynote, Documents to Go
Excel ➡ Numbers, Documents to Go
PDF files ➡ iBooks, Good Reader
File storage ➡ Dropbox
Academic paper storage ➡ Papers
Notes, photos, etc ➡ Evernote
Business networking ➡ LinkedIn
Notepad ➡ Penultimate
To-do lists ➡ Things
Monday, 9 September 13

97. Install limited number of productivity apps
Learn to use them
Integrate with desktop/laptop
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98. Will mobile tech
replace laptop?
Monday, 9 September 13

99. Information consumption
vs.
authoring
Monday, 9 September 13

100. NO
Capacity
Editing, slide design, illustration
Some apps similar but not the same
File management awkward (no folders)
Typing
Monday, 9 September 13

101. Summary
Mobile technology has changed everything
Unstoppable — not going away
Need to integrate into practice, teaching
Mobile devices can aid productivity
We are willing to use them
IT departments need to get on board
Monday, 9 September 13

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