Ramblings of an old Doc

 

Real Mobile Health Care Computing! Needs some “blinds” I think… anyone up for a Medical Theme? Just kidding. This is a great computing development, since it allows a great deal of information to be available as well as real time interaction between consultants and the care giver at the point of care. Everyone profits. How many times I wish I had one of these – even for the simple weekend phone call.

With the iPad, and even before its advent, tablets have aided the medical field, but to a far more limited extent.

Recently, Motion Computing announced that its clinically oriented C5 tablet PC has been upgraded with a solid-state drive (SSD). It also includes integrated mobile broadband that extends its usability to the point of care, regardless of patient location! You do need wifi access, though, or access to the net.

   
 scanning a bar code                                      photographing a finding and docking

With C5’s optional integrated mobile broadband, mobile doctors and nurses can improve productivity by accessing important patient information including digital images and patient history details.

Those in home healthcare could benefit from the improved connectivity since it will enable users to collaborate better with treating clinicians and thus reduce travel. The immediate transfer of documentation after every patient visit could reduce processing delays, and the SSD could help protect the C5 from occasional bumps and general wear.

In addition to the new SSD drive, they pack an 80 GB HDD as well to cut back on pauses to upload.

Other developments that help clinicians in the field, are the birth of the cell phone microscope, the development of technology for transmitting medical images via cellular phones and the development of technology that may enable cheaper, faster, and more accurate three-dimensional imaging.

More info can be found here: http://www.motioncomputing.com/products/tablet_pc_c5.asp


Comments (Page 2)
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on Mar 09, 2011

I've been holding my tongue on this, suffering in silence, so I'm just going to put it out here.  As a 52-year-old medical transcriptionist, EMR is the most frightening 3 letters in the alphabet.  It means my job is even MORE obsolete than what speech recognition has done to it.  I've already had my liveable wage cut in half, with EMR I have no income. 

It's too late for me to go back to college to learn something new -- there's no way I'd live long enough to be able to pay back the student loans. 

Seth, I hope you know the kind of anxiety these sorts of posts cause me.

on Mar 09, 2011

E/M Coding is at fault.

If MD's had the cajones to strike and treat ICU/CCU and very sick patients only... and tell the insurance co's to eff off, thinks would be much better. funny. I predicted this 28 years ago. Everyone laughed. I periodically remind them when they spout 'predictions'.

I dictate to my iPad. AirPrint. Short office notes. Patients sign forms designed for level 3-5 as to how long they were there and what was done.

EMR's in the VA system were purchased based on political considerationjs. It was originally an accounting/inventory program. Wright-Pat has Dragonspeak to try and decrease the dictation, but it's nonsense to see MD's sitting and typing. To the job offer said, "Thanks but no thanks". They program each patient for 1/2 hr. because the MD types for 15. They wonder why they're losing money.

If everyone just said, "No!" and stood their ground, things would change. zNo one will because they lack the "T". So what you said above? It'll continue. Until we stop treating the politicians.

I've been holding my tongue on this, suffering in silence, so I'm just going to put it out here.  As a 52-year-old medical transcriptionist, EMR is the most frightening 3 letters in the alphabet.  It means my job is even MORE obsolete than what speech recognition has done to it.  I've already had my liveable wage cut in half, with EMR I have no income. 

It's too late for me to go back to college to learn something new -- there's no way I'd live long enough to be able to pay back the student loans. 

Seth, I hope you know the kind of anxiety these sorts of posts cause me.

So I'll ask again: If you have suggestions for topics, or a favorite you'd like to see something on, please pm me. Bear in mind that Island Dog does Stardock software, skinning and site news, and RnD does skinner spotlights.

No intent to cause anxiety, Karen. Transcription is a "gourmet" item.... no money really dedicated to it...

Hospital Administrators keep telling us that costs are rising but reimbursement isn't. The try to ditch Medical patients because they aren't reimbursed as well as the Surgical ones. Odd how the Administrator's salary doesn't drop, but sems to rise... much like the corporate ceo's they emulate, while sanctimoniously mouthing platitudes about "Patient Rights", "Centers of Excellence" at the same time their insidious, hostile and destructive management techniques turn the workplace into hell.

 

on Mar 09, 2011

I feel for you, k10w3.

Not so long ago there were 30-40 full-time medical transcriptionists employed by the local branch of a large high-profile multi-specialty medical clinic whose name shall not be spoken.  The annual allocated cost per physician for medical transcription, including salaries, benefits, space, equipment and supplies was approximately $30,000.

Per doctor.  Per year.

My primary hospital had about a dozen full-time transcriptionists in 1980.  Today it employs none.

With reimbursements essentially frozen at 1980 levels in equivalent dollar terms, something(s) just had to give.

on Mar 09, 2011

Yes, DrJBHL, we owe a huge debt of gratitude to our 'friends' at the AMA, don't we?

Interesting you mention typing.  I've been personally typing my own notes since I got my first Apple IIc.  I can prepare an accurate, concise visit note, one that is actually useful to me and other physicians, in far less time than it takes to dictate a note (whether using voice recognition or transcriptionist) and review it for accuracy.  There is the bare minimum E/M fluff in there (I'm not completely stupid), but you'd be able to glean a pretty comprehensive clinical picture of any of my patients from a 3 minute review of their most recent note, which never exceeds one side of a single page.  They are Word documents printed in TIF (faxable) format and imported into the EMR, often before the patient is off premises (sorry, k10w3).

I know I've taken this a little OT, so I'll get off my horse now.

on Mar 09, 2011

Not OT, Daiwa. I appreciate it. I do mine on iPad/AirPrint and DragonDictate app. I'm sorry too, Karen but with reimbursement rates at 1980 levels (yes, frozen since then), I can't afford transcription. Interesting how we got to essentially identical solutions, Daiwa.

on Mar 09, 2011

Looking forward to AirPrint being capable of printing to networked printers in a Windows environment (which it was touted to do before it was released).  Not sure it will happen, cryptic as Apple tends to be (Jobs just said, 'Don't believe everything you hear' when he was asked about rumors that AirPrint support for networked Windows printers was 'dead').

on Mar 09, 2011

Print n Share looks interesting, but I need to print from within a virtualized (Citrix Receiver) Windows environment to network printers (via TCP ports) which I doubt it supports.  Might grab it for other iPad printing needs, though, since I don't have any WiFi printers.

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