ipads and IPs: Maximizing the Use of Mobile Technology within Infection Prevention and Healthcare Epidemiology September 26 th, 2012

Transcription

1 ipads and IPs: Maximizing the Use of Mobile Technology within Infection Prevention and Healthcare Epidemiology September 26 th, 2012 Matthew E. Weissenbach, MPH, CPH, CIC Clinical Program Manager, Infection Prevention Sentri7 - Wolters Kluwer Health, Clinical Solutions

2 Agenda Infection Prevention (IP) Future-oriented Domains Disruptive Innovation - Apple Tablet Options, Security, and Infection Control Adoption in Healthcare Electronic Health Record Electronic Infection Surveillance Applications Review Tips/Tricks

3 American Journal of Infection Control May 2012

4 APIC IP Competency Model TECHNOLOGY One of Four Future- Oriented Domains **Only 12% of health systems in the US have a fully functional EMR Murphy et. al. Competency in infection prevention: A conceptual approach to guide current and future practice. AJIC May 2012

5 Conclusions from APIC Competency Model (D.M. Murphy et. al.) Transition to a common electronic platform spanning the spectrum of care IPs must be prepared to understand and convey to partners the meaning of a fully automated transmission of HAI data done seamlessly by computer Substantial impact on the process of surveillance Murphy et. al. Competency in infection prevention: A conceptual approach to guide current and future practice. AJIC May 2012

6 Conclusions from APIC Competency Model (D.M. Murphy et. al.) Challenge: assuring automated surveillance provides meaningful information upon which actions to improve care and safety can be taken Benefit: reallocation of the preventionist s time from data entry to intervention Strategies aimed at prevention in collaboration with direct care team members.

7 Disruptive Innovation Clayton Christensen, Harvard Business School Creating a new market and value network Apple: Defined a new genre of mobile computing

8 What s in it for me? Limit the need for stacks of paper Prospective intervention: Access actionable data when it s needed most

9 What s in it for me? Nearly seamless experience accessing clinical hospital applications wirelessly Epic battery life Most vital clinical applications were designed to run in a browser

10 The Outsiders Samsung Galaxy Tab Android OS

11 Device Selection Criteria Price Data Storage Capacity Wi-fi only vs. Wi-fi + Cellular Network Complementary uses (Universal remote, Sync with similar devices, etc.)

12 The Great Debate: Wi-Fi vs. Wi-Fi + 3G/4G

13 There s no wrong answer

14 With great power, comes great responsibility Security Keep your ipad with you at all times Tip/Trick: Replace your lock screen with an image with your photo, Matt Weissenbach s ipad, and phone number(s). Use a pass code to prevent unauthorized access

15 Infection Control Wash your hands before and after using the ipad Avoid use in isolation rooms to prevent transmission of resistant organisms Use case or protective film that can weather regular cleaning Sealed, non-porous surface of glass and aluminum Disinfecting wipes, natural cal-stat exposure persistent alcohol film

16 Infection Control Product Landscape Various products emerging related to tablet protection

17 Adoption in Healthcare EHR Access Most EHRs have not produced a native application for ios Require third party application such as Citrix Receiver Mixed reviews from users Market need creates increased pressure on developers

18 Citrix Receiver

19 Challenges - Adoption in Healthcare EHR Access Various competing priorities Rolling out new platforms Federal incentive guidelines for Meaningful Use of HIT Switching from ICD-9 to ICD-10

20 Adoption in Healthcare EHR Access Canto provides secure access to: clinic schedules hospital patient lists health summaries test results notes

21 Adoption in Healthcare EHR Access

22 EMR on the ipad

23 Adoption in Healthcare Patient Education Using the ipad to educate patients makes understanding diseases and illnesses a lot clearer for many patients.

24 Electronic Surveillance Preliminary evidence indicates that EDWs can be used for algorithmic detection of HAIs, such as central line associated bloodstream infection and ventilator-associated complications Murphy et. al. Competency in infection prevention: A conceptual approach to guide current and future practice. AJIC May 2012

25 Electronic Surveillance - Trending Trending clinical indicators on the go Making sense of actionable data when it matters most

26 Electronic Surveillance - Radiology

27 iscrub Hand Hygiene Adherence Current Approach Record Opportunities on Clipboard Transcribe Observations Perform Analysis Generate Reports Post a chart Hlady, et al. iscrub Lite Computational Epidemiology Research, University of Iowa

28 iscrub Hand Hygiene Adherence Intuitive Touch Screen Fully Customizable Replaces Pen and Paper Best of All its FREE! Hlady, et al. iscrub Lite Computational Epidemiology Research, University of Iowa

29 WHO 5 Moments of Hand Hygience Hlady, et al. iscrub Lite Computational Epidemiology Research, University of Iowa

30 iscrub Recording Observations Select Opportunity Record Findings Attach Notes Slide to confirm Hlady, et al. iscrub Lite Computational Epidemiology Research, University of Iowa

31 iscrub Fully Customizable Hlady, et al. iscrub Lite Computational Epidemiology Research, University of Iowa

32 OpenEpi

33 Podcasts

34 Journal Access Stay current on the go Peer reviewed literature at your fingertips

35 Netter s Physician-Patient Relationship

36 UpToDate: Evidence-based Medicine Integration

37 CDC Updates, Podcasts, Social Media

38 ICD-9 Reference Guide

39 itunes U World-class educational content completely FREE!

40 Tips/Tricks Conserve battery life Close apps you re not using by: Double press the main home screen button Press your finger on any of the Apps and HOLD Then select the red circle to close any apps that you re not using.

41 Tips/Tricks Take screenshots on your ipad Depress the Power button and Home screen button SIMULTANEOUSLY for 2 seconds After releasing, the screen will flash white very briefly The screenshot is saved as a photo in your album

42 Keeper Password Management Retain all passwords securely and electronically in one place It s FREE Open in Keeper option pre-populate appropriate credentials

43 Thank You Questions?