Evidence-based medicine among internal medicine residents in a community hospital program using smart phones

BACKGROUND: This study implemented and evaluated a point-of-care, wireless Internet access using smart phones for information retrieval during daily clinical rounds and academic activities of internal medicine residents in a community hospital. We did the project to assess the feasibility of using smart phones as an alternative to reach online medical resources because we were unable to find previous studies of this type. In addition, we wanted to learn what Web-based information resources internal medicine residents were using and whether providing bedside, real-time access to medical information would be perceived useful for patient care and academic activities. METHODS: We equipped the medical teams in the hospital wards with smart phones (mobile phone/PDA hybrid devices) to provide immediate access to evidence-based resources developed at the National Library of Medicine as well as to other medical Websites. The emphasis of this project was to measure the convenience and feasibility of real-time access to current medical literature using smart phones. RESULTS: The smart phones provided real-time mobile access to medical literature during daily rounds and clinical activities in the hospital. Physicians found these devices easy to use. A post-study survey showed that the information retrieved was perceived to be useful for patient care and academic activities. CONCLUSION: In community hospitals and ambulatory clinics without wireless networks where the majority of physicians work, real-time access to current medical literature may be achieved through smart phones. Immediate availability of reliable and updated information obtained from authoritative sources on the Web makes evidence-based practice in a community hospital a reality

The dynamics and strategic analysis of wireless communications technology in the healthcare industry

Thesis (S.M.)--Massachusetts Institute of Technology, Sloan School of Management, 2006.Includes bibliographical references (leaves 98-99).The healthcare industry like other industry is on the cross roads as a result of rising demand for healthcare delivery and service, the industry is facing declining revenues and increasing cost. As a result, one of the industry's strategic arsenal to avert the continual declines in revenue and increases operating cost is to effectively use modern technology in form of wireless computing and communications technology to change the paradigm shift to improve outcomes of clinical services, enhance physician and nurse productivity and work flow efficiency, reduce supply chain cost, improve revenue collection and practice profitability. This report presents the dynamic and strategic analysis of wireless communications technology in the healthcare industry, by first evaluating the wireless technologies, industry standards and regulations, applicable standards for the healthcare information systems and innovative healthcare technologies.(cont.) Based on an in-depth technical analysis of the wireless technology, I analyzed the market and industry by applying frameworks including Porter's 5 forces and The Delta model and system dynamics models presented to illustrate contributing factors affecting new technology adoption in the healthcare industry and a holistic view of a healthcare IT system architecture. Lastly, I analyzed emerging wireless technologies including WiMAX, UltraWide -Band and RFID, and reviewed market opportunities in the healthcare industry through 2011.by John K. Eyemaro.S.M

Mobile Application Systems for Home Care: Requirements Analysis & Usage Potentials

Home care services increasingly gain importance due to demographic implications: insights on recent developments inGermany hereby relevant to industrialized countries like the USA are given. Portable application systems have only beenestablished sporadically in German care environments unlike the comparable domain of technical field service. This paper willidentify possible mobile usage scenarios by matching healthcare requirements to state-of-the-art concepts, such as productservicesystems. Open potentials concerning the support of actual care processes can be concluded thereby. An integratedmobile application system can minimize knowledge deficits and enhance the quality of home care. The results are of potentialrelevance not only to patients and caregivers but also to different providers of healthcare or IT solutions

CYBERSECURITY IN THE HEALTHCARE ENVIRONMENT

Abstract In 1990 the online world began to take shape when Tim Berners-Lee invented the World Wide Web. Almost simultaneously, cybersecurity was birthed to protect and minimize the various threats including but not limited to worms, viruses, and data breaches. Cybersecurity includes the various technologies, equipment both hardware and software, processes, and procedures that are used to guard against unauthorized attacks or access to protected information. This paper will focus on cybersecurity as it relates to the healthcare environment. Every department in a healthcare facility is responsible for taking care of patients. This should be their number one priority and information technology is no exception. While IT staff most likely do not provide hands on care to patients, they go to great lengths to protect their personal health information. In a healthcare environment, there are numerous departments such as Lab, Radiology, and Pharmacy etc. that need to have integrated systems. These systems must also be able to reach the internet and often be accessible to outside/non-employed vendors for support and maintenance. Also, communication among employees and with the outside world is a must. Email, video conferencing, desktop sharing, and faxing are all used thousands of times a day. It is imperative that cybersecurity be a top priority and everyone holds himself or herself responsible for protecting the systems that allow staff to take care of their patients

Information Systems and Healthcare XXX: Charting a Strategic Path for Health Information Technology

Despite both the slow diffusion of information technology (IT) throughout health organizations and the high cost of implementation, organizations must focus on key strategic applications that deliver high quality care at lower costs. Identifying the strategic applications that support important healthcare processes is challenging. In this article we propose a framework for developing this high level perspective of strategic health information technology (HIT) applications. We then classify into the components of the framework numerous HIT applications and initiatives reported in the media. Based on an existing framework, we identify two critical dimensions that capture two important characteristics of a healthcare delivery process, namely, the degree of mediation and the degree of collaboration. A healthcare process with a high degree of mediation involves a large series of activities in a sequential manner. Processes with a low degree of mediation “understand” that most participants in care delivery contribute directly, often simultaneously, to the final result. The underlying principle for this dimension is the level of functionality of the application. The degree of collaboration refers to the extent to which information is exchanged among the participants in a process. Depending on the degree of exchange, one can identify processes as having higher or lower degrees of collaboration. The underlying principle for this dimension is the degree of interoperability among the applications. Strategic HIT applications lie on a continuum path from a low-high degree of mediation to a low-high degree of collaboration. Our examples show that healthcare delivery organizations evolve their HIT from ad-hoc isolated systems to interoperable, integrated digital health systems. The strategic framework provides a high level perspective of HIT while assisting in the evaluation of potential HIT candidates for implementation

M-Business: Economy Driver or a Mess?

Reports about mobile wireless technology in the media may be confusing. While we know that the telecommunication industry is in distress, we also observe a phenomenal, indeed unprecedented explosion of the use of mobile wireless devices and services all over the globe. This paper presents a balanced introduction to wireless technology including devices, mobile operating systems, and communication protocols. It discusses standardization efforts, technology evolution paths, and several new and potentially disruptive technologies, some still in the research stage. The paper lists leading global wireless service providers in terms of the number of domestic subscribers and presents an analysis of the six U.S. national operators including their strengths and weaknesses. Only four of them are profitable now. Although the consumer market currently dictates technology evolution, several examples of successful business applications of wireless mobile technology are presented. Finally, the question presented in the title is addressed

Meaningfulness and job satisfaction for health care technology workers

Health care technology workers play an increasingly important role in meeting regulatory requirements, improving patient care and containing health care costs. However, their perceptions of work and job satisfaction are lightly studied in comparison to other health care workers such as physicians or nurses. This exploratory study used heuristic inquiry to investigate the perceptions of health care technology workers with regard to their feelings of task significance, mission valence, work meaning, and job satisfaction. Nine research participants representing three not-for-profit, secular hospital systems which were selected to have variation in geographic scope and organization size were interviewed. All participants were full-time, senior professional, non-executive, employees with a minimum of five years of experience in health care technology and three years with their current employer. Thematic analysis revealed themes within four categories: organization culture, organization mission, interactions with clinicians and perceived contribution. These organizations have strong cultures in which staff members police the cultural norms. The inculcation to the culture includes helping health care technology workers connect to the organization’s mission of patient care, and these employees perceive the mission to have high valence. While these employees feel that the mission of patient care is important and valuable, they have a conflicted relationship with physicians who they perceive as resistant to the adoption of new technology. Finally, health care technology workers recognized that their work tasks may not directly impact patient care; however, they felt their contribution was meaningful, in particular when they were able to contribute their unique talents. Study conclusions and recommendations included how job rotations allowing health care technology workers to work at a care provider site provides an opportunity for health care companies to increase workers’ feelings of task significance and task identity, and therefore, job satisfaction. Contributing one’s unique gift is perceived as meaningful, and workers seek opportunities to do so. Recognizing the importance of these workers and facilitating improved interactions between health care technology workers and physicians particularly with regard to adoption of new technology is seen as critical for ensuring effective and efficient health care delivery