The UI in these concept EMRs show a major rethinking in displaying clinical data.
Look at all the EMR concepts at http://healthdesign.challenge.gov/.
As more and more healthcare systems implement EMRs and physician order entry functionality there will be the need to deliver mobile EMR apps to the physicians. The challenge that has faced healthcare systems to date, is that even EMR vendors that have mobile apps do not provide the functionality required for the physician’s work flow. Due to these limitations and other competing projects mobile solutions have not been implemented in many healthcare systems.
Recently, CIO Talk Radio had a podcast where they discussed the mobile implementation at Ottawa Hospital where they armed the physicians with iPads and mobile EMR. As part of this discussion, the CIO of Ottawa mentioned that they partnered with a company to assist with the development of the mobile EMR. This generated some questions in regards to mobile EMR applications:
Doubt that these are all of the questions about developing a mobile EMR application but they are ones to consider if reviewing to develop an in house mobile EMR app.
Healthcare needs transparency to improve the overall “health” for patients. Everyone should be asking/challenging their physicians on their stance about sharing/providing access to their medical record. A frustration for a lot of patients is not being provided the option to view their PHR (personal health record).
“… EMRs encourage doctors and nurses to cheat and lie. EMRs have made medical records inaccurate and unreliable. When I read medical records nowadays, I often can’t tell what the hell happened….via The Daily Beast”
This experience left me wondering: How often are good clinicians being turned into distant, vexed and struggling professionals who barely acknowledge that the patient is there twiddling their thumbs? And how can the health system afford this kind of timewaste and error-prone user patterns? I don’t know the answer to either question but I think we should find out.
Working as a Healthcare IT professional I have seen this scenario one too many times. Usually this is due to a poorly designed EMR, system workflow and lack of training.
The attached article from the American Medical Association indicates how much this physician gained productivity by using the iPad in his daily practices. This is good news that technology is helping with daily workflow in healthcare. However, there is no mention in the article at the use of an EMR on the iPad to check patient charts, place orders or print out discharge instructions. My suspicion is that a lot of the EMR apps available for the iPad are still limiting and lack al the functionality to perform these common tasks.
While Dr Hussain from iMedicalApps makes some good observations in his report does not mean that the iPad Mini is a good fit for all EMRs. Based upon experience a lot of EMR’s are designed to be interacted with by a keyboard and mouse which makes a touch device near impossible to utilize. The form factors of devices are finally getting there for physicians and it is now time for EMRs to be developed for devices in the common era.