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Docs use iPads, but don't see them as game-changers

February 01, 2012 | Eric Wicklund, Contributing Editor

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MENLO PARK, CA – A new survey indicates physicians are embracing mobile health devices, but don’t see them changing the healthcare landscape just yet.

The report, “Point of Care Computing for Physicians 2012,” prepared by Spyglass Consulting, indicates 98 percent of physicians interviewed are using mobile devices to support both personal and professional workflows – but 83 percent are using desktop computers as their primary source for accessing patient data when at the hospital, clinic or home.

Mobile devices, the study indicates, are favored by physicians only when outside the office or home.

[See also: iPad can accelerate new era of care.]

‘They’re very quick to point out that mobility has its place to address very specific workflows,” said Gregg Malkary, managing director of the Menlo Park, Calif.-based Spyglass Consulting Group.

Part of the problem, he said, lies in the pace of development. While the devices are being adopted “at a phenomenally rapid pace,” he said, they’re not being redesigned to fit the clinical needs of the physicians. For example, he said, the study indicates 80 percent of physicians surveyed believe the iPad shows promise for healthcare, but at present it can only be used as a communications platform.

“What we’re missing is innovative applications – native apps,” Malkary said.

“The iPad represents only one component of an overall end-to-end clinical solution,” he said. “Significant software innovation will be required to realize the vision for anytime, anywhere clinical computing. Clinical applications must be rewritten and optimized to take advantage of the native capabilities of the Apple iPad and other mobile devices including gesture-based computing, natural language speech recognition, unified communications and video conferencing.”

Likewise, Malkary said, while physicians are embracing mobile devices, hospital IT departments, which have generally invested a lot of time and money in desktop solutions, see mobility as a duplicate investment or, even worse, “a threat to the network.” According to the study, three of every four physicians surveyed said hospital IT executives are resistant to supporting mobile devices on the company network.

[See also: iPad EHR gains meaningful use certification.]

There are exceptions to the rule. The Palomar Pomerado Health System in San Diego, led by Chief Medical Information Officer Ben Kanter, MD, has developed a framework of applications to support mobile devices in the hospital.

“That’s the kind of thing you need – a clinical team redesigning applications to fit their workflow,” Malkary said.

The bottom line, Malkary said, is that physicians and hospitals are focused at the moment on meaningful use and being compensated for their time. Until mobile devices demonstrate a return on investment, he said, they’ll be regarded as nice to have, but not necessary.

“Bottom line, they need tools that can make them do their jobs better so they can make more money,” he said. “We need new ways to be able to interact with data.”

Eric Wicklund
Editor of mHIMSS.org
Follow Eric on Twitter @eriwick
Related Topics:
  • California
  • Gregg Malkary
  • Menlo Park
  • Menlo Park
  • mobile devices
  • PARK
  • Spyglass Consulting Group
  • Electronic Health Records
  • Mobile/Wireless
  • Privacy and Security
  • Quality and Safety

Reader Comments (1)Login to Post a Comment

tsalzano1 says: 5 basic needs physicians have for effective tablet use
February 03, 2012 | 10:46AM GMT

Interacting with the data is the key. Vendors will need to partner to provide a combined solution that supports the 5 basic needs physicians have for effective tablet use. Here are my thoughts for the ingredients to the secret sauce.

Conversations from those in larger facilities sound the same, "We've provided the tablets, but we are not sure how to use them to their full potential yet." The secret sauce for the tablets will be the use of combined solutions that provide support for 5 basic needs. Physicians need to get mobile. They need access to information. They need to load in information. They need to know who is available to collaborate and communicate with other staff, and they need to receive information quickly when minutes count, like EXTENSION's HIPAA compliant texts or critical lab alerts, etc. that can be delivered to a tablet on or off site.

Tablet use is on the rise. Smaller physician practices are emerging as the heavy users because they have more of a consumer mentality. Healthcare in general is hesitant when it comes to technology. Hospitals are not typically early adopters. Most larger facilities want to know how others are using things and how that is working out before they will make the move. The movement will migrate from practice use to larger facility use the minute the secret sauce for their use is fully understood and perfected.

Physicians will always be by far the primary users although certain nursing positions will utilize them as well. I hear it's because they are too large to carry. Nurses want smartphones with the 5 secret sauce ingredients listed above, primarily for nurse call alerts and texting.

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