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Smartphone Usage Among Physicians Rises in 2012

There is often debate about the use of smartphones in the doctor’s office, but there’s no doubt that usage is on the rise. And according to the Kantar Media Sources & Interaction Study, the percentage of physicians using a smartphone for a professional purpose has risen nine percent in the past year. Here is a little comparison chart showing usage over the past three years (I apologize for how small it is).

smartphone_used_by_doctors_for_professional_purposes_w640

As you can see, the study found that 74% (almost three-quarters!) of physicians are using smartphones for professional reasons. Of that 74%, 62% said they use smartphone apps for work. In addition, 52%  said they use diagnostic tools and clinical reference apps and 46% use apps that help with drug and coding references. The study also found that almost 40 percent of the physicians studied use both a smartphone and a tablet. Here are a few other interesting facts found in the study:

  • 43% use smartphones for referencing drug data
  • 39% find or perform clinical calculations (which jumped 35% from 2011)
  • 31% of doctors make decisions for prescriptions using a smartphone.

I’m sure I don’t need to convince most of you about the benefits of a physician not just being willing, but also knowing how, to use smartphones and tablets in their practice. I think it’s exciting to see that more and more are getting on board. A few months ago when I was visiting with a doctor, I had a question about whether or not I could take a certain medication while nursing my son. He pulled out a drug interactions book, and for about 10 minutes, tried to figure out whether or not it was okay, and ultimately told me he had no idea. When I got home, I was able to find the information I needed in less than 10 seconds.

I also wonder if we will see more patients bringing a tablet or smartphone to their appointment. On another occasion when I was at the doctor, the physician I was seeing told me she never received the records from my other doctor. I wished that I had brought my tablet, where I could have easily pulled up all my test results right there (which I did do a few weeks later, which the doctor thought was really cool.) Doing this could definitely help bridge the gap that sometimes appears when you have to rely on doctor’s offices sending records via fax.

While using a smartphone or tablet in the office does raise concerns about patient engagement, I think it is an overall positive situation seeing more and more physicians using smartphones. Now we just have to get everyone on board with the smartphone physical.

May 2, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Smart Phones and mHealth Apps May Be Taxable

Do you love using your smart phone for medical purposes? Chances are, if you’re reading this, you probably do. Well, it sounds like Obamacare might just take some of the fun out of it.

According to Fox News, under the ACA, medical device manfacturers carry a 2.3 percent tax. And since smart phones and tablets can be used for medical reasons, they might just fall under that as well. And apparently, the FDA has indicated they are looking into this regulation. And Rep. Marsha Blackburn, vice chairwoman of the House Energy and Commerce Committee, said back in 2011 that this is not good news for consumers:

It is going to drive up the cost to consumers and it’ll drive up the cost of your cell phone.

I don’t know about you, but my cell phone bill is already way too high — and my husband and I even split the bill with my mom, dad, and little brother. Even the thought of possibly being taxed makes me want to get rid of any of my mHealth apps and devices. Of course, I won’t, because I really use them, but I do hope that this doesn’t actually happen.

I can’t imagine there is anything positive about this, but if you can think of any, please, enlighten me. I think that this will make many people turned off to the idea of mHealth, because I know that at least for me, using my smart phone to help manage my health is, in part, to help me save money. Adding a tax to smart phones and tablets will make it harder to seem like I’m doing that.

March 20, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Three Health Apps Women Should Consider

I’ve posted my fair share about mHealth apps that are geared toward women, so I found this article at Fierce Mobile Healthcare very interesting. Apparently, 47 percent of people who use one or more mHealth apps, are using a women’s health app as well. This was in the Citrix ByteMobile Mobile Analytics Report.

The report also revealed that about 40 percent of people using one or more mHealth app are using a fitness-specific app. I felt like this was rather telling of what type of people are most involved with mHealth. It’s no wonder I see, what seems like, a new woman-focused health app popping up every day. There appears to be a great demand for women’s health apps. Just for fun, here are a few that I found. There’s definitely quite a few!

52 Weeks for Women’s Health: Created by the National Institutes of Health, this app was created to help women recognize health risks for not only themselves, but their family members. It has a personal health section, where the woman can record medications, medical conditions and disabilities. There are 52 health topics, so one for each week, for women to study and read up on, to help promote a healthier lifestyle. It offers suggestions for improving the health and well-being of the woman, and her family. It is a free app available for Android and iOS devices

MyPillApp: This is a great app for any woman that uses pill, patch, or ring contraception. It can be customized for any of those forms of birth control, and has quite a few features. It has a daily reminder feature, that obviously reminds a woman to take her bill. There is a history tracking function, where the user can write down notes to remember for future doctor’s appointments. It has a virtual “pill pack,” to provide a visual for how much is left. There’s even a snooze alert, just in case someone can’t take their pill when the alert goes off.  It is available for free on iOS devices, though I’m sure there is something similar for Android.

Breast Self Exam: Women are encouraged to perform a breast self exam monthly. In fact, I’ve known a few people who discovered they had cancer because they did this. However, it can be difficult to know exactly how to do this. This app provides a short tutorial on how to do the exam, a record can be kept about each exam, and it was designed by physicians. It is .99 on iOS devices.

 

I’m sure there are many more out there, and these are just a sampling. And because I think men’s health is just as important as women, look for an upcoming post on some great men’s health apps that are available.

 

52 weeks for women’s health

The easy-to-use mobile app can help women identify health risks for themselves and their families, and can help them create and maintain healthy lifestyles throughout their lives. Questions to ask health care providers, a glossary of health terms, and health screening information and links to additional information from NIH institutes and centers expand the mobile app’s offerings.

Key features of the app are:

  • a personal health section for recording medications, medical conditions, and disabilities
  • a journal feature
  • a personal goal-setting section for health and lifestyle details

A variety of different skins can be applied to personalize the app, and it ca

 

March 4, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

The Beam Toothbrush Transforms Dental Hygiene

A few years ago, an old roommate of mine informed me that I grind my teeth almost constantly as I slept. After talking with some people, I discovered that this, combined with some dental problems I encountered in high school, could be the underlying cause of many of my health problems. Primarily, migraines. Before that point, I didn’t realize just how much dental issues can affect other parts of the body.

So when I saw the Beam Toothbrush,  I was pretty excited. There’s so many devices out there to help improve people’s health, but I’ve never seen anything that really focuses on teeth brushing, which is essential for good health.

The Beam Toothbrush is a toothbrush that monitors oral hygiene, and sinks the data to a smart phone app. The app will then track the data for all activated brushes, create graphs with the data, and inform the user of certain things, like a missed brushing time. Each brush can only be assigned to one user, for obvious reasons, but several users can be tracked on the app.

From the looks of the website, and just the idea behind it, I think this is a toothbrush that is aimed toward children. It seems like a good way for parents to see if their child is really brushing their teeth. Because ask any parent — most kids aren’t the best brushers out there. I know I wasn’t.

I like the idea behind it, and I’ll be interested to see if it takes off at all. I’m not so sure I’d spend 49.99 on a toothbrush that wasn’t an electric one, especially for a child, but it might be an well-made investment for those who have children that forget to brush. Knowing that your parent has access to your teeth brushing “records” may be good motivation for some not to forget.

It comes in either blue or pink, and runs on AA batteries. It is a manual toothbrush, so it’s not going to be as fancy as ones like the Sonicare brand (which is what I use, and love), but it seems perfect for children. It is available for 49.99, and replacement heads are 3.99. Dentists and oral surgeons can also purchase them for resell. The app is only available on iOS systems.

February 27, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Is Digital Learning The Future For Med Students?

There are a lot of great apps out there for med students. Because mHealth is going to be so important for future doctors to have a good grasp on, it would be wise for medical programs to implement learning about this technology into curriculum. The University of California Irvine School of Medicine created a program to do just that.

The iMedEd Initiative aims to “[reinvent] the traditional medical school curriculum,” according to the press release. It will include tablet-based learning and portable ultrasound clinical training, which will help build the digital and interactive learning environment. UCI is the first school to do this, but if it’s successful, I imagine it won’t be the last.

The initiative was launched in 2010, and was named the 2012-2013 Apple Distinguished Program of the year. Students receive an iPad, which is loaded with their textbooks, study materials, and instructional materials such as podcasts. With the cost of traditional textbooks, it seems like this program may decrease the cost of medical school, and being able to have everything that is needed to study available on the iPad can be rather convenient as well.

Dr. Ralph V. Clayman, dean of the UC Irvine School of Medicine, offered some insight into the success of the program:

The digital platform has enables us to effectively respond to this responsibility in a manner heretofore unimaginable. By having all aspects of our medical school curriculum on iPad, learning becomes a 24/7 opportunity no longer tied to the classroom or a desk. We believe our students are learning better than they have in the past.

It was also found that the first class participating scored, on average, 23 percent higher on their national exams, as compared to previous med school classes at UC Irvine.

These findings sure seem to show that this is an effective way to teach, and learn. I think it would be great if other programs like this start popping up. Granted, I don’t think traditional teaching should become obsolete. I’m sure there are potential med students out there who would prefer those methods. But it seems like an interesting program that students really will enjoy, and help improve scores as well.

February 25, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

HealthTap Release “TipTaps” – Health Tips From Professionals

While I don’t normally advocate turning to the Internet with health questions, Health Tap might be the exception. It’s like the Yahoo Answers of healthcare, except it’s actual doctors responding to the questions, rather than just any random person with an Internet connection. There are over 32,000 doctors across the United States that are participating, and making it easier for people to get health information at home.

Health Tap has just introduced a new feature to help further its goal to have a positive impact on the health of people. TipTaps, the new program, are little tidbits of health knowledge that incorporate pictures, and are created by some of the best doctors in the world.

The health tips are about 100 characters. They focus on more than 50 topics, and written by doctors who specialized in them. Unlike some programs that only send the messages through text, TipTaps can be delivered to any mobile device, or even just to email, and can be easily shared with social networks.

The messages can be received as often as a person wants, and are personalized for a person’s lifestyle, and what time of day they come at. Some example TipTaps are:

  • Managing Stress at Work: Too much stress? Breathe in for 4 counts, hold for 7, exhale for 8. Do 4 times. Anywhere. Anytime.
  • Lunch: Want to eat smaller portions? Try using a bowl instead of a plate.
  • Breakfast: Don’t skip a healthy breakfast. Eat whole grains and protein to fuel a productive day!

As I mentioned, each TipTap has some kind of graphic that comes along with it.

It sounds like an interesting idea. I know that I’m not a huge fan of getting random notifications to my phone or email like this, but I’m sure that people that like to be encouraged throughout the day would like this. If you can select which categories you get sent, that would be cool.

To see more examples of TipTaps, view this PDF. If you’d like to sign up, you can subscribe here. It definitely looks like a high quality program — I wouldn’t expect anything less from HealthTap.

February 21, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Health IT Positively Affects Childhood Obesity

According to a study done by Pediatrics recently, more than one-third of children in the United States are overweight or obese. That’s a very scare figure, because that definitely increases the child’s chance of diseases like type-2 diabetes, and adult obesity. The authors of the study also noted that childhood obesity is often times undertreated and goes undiagnosed. As sad as it is, I have seen this

The study set out to see if Health IT may improve the “quality, efficiency and reach of chronic disease management,” according to this article. According to another article about this study, some of the parts of the study that are most relevant towards health IT included that “telemedicine was as effective as in-person counseling at reducing BMI and that text messaging and phone support were associated with weight loss maintenance.”

Combating childhood obesity is something I am very passionate about. As a child, and into my teenage years, I could have been classified as extremely overweight — probably even obese. While I’ve worked very hard to beat the statistics, and get my weight down to a now healthy weight, it is something that truly has affected my entire life to this day. And the thing is, when I was at the unhealthy weight that I was, no one said anything. No doctor, my parents, or anyone. Sure, I was encouraged to take a PE class here and there, and perhaps not take seconds — but no one saw that problem for what it was. Because of the things I went through, I want more than anything to prevent my own children from becoming overweight themselves. Reading this study, and seeing how health IT can positively affect childhood obesity was neat. While I think too much screen time can really contribute to the problem, I’m glad that there efforts out there to try and get kids involved in their own health, particularly by using electronics — something that most kids love. I hope that more Health IT developers will see the importance of creating apps, programs, and devices geared toward children. I couldn’t find any, but it would be cool if there were exercise apps that kids could put on their iPods that are similar to ones that adults have, but that are geared toward exercises more children participate in.  In my research, I found a few health IT apps and websites aimed toward kids that I think could be helpful:

Food Hero:
This is a game that was created by HealthSocial, a non-profit project based at the Children’s Hospital in Boston. To win the game, the child must “become” a food hero. To do this, the child must make their character make healthy choices, like eating healthy food and exercising, and earning gold along the way. If the character eats too much, physical challenges become more difficult. However, if too little is eaten, the character has difficult participating as well. The goal is to ultimately eat healthy meals. It seems like this game would be a great visual for children to see what happens when you don’t have balanced meals.

Food ‘N Me:
This website was created to promote healthy living in children. It has interactive games, quizzes like “What Food Am I.” This quiz has the child choose the foods they have eaten throughout the day, and it gives a rating at the bottom of the screen, telling the child how balanced it was. At the end of the quiz, it tells you what kind of food you are, based on your choices. For instance, if you eat primarily grains, it will say you are a bagel. The website also features the game Smash Your Food, which is also available on mobile devices, and I’ll talk about next.

Smash Your Food:
This app was on Michelle Obama’s “Apps for Health Kids” contest. Whether the person is using it online or on a mobile device, it works about the same. You get to “smash” foods — from milkshakes, hamburgers, to healthy, homemade meals. — and it tells you what it is made of.  The goal of it is to encourage children (and their parents) to understand what is in their meals, and to make healthy choices at home and on the go. It can be accessed at the Food ‘N Me website, or downloaded for the iPhone or iPad here for 2.99.

February 13, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

My Favorite Smart Phone Healthcare Posts of 2012

Since it’s the end of 2012, I thought it would be fitting to put  the links to some of my favorite posts I wrote this last year. Did you have a favorite one? Or is there something you’d like me to talk about this next year? Happy New Year!

1. 5 Must-Have Medical Apps for Medical Students

Because this post appears to be one of the most popular of all-time here at Smart Phone Healthcare, it tops my list. I didn’t realize what a big demand there was for information on apps for medical students. I’m sure even more great apps have come out since I wrote this post, so look for an updated one in the near future.

2. My First (Actual) Experience With A Patient Portal

Over the past several months, I have learned a lot about healthcare and mHealth. During that time, I have heard and read lots of articles and information about patient portals. However, it wasn’t until just a month or so ago that I actually had the opportunity to use one myself. This post recounts that experience using the patient portal my son’s pediatrician’s office uses, powered by eClinical Works.

3. Phreesia Makes Going to the Doctor Easier

After visiting the urgent care a few weeks ago, I discovered how the office I went to was really implementing portable devices into their practice. I was so excited about the process, that I just had to write a post about it. I think that every doctor, emergency room, and urgent care center should use some thing like Phreesia.

4. New Friend Request . . . From the Family Doctor?

Just some of my thoughts about doctors and practices using social media to connect with patients. For some, it might be overstepping the patient/doctor boundaries, but I think it’s great to see doctors getting more involved with patients.

5. Does Access to the Internet at All Times Make Us Hypochondriacs?

Yes, yes it does. At least I think so. How many of us have looked up symptoms online, and convinced themselves that they have some kind of terrible disease? I’m guessing a large majority. Having constant access to the Internet through tablets and smart phones may just increase the number of people doing that.

6. Must Have Pregnancy Mobile Apps

This was my first post here on Smart Phone HC, so of course I had to put it on the list! I really enjoyed writing this post, mainly because pregnancy was something that was on my mind, since I had given birth only a few months before. I think that any woman (or sympathetic man) could really benefit from this post.

January 2, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Jubilee Health Community and NoMoreClipboard Combine Forces To Help Diabetes Patients

According to the U.S. Department of Health and Human Services, 20.8 million people in the United States are affected by diabetes. This amounts to around seven percent of the population, which is a fairly large percentage. Many of those with diabetes likely have no health insurance

Jubilee  Health Community and NoMoreClipboard PHR are working together to help uninsured manage diabetes, according to a recent press release. The objectives of this include:

  • Explore the use of a PHR by rural, uninsured patients with diabetes
  • Improve patient health outcomes by providing patients with a PHR to share and track daily glucose readings
  • Improve diabetes care management by sharing health information between a clinician and patients using a PHR.

28 diabetes patients of Jubilee Health Community were given a smartphone-enabled version of the NoMoreClipboard PHR about a year ago to assist them in managing their diabetes. Immediate feedback was given when glucose values were entered, and lab results were input within about 72 hours.

These patients and their use of the PHR were monitored over the course of a year, and that findings were interesting. Here are some of the stats that were listed in the press release:

  • 37.5 percent of the patients remained actively engaged and regularly entered blood glucose readings via NoMoreClipboard
  • Of those 37.5 percent of patients, 28.6 had improved A1C levels and reported feeling better
  • Those that did not actively use the PHR, 21.4 percent had no improvement or increased A1C levels
  • Of those that did not stay engaged, one of the patients whose A1C level increased suffered an MI.

Diabetes is linked to a host of other health problems, which include adult blindness, kidney failure, non-traumatic amputations, and heart disease and strokes. Obviously, there is a great need for some additional help for these patients, and this PHR seems like it could really do a lot of good. The sample size might not be the greatest to glean the most accurate results on the effectiveness of the PHR, but it does give some insight to indicate it would be worth trying. I think it’s great that some of those who used the PHR regularly did see improvement.

Jeff Donnell, president of NoMoreClipboard, offered some commentary concerning the value of electronic patient engagement:

This project reinforces the value of electronic patient engagement in helping underserved patients manage chronic conditions. Providers are often skeptical that populations including seniors and safety net patients will be able to cross the digital divide and use a PHR. Our experience with rural and urban underinsured patients make it clear that these individuals are looking for tools to help them take a more active role, and they will use those tools when they provide benefit.

In general, I feel like when people are accountable and regularly track information concerning their health (whether it be for diabetes, trying to lose weight, etc.) there will be an increase in their health and well-being. The problem is, it can be very hard to stay on track with systems like this –which is evidenced by the fact that over 60 percent of the people didn’t remain active at the end of the trial period. It raises the question, what can be done to convince people to keep track of their health on things like the NoMoreClipboard PHR?

December 20, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Phreesia Makes Going to the Doctor Easier

The other day, we had to visit the doctor after hours. Because of this, we went to the local “instacare.” However, as soon as we realized it wasn’t going to be so “insta,” with an hour and a half wait, my husband and I decided to drive about 10 minutes to another after-hours facility. We ended up at the wrong one, but decided to stay as soon as we discovered they took our insurance.

First off, I was immediately impressed with the office. The staff was extremely friendly and professional. Especially because at the first place we went, the receptionist was eating an egg roll as she tried to get our information. Secondly, I noticed right away that they had some sort of tablets sitting at the front desk, and I was really hoping I would get a chance to use one and check it out. None of the doctor’s my family usually go to have any type of technology like that (I think I’ve mentioned how my OB/GYN is about as ancient as they come,) so I was excited to see this here. As soon as the receptionist scanned my insurance card, she handed me one of the tablets and asked me to fill out the information on the tablet. I readily agreed and went back to my seat.

When I say down, my husband saw what I was holding and said, “I bet you love this. You can totally write a post about it,” so, I thought I would.

The tablets that the office used are called Phreesia, the patient check-in company. They are bright orange, and a series of questions are asked. The questions ranged everywhere from insurance ID numbers, symptoms, past medical history, and allergies. It includes automatic insurance verification, to reduce the instance of denied claims, and the patient can swipe their debit card on the machine and pay their deductible. Here are a few of there other features listed on the site:

  • Simplify your check-in with a selection of expertly-designed specialty-specific interviews
  • Automate the administration, scoring, and reporting of clinical scales before patients enter the exam room
  • Collect sensitive healthy information with proven technology
  • Obtain a legible list of medications and drug allergies
  • Obtain patient consent for managed care initiatives

Phreesia offers different varieties of the product for all kinds of specialties  so any practice could probably find use for it. It’s also secure, so patients and providers alike can be confident about inputting information.

After using the tablet, I was definitely converted. So much, that I was very tempted to switch my family over to this practice. One thing that I always hate doing is having to tell a receptionist all of my personal information, and sometimes the details of why I’m there. I would much rather have my privacy, and be able to provide as much or as little details as I wanted. I felt like I was able to be more thorough in the descriptions of past medical history, as well as about why I was coming in. Overall, I love that some practices are implementing this kind of system, and I hope to see it more often. When I worked at a therapy clinic, I always loved the little PDA’s that we handed out for patients to answer questions — something like Phreesia.

December 17, 2012 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.