Abstracts

Invited Speakers

PalmCIS: Palm-based Wireless Computing to Improved Access to Health Information and Coordination of Care

James J. Cimino, M.D.
Professor of Biomedical Informatics and Medicine
Columbia University College of Physicians and Surgeons
Room: Turner
Abstract:
We are developing an extension of the New York Presbyterian Hospital's Web-based clinical information system (WebCIS) for use on a wireless, handheld computer. The user interface provides access to patient laboratory data, as well as a variety of text reports. In addition to data display, it provides the ability to update patient notes, post and respond to notes on a virtual whiteboard, and access on-line information resources such as PubMed and Micromedex, using links called "infobuttons". We are currently testing the prototype and are extending its abilities by using intelligent, context-based shortcuts. Our experience to date has identified important issues in the development of technical solutions on this platform, including security, transmission rate, local storage, screen display, and data entry options.

Panel Discussion: Where Are We Going? Five Information Officers Discuss Mobile Technology And Health Care.

Stephanie Reel, MBA
David Artz, MD, MBA, Memorial Sloan Kettering
Qi Li, MD, MBA, Partners Healthcare System
Jonathan C. Silverstein, MD, MS, FACS, University of Chicago Hospital
James J. Cimino, MD, Columbia
Moderator: R Lesser, MD
Room: Turner
Abstract:

Mobile computing devices are increasingly a part of health care delivery. In this hour, experts from five institutions will consider their current and future place in health care, considering issues such as the following:

1. Do mobile devices help us deliver better health care?
2. How large, or small, should a portable device be? What features should it have?
3. What kinds of software would we want?
4. How can we help insure the security of the data?
5. Finally, all this costs money. Is it worthwhile?
   

Evidence Based Medicine and information databases for handhelds

Eric Vogel, MD, FACP
Residency Program Director
Drexel University College of Medicine

Abstract:
This session will review programs and information databases for handheld computers that help clinicians in making decisions about patient care "at the bedside" using the best available evidence. Several of the leading commercially available handheld resources for supporting physicians with evidence-based practice this will be demonstrated in the workshop.

Hopkins Speakers

Databases and other apps

Ross Andersen, PhD
Geriatric Center, Bayview

Abstract:
tbd

Tablet PCs in the classroom: High tech gadget or a useful tool

Andreas G. Andreou, PhD
Whiting School of Engineering

Abstract:
The Tablet PC has the potential of opening a whole new way of presenting material to the class. One could combine pre-prepared slides with overhead transparency/white board instruction in a single medium. I will summarize my findings with my experiences in using on trial basis the Tablet PC in my course, 520.487 Introduction to MEMS.

Mobile Health Computing Technology in the Surgical Rounding Process

Mike Awad, MD, PhD
Department of Surgery

Abstract:
In order to combat the risks to patient safety associated with excessive work hours and clinician fatigue, restrictions on provider duty hours have been imposed at academic medical centers nationwide. The goal of this project is to examine the value of mobile health information technology on provider efficiency and patient safety in the clinical rounding process in the Department of Surgery at Johns Hopkins Hospital . Specifically the implementation of MercuryMD MData software will be the tool under analysis.

Aims of the Study:

• Compare the impact of a wireless handheld patient care rounding tool to conventional rounding on provider efficiency outcomes.
• Compare the effectiveness of the handheld patient care rounding tool to patient safety outcomes.
• Examine system structure and process factors that may impact utilization of mobile health information technology in the clinical rounding process.

Enhancing Physician Practice with Patient Keeper:

Mark Bittle, MBA, CHE
Administrator, JHOPC
Room: Tilghman
Abstract:
Two years ago the Johns Hopkins University School of Medicine Clinical Practice Association embarked deployed hand-held technology in order to evaluate the impact on faculty adoption and practice efficiency. Today, partnering with PatientKeeper, a mobile computing applications vendor, over 200 CPA Faculty and Hospital providers enter charges, track inpatient census and outpatient appointments, and view lab results from the convenience of wireless hand-held devices. This session will review the quantitative and qualitative benefits achieved through the implementation of this technology, discuss the future plans, and provide a brief overview of the applications available to Faculty at Johns Hopkins Hospital and Bayview Medical Center.

Hopkins Antibiotic Guide project

Grant Bochicchio, MD

Abstract:
The Antibiotic Guide is a "decision support tool" intended to provide clinicians with concise, digested, timely information about the diagnosis and treatment of infectious diseases. The information is arranged so that it is clinically useful at the point of care, instantly. We hope that you find it helpful in your practice.

Tracking Medications in the Hospital

Mike Brown, PharmD
Pharmacy

Abstract:
Tracking locations for doses prepared in the Pharmacy for use on the Clinical Units is important information on both sides of the process - a dose can be in a preparation area, on a cart for delivery, in a pneumatic tube, on a pharmacist or nurse, in the medication room, or in the patient. Pharmacy can tell if an order has been entered into their clinical system and the nurse can tell whether the medication is charted as administered, but neither group has a good way to identify where the dose is when it's between those points. A tracking system using either bar codes or RFID can fill in the gaps. Whether the system should be integrated with the clinical systems, how the mobile or fixed devices can communicate locations, and the advantages and disadvantages of bar codes and RFID will be discussed.

Virtual Paper: Recording Progress Notes with Handwriting on a Tablet PC

Bill Carruth
Department of Medicine

Abstract:
This session will discuss use of wireless Tablet PCÂ's and the Salar Compliance+ system to create daily progress notes for patients. The wireless connectivity available through tablets offers opportunities to integrate various data sources, reduce transcription of patient data, and potentially improve safety. The Tablet PC also offer the promise of reduced adoption barriers, since the physician can continue to use a favored method of record-keeping: namely handwritten records. And by creating an electronic document, the chart records can be accessed by multiple stakeholders on a real-time basis, thus enabling improvements in discharge coding, quality assurance, performance improvement interventions, and revenue enhancement.

Invasion of the handhelds

Alan Coltri, MS
Chief Systems Architect, JHMCIS at Eastern

Abstract:
The maturation of hand-held devices into capable computing platforms with substantial connectivity has resulted in the emergence on many software applications for the clinical user. Among these applications are: point-of-care documentation; prescription writing; coding and charge capture; and, medical record viewing. The small size of the end user device can obscure the fact these devices are merely the visible component of much larger clinical record systems. When operating in an institutional environment these systems must meet the same standards of development, testing, and records integration as traditionally deployed systems. The nature of some of these requirements will be discussed, with emphasis on the unique attributes and challenges presented by the handheld devices.

Mobile Devices to Enhance Classroom Instruction

Theron Feist,
Center for Educational Resources

Abstract:
This presentation will include a hands on demonstrations of Tablet PC and PDA based presentation and teaching tools that utlize standards-based wireless networks. These tools can help increase interaction between students and instructors, provide presenters flexibilty during lectures, and enable archiving of annotated instructor presenations. The discussion will cover the practical current uses and potential future classroom applications of tablet PCs, PDAs, and other mobile devices such as cellular phones.

Intro to Handheld computing

Holly Harden, MLIS
Liaison Librarian, Welch Medical Library

Abstract:
Mobile computing allows for a great deal of knowledge in a small package, creating a "walking library" with a mobile collection of data always accessible. There are many diverse types of PDAs, and this presentation will discuss the history of PDAs, general purchasing issues, general PDA features, and the most significant differences between the Palm and the Pocket PC operating systems.

Double session: Oncology Initiatives
9-9:15am Exporting Patients' Clinic Schedules to Physicians' Groupwise Calendars AND
9:15-9:45 Hopkins Opioid Program

Exporting Patients' Clinic Schedules to Physicians' Groupwise Calendars
Gary Kinsey
Oncology Information Systems

Hopkins Opioid Program
Suzanne Nesbit PharmD, BCPS and Stuart Grossman, MD,
Oncology

Abstract 1: (9-9:15)
Once the information is in Groupwise, our physicians can see all personally scheduled events intertwined with their clinic schedule. Using PDA sync software, the information is downloaded into a PDA for mobile availability.

Abstract 2: (9:15-9:45)
The Hopkins Opioid Program, written for palm pilots (Palm OS), has been downloaded by over 2000 physicians, nurses, and pharmacists from around the world.  Drs. Nesbit and Grossman will be discussing the new versions of their software which allow the both Palm OS and Windows CE handheld computers to perform opioid conversions as well as their new Web-based version.  These are available free of charge in an effort to improve the care of patients with cancer pain.

HIPAA & Security issues in patient data

Carol Richardson & Darren Lacey
HIPAA Office

Abstract:
A HIPAA Work Group has been established to understand the regulations and develop assessment tools for all of the Hopkins entities. The first task is assessment with respect to the requirements of the electronic transmissions regulations. Representatives of the work group will be meeting with representatives of each entity to go over the assessment tool beginning in the month of February with respect to the assessment tool.

Wireless Thin-Client Barcode Readers for Patient and Laboratory Specimen Identification

Bob Miller, MD
Pathology

Abstract:
New hand-held wireless devices that support web browsers and that have built-in barcode readers now allow development of improved systems for reducing errors by ensuring the correct identification of patients and laboratory specimens at the bedside. By scanning patients' barcoded wristbands and barcoded blood tube labels at time of specimen collection, patients' identities can be accurately linked to their specimens, and operator identities and collection times can be captured and recorded automatically. Thin-client (web) user interfaces for the hand-held devices can be developed quickly and inexpensively, and have the added advantage of improved security, as only miminal amounts of patient data are stored on the hand-held devices, and web and/or wireless encrypted communications can be used. We will describe the development, features and performance of a prototype wireless barcode system for patient and laboratory specimen identification, and will discuss its current and potential future uses.

Pharmacology Resources

Brian Pinto, Pharm.D., Susan Rohner, MLS
Pharmacy / Welch Library

Abstract:
Access to current drug and toxicology information is essential to patient care and clinical research. This hands-on lecture will focus on PDA-based pharmacology resources including Lexi-Comp, mobileMicromedex, ePocrates and the Johns Hopkins Antibiotic Guide. Learn about how you can effectively use pharmacology resources on the go or at the patient bedside

Getting Started with PDAs (Hands-on)

Dale Prince,
Health Sciences and Human Services Library
University of Maryland, Baltimore

Abstract:
This presentation is an overview and introduction to handheld computing and is intended for novices with little or no experience with handheld computing. Hand-held emphasis will be on Palm-based PDAs.

PubMed in Your Pocket...Medical Research at Your Fingertips

Dale Prince,
Health Sciences and Human Services Library
University of Maryland, Baltimore

Abstract:
The National Library of Medicine (NLM) has developed several information resources specifically designed for use on Personal Digital Assistants (PDAs). This one hour workshop is an introduction to two of these applications - PubMed on Tap (PMoT) and PubMed for the PDA (also known as PubMed Anywhere).

Use of Wireless PDA Devices with Hopkins Email Systems

Ben Reynolds, MS
Enterprise Messaging

Abstract:
Access to email is an important use of wireless PDA devices. Depending on the device, carrier, and email system, there are several options available for access to email systems. These options range from simple forwarding, POP, to wireless calendar and contact synchronization. Please attend if you are interested in the various options and how they can be set up for use with JHEM and GroupWise.

A Day in the Life of an NP and her Pocket PC

Janet Selway, DNSc, CRNP
Nurse Practitioner

Abstract:
At the end of this presentation, the attendee will be familiar with several software programs useful to clinicians in primary care/emergency room settings. The pros/cons and differences of palm vs. pocket pc operating systems, and smartphone vs. cell phone + PDA will be discussed. Information will be presented from the perspective of a self taught end user.

In-Class Voting: Engaging Students in Large and Small Classes

Harris Silverstone, Chemistry
Rebecca Pearlman, Biology
Bruce Barnett, Physics
Theron Feist, CER (facilitator)

Abstract:
In-class voting technology - technology that enables faculty to electronically poll or quiz students during classtime - has been gaining attention in the last few years. Now available in classrooms on the Homewood campus, faculty in Chemistry, Biology, and Physics are exploring the myriad of ways to use this technology in both large and small classes. The session will open with participants using the technology themselves, followed by a panel of faculty members who will describe their experiences using the technology.

Wireless @Home, Security and Terminology

Calvin Sproul
IT@JH-Enterprise Networking

Abstract:
Presentation of wireless at home and security terminology as it applies to the enterprise campus.

Handhelds in Nursing

Barbara Van de Castle, RN, MSN, BC
Nurse Educator

Abstract:
This presentation will explain the different types of applications used by staff nurses and advance practice nurses in acute care settings. Using the PDA here at JHH, synching solutions and the importance of user groups will also be discussed. Drug databases, clinical resources, and data collection are examples of applications that will be highlighted.