Grass Roots HIT in the Hospital and Clinic

Clinicians are an innovative group. From physicians, nurses, pharmacists, administrative personell, all are users of mobile apps at home and/or work.

mHealth News reports that there are some "apps that clinicians can't quit". Patients at the Hospital of the University of Pennsylvania (HUP) might wonder why their nurses are always on their smartphones — until they learn those nurses are actually sending secure messages to everyone on a patient’s care team.

It’s part of a highly successful pilot that began more than a year ago, and one that caregivers don’t ever want to see end.

What made this pilot unique is that it was grassroots-driven,” said Neha Patel, MD, one of the pilot’s developers.

Patel, an assistant professor of medicine at HUP, partnered with the information systems department at Penn Medicine to develop an mHealth strategy that would not only improve communication among a patient’s care team, but also save clinicians time.

Patel and a colleague will discuss the pilot at the upcoming mHealth Summit in December outside Washington, D.C.

For the pilot, which began in May 2013, residents, faculty physicians, pharmacists, social workers and discharge planning nurses were provided with iPhones or iTouches in four of the hospital’s departments: three general units and one surgery outfit. They used a secured-messaging mobile application called Cureatr to communicate everything but emergency messages with a patient’s entire team. As shifts changed, the phone was passed on. Communication remained fairly seamless, Patel said.

Now, nearly a year and a half after the pilot started, staff at HUP refuse to let go of their phones or Cureatr. When house staff rotate to units that don’t use the app, Patel explained, they complain that communication is “archaic.” 

It’s no wonder. A HUP time-motion study showed residents were spending about 20 percent of their day communicating with other healthcare providers, either face-to-face or on the phone

Another home-grown application, Connexus.(Connexus®, the Education Management ,  an app that allows providers to pull up patient data on their smartphones.

System(EMS). Connexus has been adopted by various user groups for purposes beyond the original design scope:. “Anesthesiologists, for example, are using it for pre-op evaluation, ancillary providers to follow the ‘thinking’ of the primary team, and consultants to quickly evaluate a new patient.".

The lesson is that iit does not take a million dollar investment to design HIT solutions for the hospital, or clinic. Individual initiative and grass roots trials are often more creative and functional than a poorly designed commercial medical app

Google Glass is now available in the U.K.

United States physicians have had the advantages of Google Glass for the past year.  Glass just recently was released for use in the U.K.

Kathi Browne of BrowneKnows, a well known social media moderator on Health Care Talk had the opportunity to discuss the promise of Google Glass for users and developers in the U.K.  In this Google Hangout several medical developers discuss their use and plans for Google Glass.

Now that Google Glass has been made available to the UK, we are seeing many new Glass explorers stepping forward in  +Giannis Anastasiadis  is interested in developing healthcare Glassware. If you have an idea you wish someone would develop for Glass, share it. For those of you who wish to become Glass Explorers,

While Google Glass is not yet  HIPAA compliant there are  developer plans to make it so. Currently Glass users must receive permission from patients if it is used for them. The potential for use of Glass in Healthcare is enormous, more than I want to cover in this post, and will be listed elsewhere (as of September 30, 2014. 

The current iteration of  google glass has some limitations for medical use. It currently has not been cleared as a 'biomedical device', requiring specific adminstrative consent for use in a health facility, for reasons of legal liability. It is a small and powerful computer, generating much heat and was designed for very short bursts of information rather that a continuous use video recorder.

If you are a physician,  surgeon or a google glass developer, we would like to hear from you, for either a post or a Google Hangout Conference.