Tuesday, October 6, 2009

What EMR functions would be great on a smartphone?

Answer:
Not everything.

The form factor of an iPhone is great for portability, handling messages, and doing lists.

It is not great for viewing a half-dozen tables on a single dashboard screen, or viewing a grid of 6x12 (like a medication list for many of my patients with chronic disease).

Here is a little wireframe (made very quickly with Balsamiq Mockup) that offers my preliminary thoughts.


I doubt that I'd want to document a visit that had a complicated story using the iPhone. Too much keyboard work.

I could document a simple sinus infection or UTI, assuming I could do it in 6-clicks, my de facto standard for documenting an acute illness.

What would a surgeon want? On rounds, a smart phone would be convenient for:
  • automatically receiving key lab results
  • looking up today's vitals, labs, and I&O
  • viewing the OR schedule
  • viewing a clinic schedule
  • signing dictated documents
  • viewing imaging reports
It won't be too long till many EMRs have "an app for that".

2 comments:

Smelley said...

Six clicks to document an acute illness.

I'll take a stab at it.

One click to "start" a note.
One click to select the "template"
One click worth of modifying the history.
One click worth of modifying the exam.
A click or two to select the meds (assuming they're already built as favorites on the template.
This assumes the diagnosis and billing coding is already correct on the template and that there is only one click of modifying needed
One click to close the note.

Hmm.

How do you do it?
I have a hard time seeing how a six click visit makes for anything other than cookie cutter documentation.

Anonymous said...

One app out for smartphones is instaCare’s “MD@Hand’ which will run on the Apple iPhone, Palm Pre, the Droid, and the Blackberry, among others. I have found it very useful and practical in my clinical setting.