Archive for the ‘Health Informatics’ Category

Ten Principles for Fostering Development of Platform for Healthcare Information Technology

Tuesday, June 23rd, 2009

Recently, Children’s Hospital Boston had Press Release , detailing a set of core principals to guide the creation of a new health information infrastructure to better support the nation’s complex and evolving health system.

The document “Ten Principles for Fostering Development of an “iPhone-like” Platform for Healthcare Information Technology“, details the Ten core principles.

Below are those core principles along with Android platform features that support those principles:-

  1. Technology platforms that support substitutable applications should be promoted.
    Android Platform source  is open source and open to modifications. The core components of the platform are substitutable and custom platform image can be created to suit one’s needs and promote the creation of, and enable the incremental adoption of, useful task-specific applications with low switching costs.
  2. Messages and protocols for data exchange should be allowed to emerge on demand in a market-driven approach, and specified transparently at every level.
    Android Platform source being open source it is easy to add unique protocols for creation of a suite of wellness applications linked to everyday activities. Currently (as of Android 1.5- Cupcake edition) , bluetooth is not fully supported, but one can enhance the bluetooth source code to communicate with medical devices with bluetooth support (ex. glucose monitors with bluetooth support). Google has also released NDK(Native Development Kit) which provides tools that allow Android application developers to embed components that make use of native code in their Android applications. The NDK allows developers to implement parts of their applications using native-code languages such as C and C++. This can provide benefits to certain classes of applications, in the form of reuse of existing code and in some cases increased speed.
  3. Protocols and application programming interfaces should allow the possibility of multiple platforms co-existing.
    The Android platform is open platform with open source. It is part of OHA(Open Handset Alliance), so it enjoys support of various mobile operators, handset manufacturers,semi-conductor companies, software companies and many more …. For more details on Open Handset Alliance, please visit http://www.openhandsetalliance.com.
  4. Application programming interfaces should be open.
    Android Platform allows the development of plug-and-play applications and developers can reuse their knowledge of Java( most commonly used open source development language)
  5. Substitutable application or platform vendors should not have control over what is installed on the platform.
    Even though Android platform is available from Google, it does not control what gets installed on the platform. It has removed its Google Maps API from Android platform and is available as separate API.
  6. Application installation should be turnkey.
    Installation of Android Applications is easy and can be done without any knowledge of software programming. Currently, the applications can be installed using Android Market. The mobile phones with root access can install applications without Android Market.
  7. The intellectual property of platforms and applications should be kept separate.
    Even though Android Platform source is open source, the applications developed by third party does not need to be open source and is not governed by open source agreement.
  8. All applications should be removable and none should be required to run a platform.
    Android Platform is not vendor locked,  the core components can be substituted easily.
  9. The platform should have a highly efficient delivery mechanism for applications.
    Android platform is not limited to mobile phones. The various netbook manufacturers are planning to release Android based netbooks by end of year and early next year.
  10. Certification requirements for platforms and applications should be kept minimal to maximize substitutability.

Though the document’s title includes Iphone and the authors mention Iphone within their document,  Android platform is better suited for being the platform for Healthcare Information Technology.

Potential Android Medical Application Series – Patient Management (Nursing and more)

Wednesday, June 17th, 2009

 Among the various potential Android Medical Applications for patient management, this post will cover the applications that could be developed for Nurse practitioners.

What should the applications do to ease the daily work of Nurse practitioners along with efficient and error-free results. What kind of devices would they prefer?

A study titled “ Human Factors Evaluation of PDAs and Smartphones in Nursing Practice” was performed by Healthcare Human Factors Group based in Ontario, Canada . The objective was to determine which design features of popular mobile devices are supportive of various nursing tasks. Device usability was determined through metrics such as performance and user perceptions using various mobile devices.

The following observations were made by the study:-

  • Nurses expect lightweight devices with physical keyboards, advanced rendering capabilities, intuitive menu structure and data access speeds that are comparable to desktop applications
  • Devices need to be portable and compact; ideally weigh less than 180g
  • Larger screen sizes are preferred, so long as page rendering is advanced
  • System speed perception was also an important indicator of device acceptance; in addition, Wi-Fi compatible devices are recommended
  • Be mindful of the types of applications and tasks the nurses will be using most; if text entry is required for the majority of tasks, a device with a physical keyboard is recommended
  • From an infection prevention and control standpoint, devices that can easily be used with a protective cover that can be easily wiped with a disinfectant are recommended. Those devices with the fewest buttons, connectors, and crevices that could trap microbes are considered best.

The key points to take-away from the study are:

  • Nursing application should support large screen
  • Nursing application should have advanced rendering capabilities
  • Nursing application should make text entry easy and intuitive
  • Nursing application should have intuitive navigation
  • Nursing application should be responsive and quick

 

The above study results, suggests that netbook would be preferred instead of mobile phones where majority of daily nursing tasks include typing. This could be good news for Android developers , as seen lately, almost all netbook manufacturers are planning to have Android based netbook within a year’s time. With Android capability to allow developers to create device independent code, the same application could potentially run on mobile phone as well as netbook. This provides an advantage compared to other mobile platforms available.

Future Video Games to integrate with EMR(Electronic Medical Records)?

Tuesday, June 16th, 2009

Will future video games integrate with EMR(Electronic Medical Records)? Seems interesting. This could happens. Atleast one person thinks so currently.

According to masshightech,  Ben Sawyer, co-founder of Portland, Maine-based serious game development studio Digitalmill Inc. predicted that eventually mobile fitness tracking applications and video games like Electronic Arts Inc.’s (Nasdaq: ERTS) EA Sports Active will integrate with electronic medical records. Ben predicted at fifth annual Games for Health Conference on fitness-based “XRgames” in Boston, last week. He is also conference organizer. He also commented that Boston was right place, as it has capital, game developers and health experts in one place.

It would be really interesting, if this happens. The doctor will know why you have back pain or painful thumbs. Too much gaming are we? :)

Another future Android medical application in the making ………………………….

Unbound Medicine adds Android to its list of supported Mobile platforms

Sunday, May 17th, 2009

Unbound Medicine has announced the availability of medical applications for the Android Mobile Platform.This is Unbound Medicine’s first step toward Android Platform support as it has already released applications for iPhone, Windows Mobile and Palm.
The initial applications available are:

  1. 5-Minute Clinical Consult for Mobile + Web
  2. Nursing Central
  3. Davis’s Drug Guide Mobile & Web Edition
  4. Harrison’s Manual of Medicine for Mobile +Web
  5. The Merck Manual for Mobile and Web
  6. The Merk Manual with Patient Symptoms Guide
  7. The Merck Manual Suite + Davis’s Drug Guide
  8. Handbook of Nursing Diagnosis

Press Release:  Unbound Medicine Releases Medical Applications for Android™ Mobile Platform

Unbound Medicine: Medical Applications for Android Platform

Potential Android Medical Application Series

Sunday, May 17th, 2009

The Potential Android Medical Application series is aimed to discuss the potential android applications that can be developed for Medical and Health Care domain. These applications can be broadly classified under following categories:-

  1. Personal Health Record Management
  2. Electronic Health Record Management
  3.  Hospital Management
  4. Disease Management Services
  5. Wellness Programs
  6. Homecare
  7. Reference Guides (Drug guides,Medical Dictionary and more)
  8. Patient Management (Nursing and more)
  9. Practice Management
  10. Remote Diagnostics
  11. Medical Calculators(Medical formulae calculator  and more)

The discussion will entail the application development for Android platform in general not just Android mobile applications. The Android platform will be deployed on many devices other than mobile phones. The Android based netbook is expected soon from Guangzhou Skytone Transmission Technologies Co. For more details on netbook, refer to older post here.

More to follow soon ………..

Microsoft Health & Life Sciences Strategies

Wednesday, May 6th, 2009

Past two days, I have been attending Microsoft Enterprise Developer and Solutions Conference held in New York. Well, my day job involves Microsoft development ,so as a part of the job I was attending the conference. I went expecting bunch of financial applications demoed by the vendors at the conference, but to my surprise almost all the vendors had demos of some kind of applications for Health Care industry and Life Sciences. These vendors were mostly Gold Certified Partners which provide solutions in other domains like finance too.

It was really interesting conference and eye opener too. I wasn’t aware of Microsoft’s investment and products related to Health Care and Life Sciences. There was a track dedicated to Health & Life Sciences in the conference which had interesting presentations by various Microsoft partners.

The start of healthcare track was done with presentation by Microsoft named “Microsoft Health & Life Sciences Strategies”. The presentation is available at http://entdevcon.istreamplanet.com/video.asp?v=6 .

It was very interesting presentation where Health care industry was initially contrasted to other industry. It discusses where Microsoft is investing and what software plus services it is developing.

Revitalizing Healthcare with Technology

Monday, May 4th, 2009

With Healthcare and Health Informatics being hot commodity these days, there are webcasts and blogs discussing the everywhere. Businessweek is providing 30 minute webcast titled “Revitalizing Healthcare with Technology” on Thursday, May 7, 2009 at 11am PDT | 2pm EDT | 7pm GMT.

The aim of the webcast discuss how technology is fostering collaboration to:

  • Lower healthcare costs
  • Improve the quality of patient care
  • Spur the transition to electronic health records

The webcast will be moderated by Jim Ellis of BusinessWeek and the panel includes Dr. John D. Halamka, CIO of Harvard Medical School, and Dave Roberts, VP of Government Relations for the Healthcare Information and Management Systems Society.

To register for the webcast , click here

Electronic Medical Records: Good, Bad and Ugly

Tuesday, April 28th, 2009

Today, while browsing the web, i came across a blog entry titled ” Electronic Medical Records: Hazardous to Your Health? “. It had interesting viewpoint regarding Electronic Medical Records and one of commentors on the post also had interesting point of view. I would say the title of the post was quite shockingly attractive.

Electronic Medical Records have been hot point of discussion lately ever since Obama administration is proposing around $30 billion to digitize individual’s medical records(everything and not limited to charts, scans), history …. accessible from anywhere. As everything and every technology, Electronic Medical Records have their good, bad and ugly. It depends on whose perspective it is viewed on.

Read More …..

What is Health Informatics…, what is the fuss about?

Saturday, April 25th, 2009

Health Informatics term has become a common term lately within all people not just people concerned with healthcare industry or information technology. So what is Health Informatics? Is this something new?or it has been there and just lately it has got more attention? It depends on who you ask?  If you google the term “Health Informatics”, then one links to wikipedia article (http://en.wikipedia.org/wiki/Medical_informatics)  provides an interesting insight into Health Informatics. I was surprised to find that Health Informatics began as early as 1950s in US.

Read More ….