OP-ED

The iPad in Healthcare: A Game Changer?

Apple-iPad

There have been a lot of discussions on the Net regarding the potential impact of the iPad in the healthcare sector.  At this point, there is very little agreement with some pointing to the ubiquitous nature of the iPhone in healthcare as a foreshadowing of the iPad’s future impact, while others point to the modest uptake of tablet computing platforms as a precursor for minimal impact.

Our 2 cents worth…

We believe the iPad will see the biggest impact in two areas: medical education and patient-clinician communication.

The iPad’s rich user interface, native support for eReading, strong graphics (color) capabilities, ability to use various medical calculators (there are a slew of them already in the AppStore) and numerous other medical apps (most of these are iPhone apps and will need to be updated to take full advantage of the iPad’s larger 9″ screen) provides an incredibly rich ecosystem/learning environment for medical students.  Nothing else comes close – a slam-dunk for Apple.

That rich, graphical user interface, it’s inherent e-reader capabilities and portability also lends itself as possibly the best patient education platform yet created to foster patient-clinician interaction.  At bedside, a clinician has the ability to review with a patient a given treatment, say a surgical procedure, prior to the operation showing rich anatomical details (e.g., a patient’s 64 slice color enhanced 3D CAT scan), potential risks, etc. Heck, one could even show a video clip of the procedure right there on the iPad.  Now that is cool and sure beats the common approach today, some long lecture that oft-times is difficult to follow.

Beyond those two compelling use cases, other uses in healthcare for the iPad include its use by nurses and hospitalists to provide bedside care, tap multiple apps (hopefully multi-tasking will come in OS v4.0 to be announced on April 8th), in an intuitive environment.  As to how the iPad may extend beyond these limited boundaries for support of say charge capture and CPOE remains to be seen but in the immortal words of many an Apple iPhone advertisement:

There is an app for that.

And based on some of our initial conversations with mHealth app developers, many are already working on just these types of applications for the iPad, which they hope to bring to market within next several months.

One thing is certain, from at least one data point we received this past weekend, there is strong, initial interest in the medical community as to what the iPad may facilitate.  Speaking to one of the technical folks at the local Apple store this past weekend we learned the following: Of the 1,000 iPads sold on Saturday (this store did sell-out), 700 were sold off the floor and 300 were reserved for business customers.  Of those “business customers” a significant share of those 300 iPads (north of 30%) were sold to local medical institutions.

One of those local healthcare institutions appears to be Beth Israel Deaconess Medical Center (BIDMC) where an ER doc has provided his own iPad review, based on actual use during a shift.  Particularly like his comment about using it for patient education.  Might the iPad truly bridge the information gap between patient and clinician?  One thing is for certain, it will make it much easier for patient and clinician to confer over a given diagnosis, results and creation of a treatment plan with supporting documentation/graphics.

Read into that what you may but one thing is for certain, there is significant interest in the healthcare sector to at least understand how the iPad may be used within the context of care delivery in a hospital.  It remains to be seen as to how end users will actually use these devices and what apps will be developed to serve this market (might Epocrates see stronger uptake for their EMR on the iPad vs. the iPhone?) that take advantage of the larger, 9″ screen, but based on what we have experienced with the iPhone, there are likely more than a few developers right now working on novel applications that clinicians will find valuable. Question is: Will they be valuable enough to augment the extra weight and volume of lugging the iPad versus a smartphone?

Only time will tell.

That being said, based on initial impressions of physicians, such as the one from BIDMC (see above) and our own limited experience in using the iPad this week, the iPad is pretty incredible and could usher in a whole new approach to healthcare IT (interfacing to and interacting with an EMR/EHR system) that may result in physicians adopting and using such technology, willingly.  Could we even go so far as to say that the iPad will be a bigger contributor to HIT adoption and use than the $40B in ARRA funding that the feds will spend over the next several years as part of the HITECH Act?

Again, only time will tell.

Appendix:

Some other perspectives on the iPad in healthcare:

Article in HealthLeaders with some interviews with med professionals buying an iPad at Apple store in SanDiego.

ComputerWorld article looking at various business sector (including healthcare) uses of iPad.

Post by iPhone iMedicalApps on some of the current challenges for those adopting an iPad for medical use (virtually all the problems listed will be resolved within next few months)

Another post, this time at iPhoneCTO looks at the iPad in the med space for workforce mgmt.

John Moore is an IT Analyst at Chilmark Research, where this post was first published.

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pslagerHeath UmbachIntellectsoftTodd ReihingKent Hargrave Recent comment authors
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pslager
Guest

I am interested to know what security solutions people would be using the secure the iPads.
http://paulslager.com/2010/08/03/is-your-business-ready-for-the-ipad/

Heath Umbach
Guest

Todd, does the fact that you are the VP of Sales for M2, developers of MicroBloggingMD, factor into your detailed analysis? While it is true that the iPad is available with wireless (and now cellular) connectivity, this should not lead one to believe that all mobile use cases are created equal. Hospitals have not uniformly adopted strong wireless networks, to say nothing of physician practices who often cannot afford to install and maintain a stable wireless environment. Furthermore, physicians are constantly on the go, from office to hospital and everywhere in between. This creates a need to access data synchronized… Read more »

Intellectsoft
Guest

iPad apps can as well be a splendid example of healthcare services ad kit. While waiting at some healthcare facility one can browse through pages representing filled teeth, corrected noses etc. In general, it will suit more beauty surgery or dentist practice where rich content is more important, but again poopularity of Apple’s platform and iPad hardware in particular depends on the iPad application development and those apps that foster the demand for the gadget at some particular target fields

Todd Reihing
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Todd Reihing

With multiple handsets and now the iPad in the wireless arena, the “App” concept seems very limited and narrow. The technology to embrace mobile healthcare has been around for sometime. Recently I checked out two mobile software solutions, Patient Keeper and MicroBloggingMD and after a detailed analysis, I am leaning towards MicrBloggingMD. They do not use an “App” to access patient data but rather they use an IP address to work on any internet browser. No need for an “App” you just bookmark the IP then log into the solution and you can access patient data. The best part is… Read more »

Kent Hargrave
Guest

The issue has never been the end user device, it has been the software that the physicians and other care providers are stuck using. Almost all EMR’s are based on a billing cycle because they grew out of companies that were billing based. Even today, when you look at an EMR is a mirror of the paper chart. Paper charts take a significant amount of time to sort through to see your data. As a former CIO of a large healthcare organization I struggled in finding good solutions for my physicians. I came across MicroBloggingMD and have found that physicians… Read more »

resveratrol
Guest

It never came to my mind that iPad can be used in medical area but I must agree with your article, yeah it can be a great help but the question now is – will there a budget for this and are we to expect developers to give their support?

Chesca
Guest

I think there’s a positive and a negative side to every story, and to simplify, whoever doesn’t like to get an iPad should just not get an iPad.
health insurance

internal medicine emr
Guest

Implementing new technology is the key to success in medical business. Maintaining the medical records of the patient as Electronic Medical Records (EMRs) is one of the recent technologies that would help the growth of the medical business.

benthomas
Guest

Thanks for the great tips to increase revenues. I think nobody can be brief as like your post!
Customer Electronics

Mark Spohr
Guest
Mark Spohr

I think this blog from John Murrell expresses the problems well. We should all be very careful. Apple is creating a walled garden where the consumer’s job is to send money to Apple. “Apple giveth and Apple taketh away By JOHN MURRELL “So it turns out that while Steve Jobs was out on stage Thursday generously granting some of the wishes of his various iPhone OS 4.0 constituencies (like multitasking of a sort, an ad platform, and a big helping of new application programming interfaces), behind the scenes, Apple was further tightening the straitjacket that it requires app developers to… Read more »

Scott Kozicki
Guest

Mark, you’ve outted yourself as someone who reads anti-fanboi blogs and hasn’t actually used or built anything on this platform. Regardless of Apple’s walled-garden approach, the fact remains that they’ve set the tone for everyone. Timing is everything. The tablet’s time is now. In 2 years, everything in mobile computing will look just like this. Apple is the Ducati of computing. The “weakened” hardware is on purpose. It enables Apple to reap revenue from interest in the device. They will add a camera. They will add other things. You will buy every version. This is the same strategy used with… Read more »

John@Chilmark
Guest

Yesterday, Apple’s unveiling of the new OS for iPhones and iPads came with an announcement of multitasking support. The new OS V4.0 also includes improved security features for enterprise use of these devices. These new features enhance what is already an extremely nice platform.
As for webcam, just don’t see the need in most healthcare scenarios – the desktop will work fine for that.
Nick, an ER doc has also done a nice review of the iPad which can be found at: http://www.epmonthly.com/features/current-features/how-the-ipad-can-change-emergency-medicine/“EPMonthly

Mark Spohr
Guest
Mark Spohr

Tablet computers have come and gone many times. Each time they are heralded as the second coming ready to take over the world. Each time they retreat to narrow niche markets.
I don’t see anything different here. The iPad is also somewhat problematic due to lack of basic functions (multitasking and webcam) but the worst problem is that it is totally locked down to a rather narrow arbitrary model that support Apple revenue generation (no flash, only one rather klutzy programming language, difficult to add third party apps that don’t meet Apple’s capricious ‘standards’).

Doc99
Guest
Doc99

Hmmm. No webcam. No multitasking. Weak WiFi. I’d wait for the next iteration. Sorry.

Nate
Guest
Nate

Wonder how long before someone tries to get one reimbursed under their section 125 plan as a medical expense?