Mobile e-healthMichelle Trepal, RN

NURS 457September 19, 2009

Objectives1. Describe mobile e-health2. Describe and evaluate the hardware and

software utilized within mobile e-health3. Describe and evaluate the information system

used with mobile e-health4. Assess the role and functions of the nurse

informaticist when working with mobile e-health.

5. Examine related legal/ethical issues.6. Discuss the Advantages/Disadvantages from

nursing perspective.

Mobile e-healthOften termed m-healthIncludes health-related uses of mobile

technologies Mobile phonesInternet-enabled, wireless connected

smartphonesPersonal digital assistants (PDA’s)Tablet computersSubnotebook microcomputersRemote diagnostic monitoring devices

Mobile phones This technology impacts

healthcare byRemote medical

monitoringBetter accessibility to

doctor’sUploading imaging

(http://www.dialaphone.co.uk/blog/?p=3059)

Personal Digital Assistant (PDA)Reduce’s medical

errorsPatient’s lab values

at your fingertipsCharting as you goSending

prescriptions to pharmacy for patient’s

Tablet ComputersTouch screen and

pen base capability using a stylus, digital pen or fingertip

Remote diagnostic monitoring devicesIntelligent walkers

Increases patient mobility

Monitor’s blood pressure

Detect’s fallsWristwatch-monitoring

deviceMonitor’s pulse &

respiration ratesTrigger’s alarm for

abnormal readings

Information system used within mobile e-healthLANCableDSLWireless LANs

Basic computer skills and understandingAbility to document information electronicallyAbility to access information electronically

Search databasesUse software for charting and medications

Ability to use e-mail helpful

Informatics Competencies

(McGonigle & Mastrian, 2009)

The purpose of nursing informatics is to analyze information requirements:Design implement and evaluate information

systems and data structures that support nursing

identify and apply computer technologies for nursing.

Involve clinical staff from beginning of process Assess attitudes and concerns Involve clinical staff in all implementation stages Make sure systems are user-friendly Provide adequate training prior to implementation Provide continued education and support

Function of the nurse informaticist

DisadvantagesSecurity concernsLack of consolidation in the mobileCommunicationsExpensive systemsRisks involved in investing in unproven

technologyInadequate data transfer speeds

AdvantagesAutomated alertsE-diagnosisE-patient safety and error reductionE-patient monitoring and trackingE-referencingE-prescription

HIPAA: Privacy and Confidentiality

Legal Standards

Interoperability

Ownership

Ethical and/or Legal Issues

(McGonigle & Mastrian, Rehab management, 2009)

SummaryThe health care sector has a lot to gain from

the new mobile technology. The new mobile terminals enable the

professionals to use electronic services more freely, making a breakthrough in electronic health care possible.

McGonigle, D., & Mastrian, K., (2009). Nursing Informatics and the Foundation of Knowledge (1st ed.). Jones & Bartlett Publishers, Sudbury, Massachusetts.

http://www.dialaphone.co.uk/blog/?p=3059 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC344585/ http://books.google.com/books?

id=eMJMEBsRuEoC&pg=PA190&lpg=PA190&dq=Describe+and+evaluate+the+information+system+used+with+mobile+e-health&source=bl&ots=xLb71UeQwB&sig=RdETH5H6J-spqLuft9vFIfxvibM&hl=en&ei=z1zuSpfaO4OnlAenz8H_BA&sa=X&oi=book_result&ct=result&resnum=2&ved=0CA4Q6AEwAQ#v=onepage&q=&f=false

References