Basically, if you can run the EMR application on any computer, you can run
it on a TabletPC (I love my MotionComputing TabletPC). If you have specific
questions about any of these issues I would be glad to elaborate or address
specific concerns.
Don Miller
"David" <d...@dbegun.com> wrote in message
news:04f001c2cf39$7f05b080$d4f82ecf@TK2MSFTNGXA11...
If I had my druthers, I'd have gone with toshiba but it's
also 400-500 more. I was concerned with the TransMeta
Crusoe chip as far as speed but it seemed to move along
quite well.
If you want an update, email me in a few months.
Ben Lightfoot, MD
>.
>
TJ
http://aac.acer.com/APP/AKC/INTERNET/AACPubli.nsf/allDocs/
RWP3DFD745C746CE32088256A5C0077016C?OpenDocument
mitodad
>.
>
Great article, btw! :)
--
Terri Stratton
Microsoft MVP
Windows XP / Tablet PC
http://TheTabletPC.net
Associate Expert
http://microsoft.com/WindowsXP/expertzone/focuson/tabletpc.asp
"mitodad" <mit...@hotmail.com> wrote in message
news:025301c2cfcf$2bcdc240$a101...@phx.gbl...
Thanks again,
David Begun, M.D.
>.
>
my suggestion would be to contact your carrier about what
they would consider defensible when it comes to backups
to make sure you haven't "doctored" up the records once
lawyers come hunting (hopefully never!!!!).
just my $0.02 on the subject, but really think you need
to make sure you take these steps into consideration
before you make a VERY expensive mistake.
mitodad
>.
>
"mitodad" <mit...@hotmail.com> wrote in message
news:028e01c2cfdc$2e7a31b0$a201...@phx.gbl...
My only experience with a complete EMR was expensive and didn't work, so
we've (my office manager and me -- I'm a psychiatrist, too.) have patched
together a workable system with GoldMine for contact management
(scheduling, refills, calls, ID info, etc.) and MSWord for the records.
Input is via NaturallySpeaking. We still use a sneaker network, but expect
to go wireless when my Motion tablet arrives next week.
My grand plan is to take notes on the Motion during the session, the
dictate into it with DNS. We'll still print the notes.
For security I'm interested in the Copytele PC card Winbook was selling
for awhile. There are several such devices that allow encryption, password
protection, and even shredding of files (I use Eraser for that now.) Some
use USB, others PCMCIA.
If you do get sued, tell you attorney to look me up to testify for you! I
think the expectations placed on physicians to guard private data are way
too high, ie, unreasonable. HIPAA will be a windfall for lawyers and will
force lots of docs into early retirement.
BE
With all due respect, that is exactly the WRONG way to solve problems in
your office (you should first find the software that solves your problems
and the actual hardware is irrelevant). It may be possible in psychiatry
(free form text vs. structured data, one consultation room vs 20 exam rooms
where mobility is needed and the cost-effectiveness of one device vs 20 is
compelling) that dictation and transcription is still the best way to go and
trying to invent uses for gadgets and software is fun, but not necessary.
With that being said, I admit (probably along with all other posters on this
subject) that I too have bought many neat, cool, deductible gadgets before I
knew what to do with them, (e.g. Apple Newton) :).
Donald W Miller Jr MD FACOG
Founder & Chief Architect
eNATAL, LLC
www.eNATAL.com
"David Begun M.D." <d...@dbegun.com> wrote in message
news:04d401c2cfd4$36c82d20$2f01...@phx.gbl...
I come from a specialty in the middle of a liability crisis and my company
(securely) hosts electronic medical records from all over the country that
have in-place the kind of security you have outlined. I too personally
believe this necessary security/redundancy is *well* beyond the competency
of most practitioners and I would NEVER advise any physician to keep their
medical records on a TabletPC (and not put themselves through daily backups
and archival on optical disks).
IMHO (and yours?), the TabletPC should only be used as a front-end to the
data, with the actual data locked up/backed up/duplicated on some secure
server either in the office (with automated security procedures) or remotely
(ASP model - let the vendor deal with it) and patient data should only
temporarily reside on the hard disk if at all.
Donald W Miller Jr MD FACOG
Founder & Chief Architect
eNATAL, LLC
www.eNATAL.com
"mitodad" <mit...@hotmail.com> wrote in message
news:028e01c2cfdc$2e7a31b0$a201...@phx.gbl...
first of all, glad to see that someone thinks i'm not way
off base. as for neonatology/liability issues, i know
it's fun being at the receiving end of medical (both
practice-related and not practice-related) catastrophies.
i'm still being black-balled for "whistle-blowing to dept
head 12 yrs ago after baby-doe laws from OH went into
effect.
though i, too, remember my programing days with ibm's
music 360 computers at BU, and though i've rebuilt
several computers - motherboards and all - in my day,
still don't consider myself a computer genious (like when
called software developer/vendor about why isdn modem
wasn't working - FORGOT to plug in phone line
<GGGGGGGGGG>, there are too many of us docs who dabble in
things without really thinking things through.
my tablet is strictly a citrix thin-client at work which
is all it should be IMHO. what i do with it afterwards is
full-fledged computing - see acer article. as a client it
is super fast compared to win ce mips products, and only
running on dual processor pII 450's with 768Mb ram and
9.2g mirrored system (thank g-d, as has saved my
proverbial rear, twice).
mitodad
>.
>
>.
>
I haven't had one of these in my hands (has anybody?). Response/speed is
always an issue to clinicians (again, I have no experience to compare
TabletPCs with Smart Displays as far as response times - my guess is that
the differences would not be detectable by the average person). Increasing
the number of hardware devices/processors/accessories (remote monitor AND
computer AND desktop monitor AND extra keyboards vs. just one TabletPC that
plays all roles) is of concern as far as maintenance, theft, loss, etc. but
altogether may be cheaper than a single TabletPC (I also haven't looked at
pricing). So I guess you could even have a "desktop" (server) back room with
a couple dozen inexpensive desktops (~$500) connected to a network or in
each office and this could possibly conserve desktop space everywhere,
especially in cramped exam rooms and eliminate the objections to computing
equipment left in rooms with patients (the same with TabletPCs). Personally,
I would prefer a TabletPC unless the Smart Displays start weighing a pound
or less (they weigh about the same as some TabletPCs now).
I don't remember the name of the company or product, but about 8 years ago
there were wireless modem-based "dumb" terminals that did just this and
interacted with a server (rather than a desktop computer that are certainly
more powerful than servers then). It seemed like a good idea then, and with
the addition of HW recognition and many of the OS features of a TabletPC,
maybe the timing is right this time around if the displays get REAL light
(the companies that made these devices went bankrupt or pulled the plug).
Donald W Miller Jr MD FACOG
Founder & Chief Architect
eNATAL, LLC
www.eNATAL.com
>
>
my concern about slate is there is no easy way for free text entry as input
panel won't cross over rdp session, and as i type faster than i write,
convertible made most sense.
only downside of NEC MobilePro and Acer's tablet is that they're a little
more awkward than the Clio to carry with it's swing arm. Downside to Clio
(Sharp twin) was that curvature of keyboard put the ESC key too close to "1"
key so every once in a while hit ESC instead of 1 and deleted what rarely
was a 1/2 page of full text!
just my experiences and now one of acer's success stories.
mitodad
"Gregg" <gregg...@attbi.com> wrote in message
news:03d601c2d087$1c9f75d0$8ef82ecf@TK2MSFTNGXA04...
If you do use a Tablet PC, then I would make sure the Patient's Files only
stay briefly on the device's Hard Drive.
--
Paul Tyler
Athena USA
6524 Walker Street
Suite 230
Saint Louis Park, MN 55426
952-876-0428
952-883-0065 FAX
www.athenausa.com
"mitodad" <mit...@hotmail.com> wrote in message
news:OWNiicJ0CHA.1132@TK2MSFTNGP10...