Sprint, Verizon and Mobile Healthcare

In US, Sprint and Verizon are going head to head with their 4G (sic.) offering. Sprint has a WiMAX network from its Clearwire joint venture while Verizon is soon to roll out LTE.

During the ongoing Healthcare Information and Management System Society or HIMSS annual conference being held in Atlanta, the CEO of Sprint Nextel, Dan Hesse mentioned that the 4G (sic.) technology will play an important part in helping to transform healthcare to a greater height.

With wireless technology being an essential part of everyday life for nearly 277 million Americans, it is changing the paradigm of how healthcare is administered. Internet savvy consumers today expect immediate access to health information and care anytime, anyplace. Last year, 89 percent of wireless Internet users sought health information online*. Similarly, caregivers are using smartphones equipped with medical applications for instant, secure access to lab results, x-rays, vital signs, drug-to-drug interactions, and other vital medical records. These trends further validate the key role that wireless will play in shaping the future of healthcare by enabling innovative and cost-effective approaches in delivering quality care.

“If I had to pick the one industry facing the biggest gap between need for change and use of wireless to facilitate that change, it would be healthcare,” Hesse said. Most industries spend between 6 percent and 8 percent of their revenues on telecom, but healthcare only spends 2 percent or 3 percent on it, he said. Darwin said that survival of the fittest is not about the strongest or the most intelligent — it’s about the most responsive to change, Hesse explained, and consumers are beginning to drive a lot of the change in healthcare. Healthcare spending on telecom will jump from $8.6 billion to $12.4 billion in the next few years, Hesse predicted, and two-thirds of that increase in spending will be from wireless apps and services.

What if we had asked the healthcare industry to partner with the wireless industry back in 1986, Hesse asked as he held up a massive mobile phone from that year. What if I said we could monitor patients and look at EKGs on one of these? The timing couldn’t be better for healthcare and wireless to work together, Hesse said as he took out a smartphone from his pocket. Today two-thirds of physicians use a smartphone like this one and soon more than 80 percent of them will.

What use cases does Hesse see for the wireless tools his industry offers?

> E-prescribing — Physicians’ bad hand writing causes some 4 percent of errors found in prescriptions. Hesse said a doctor friend of his realized the first time he saw a Palm PDA that it was the same size as his prescription pad and once it got Internet connectivity it would eventually eliminate the handwritten prescription. Hesse said e-Prescribing could save $20 billion annually.

> Instant, secure access to vital signs – Hesse pointed to AirStrip’s fetal heart rate monitor as a perfect example of vital sign remote monitoring that is in the market today.

> Advanced mobile apps for consumers – In just a few years we have gone from going online to look up home remedies for various ailments, Hesse said, to using apps like flu radar which can tell us how many cases of the flu have been diagnosed in our area. Hesse also pointed to the app currently being researched that encourages the end user to cough into the phone’s microphone so it can compare the sound to its database of coughs and come up with a preliminary diagnosis.

> Ultrasound probe that plugs right into a cell phone — Ultrasound exams could be conducted nearly anywhere and pipe the images to doctors that could also be nearly anywhere, Hesse predicted as he showed images of an ultrasound probe that connects to a cell phone. This will not only cut costs for ultrasounds, especially in developing market but also make it easier for EMTs and other healthcare workers who are away from hospitals to have a tool to use on the go.

> Wireless video monitors for virtual, in-home visits — While this one didn’t seem to leverage the real benefits of wireless, Hesse told a story of a nurse who had gained too much weight to be able to come into work anymore. After a short while of being detached from her former colleagues she became depressed over the situation and much less engaged in our own care. She then became part of a program that used wireless video monitors to enable two-way communications between patients in their home and physicians and nurses at care facilities. After receiving frequent virtual visits using the system, she took control of her health decisions, lost the weight and made it back to work.

> Virtual coaches on your handset — Hesse described another patient who had Type 2 diabetes, a regimen of oral medications and high blood pressure. In order to adhere to our routine she participated in a program with Sprint’s partner Welldoc to track her adherence. Welldoc offered her a virtual coach application that reminded and encouraged her to stay on track.

> Mobile enterprise for pandemic situations — During the H1N1 scare, Hesse said Sprint encouraged its workers to work from home or remotely to stem any potential spread of the flu virus among its ranks. Unlike businesses that have not adopted mobility tools for the enterprise, Sprint was able to restrict travel and encourage working from home without disrupting their employees’ workflow and progress. They had the mobile connectivity and devices to work from anywhere.

> mVisum for remote access to images, charts — Sprint partner mVisum enables clinicians to view charts, x-rays and other images right from their smartphones. Hesse said a cardiologist might be alerted through mVisum on his BlackBerry of an ambulance en route with a patient whom the paramedics suspected had suffered a heart attack. If the ambulance had wireless connectivity it could send that EKG to the cardiologist’s phone via mVisum and the clinician could prepare for the patient’s arrival knowing what needed to be done ahead of time. In those types of situations the time saved is extremely valuable.

> Intel Health Guide for remote visits and monitoring — Hesse said that moving more patients out of the hospital and back into their homes not only reduces costs overall by also improves opportunities. A woman with a high-risk pregnancy should not be moved in many cases, but she has to move in order to visit her doctor. Instead, hospitals could provide patients with Intel’s Health Guide, a tablet-like device with a touch screen that aims to make it easy for patients to track their vital signs and monitor their biometrics through peripheral devices. Physicians can make remote visits through the Health Guide.

> 4G wireless-enabled video cameras – Imagine video cameras with 4G wireless connectivity that can help patients learn how to apply their skin medication. A similar camera could be installed in an operating room to live broadcast surgeries in high definition. If it were installed in an ambulance, the EMTs could live broadcast stats, triage and more so that the clinicians at the care facility could prepare for their arrival.

> Intelligent medicine or pills with wireless embedded — “Soon i will be able to hold up a pill with wireless embedded into it,” Hesse said. The pill could also include a video camera and could send data and images straight to a doctor’s wireless device.

> 4G phones with Blu-Ray quality screens — Everyone always points to the cell phone screen’s small size or low resolution as reasons why images aren’t very useful on that platform. Hesse said HD, Blu-Ray quality resolution is coming to 4G phones.

“There are a lot of unsung heroes here today in this room,” Hesse said. “In the sometimes bitter debates on the subject of healthcare, too often we forget how important the job is of those people who deliver care.”

“To quote Yogi Berra, ‘The future ain’t what it used to be,’” Hesse said. With all the potential that Hesse pointed to and the fact that ten mobile phones are manufactured per every baby born today, the future is increasingly wireless. The future of HIMSS is wireless. And the industry can finally put the 1970s behind it.

More on the Sprint Mobile Healthcare solution at www.sprint.com/healthcare

Verizon Business has launched an information technology platform that enables the digital sharing of physician-dictated patient notes.

The Verizon Medical Data Exchange, launched Wednesday (March 3) at the Healthcare Information and Management Systems Society annual conference in Atlanta, provides a way for medical transcriptionists to share digitized patient notes detailing patients' care and treatment with doctors, hospitals and other health care providers. Until now, the lack of an interoperable, nationally available platform has made it difficult to share these notes, which primarily form the basis of electronic health records.

Verizon Business developed the platform for the Medical Transcription Service Consortium under an agreement announced last November. Founding consortium members MD-IT and MedQuist currently are using the platform. By August, when the Medical Data Exchange is expected to be in use by all of the consortium's members, 350,000-plus physicians, more than 2,700 clinics and nearly 2,500 hospitals will be supported.

The Medical Transcription Industry Association estimates that its members create and electronically archive nearly 60 percent of the more than 1.2 billion clinical notes produced in the U.S. each year. Approximately 25 percent of these records currently are shared among health care providers, including other physicians, hospitals and insurance companies.

Verizon Wireless offers customers in the healthcare industry an extensive portfolio of products and services that run on the company's reliable Evolution-Data Optimized (EV-DO) Revision A (Rev. A) network, including:

PatientKeeper® – PatientKeeper's mobility products support all operations systems while connecting physicians to patient information across inpatient and ambulatory environments. With PatientKeeper, physicians save time, increase revenue and enhance patient care. PatientKeeper enables physicians to interactively manage patient information across multiple locations, view clinical results, enter charges, sign out patients, and enter and order prescriptions, all from their smartphones.

EPOCRATES Rx for Android and Palm OS – Doctors, nurses and other healthcare professionals who use Verizon Wireless smartphones with the Android™ OS, such as DROID by Motorola or DROID ERIS™ by HTC, or devices that run on the Palm® webOS™ platform, including Palm® Pre™ Plus and Palm Pixi™ Plus, can leverage this mobile drug reference application to get prescription and safety information for thousands of brand name and generic drugs instantly. The application also offers Pill ID, which helps identify a drug based on physical characteristics such as color, shape and imprint code; table and calculators; and drug interaction information.

Medicine Central and Evidence Central – Unbound Medicine offers two applications for Verizon Wireless Android, BlackBerry®, Palm and Windows Mobile® devices.

Medicine Central is a collection of disease, drug and test information with literature tracking for mobile devices. The application features The 5-Minute Clinical Consult, A to Z Drug Facts, Drug Interaction Facts, Pocket Guide to Diagnostic Tests, and MEDLINE Journals.

Evidence Central supports effective evidence-based medical practice by integrating analysis with the latest research. Clinicians can access Evidence-Based Medicine Guidelines, Cochrane Abstracts, EE+ POEMs (Patient-Oriented Evidence that Matters from Essential Evidence Plus), and MEDLINE Journals anytime, anywhere.

Motion Computing® C5 Mobile Clinical Assistant (MCA) – Running on Windows® 7, the C5 is a hospital-grade device proven to enhance clinician satisfaction, improve point of care documentation, increase clinician productivity, and improve clinical documentation accuracy. The MCA is now available with embedded Verizon Wireless Mobile Broadband capability to stay connected to hospital information and the Internet.

More on Verizon Mobile Healthcare Solution at www.verizonwireless.com/healthcare