The brand new UC San Diego Jacobs Medical Center will be opening by the end of this year with a patient care solution using iPads and Apple TVs connected to a 60-inch TV in all of their 246 patient rooms. Patients will be able to access their medical information and patient education material using the MyChart Bedside app by Epic, control the lighting, temperature, window shades and the television in their room via the Crestron app. The patient can also stay connected with their family and friends using FaceTime, Skype, and other social apps
A 25 iPad and an accompanying MyChart Bedside app pilot project was conducted at another UCSD hospital over the last six months. eWeek notes that the iPads and the MyChart Bedside apps also allow patients and their families to put video games on the iPads to entertain children who are visiting patients, giving the children something to do while in the hospital. As to outcomes, eWeek quotes an administrator as saying ”We’ve seen measurable results – nurses say that families are staying longer when they visit, which is really beneficial for the patients,” he said. “The goal was to make things easy for the patients, to make them feel more secure.”
From the technical side, when patients are discharged, the iOS hardware uses Jamf Pro and the Apple Device Enrollment Program (DEP) to enable the hospital’s IT department with the ability to remotely wipe and re-enroll the device without ever touching it. The Jamf Pro’s Self Service app catalog enables patients to customize their device and simply install the apps they want or need – without having to enter an Apple ID or password. Patients can also view content or engage with apps on their Apple TV.
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The American Bar Association Commission on Law and Aging has announced that effective in early September 2016, the ABA will no longer be selling or supporting its $3.99 My Health Care Wishes Pro app. Due to reasons of financial sustainability, the app will be removed from both the iTunes and Google Play iStores as of September 3rd, 2016.
A free alternative app is Stanford Medicine’s Advance Directive app. See here fore more information about the project: Doctor’s Note for End-of-Life Care and here for the app: Stanford Letter Project App on the App Store
This week Apple announced their acquisition of Gliimpse™, a personal health startup. In their LinkedIn profile Gliimpse™ notes that they began with a simple idea – everyone should be able to manage their health records, and share them securely with those they trust. Another technologic opportunity to improve patient engagement.
The Wall Street Journal reports that the services of Gliimpse™ are free to consumers, with healthcare providers and developers paying for its data-sharing software and services. The Journal opines that this acquisition provides the opportunity for Apple to build a platform for electronic medical records.
Although it is presently unclear what Apple has planned for this acquisition, it joins Apple’s other healthcare related apps HealthKit and ResearchKit.
TempTraq is an intelligent thermometer that continuously senses, records, and sends alerts of a child’s temperature to a iOS or Android mobile device. Once activated, the TempTraq wearable patch is active for a continuous 24-hour period of time allowing for one full day of temperature monitoring. The associated app displays both real time and historical temperature data transmitted from the patch in graphical and data table views. The wearable patch transmits data via Bluetooth to the app via Bluetooth. One significant negative about this device is it’s cost of $24.99 for a single 24 hour use device.
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The D-EYE Portable Eye and Retinal Imaging System attaches to an iOS or Android smartphone, creating a fundus camera for health screening and evaluation. This portable ophthalmoscope is capable of recording and transmitting high-definition images and video of the eye. The D-EYE describes the simple process to use the digital ophthalmoscope: just download the smartphone app, affix the mounting bumper and D-EYE lens, set up patient exam file, focus the phone’s camera and begin recording.
Medgadget has a great interview with Dr. Andrea Russo, the inventor of the D-EYE at http://www.medgadget.com/2015/05/d-eye-low-cost-digital-ophthalmoscope-smartphone-interview.html
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Today we have another example of iOS devices being used in medicine. St. Jude Medical has announced the Invisible Trial System External Pulse Generator (EPG), an external device that provides spinal cord stimulation (SCS) as an aid in the management of chronic, intractable pain of the trunk and limbs. This SCS on-body trial system is designed to mimic the experience of a permanent implant, eliminating the necessity for a trial cable.
The Clinician Programmer App enables the clinician to program the EPG and the Patient Controller App utilizes an iPod touch to control the device. Both apps and devices communicate with the EPG via Bluetooth.
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Apple fan blogger sites and the Apple Discussion site have reported a decreased frequency in the Apple Watch capturing the user’s heart rate after the update of the Watch OS to version 1.01. Under Watch OS 1.0 the user’s heart rate was recorded approximately every ten minutes. In addition, some users are reporting that they see no heart rate reading unless they trigger it manually by opening the Glance.
See: http://9to5mac.com/2015/05/22/apple-watch-heart-rate-bug/ and https://discussions.apple.com/thread/7050353?start=0&tstart=0. The Apple Support website was updated to clarify this change. Apple Support notes that you can check your heart rate any time using the Heart Rate Glance. Apple Watch also measures your heart rate continuously during a workout when the Workout app has been activated. The website further indicates that the Apple Watch attempts to measure your heart rate every 10 minutes, but won’t record it when you’re in motion or your arm is moving. Apple Watch stores all your heart rate measurements in the Health app. The Apple Support website also has a detailed explanation of how the heart rate sensor works as well as specific recommendations to keep readings as accurate as possible.
See: https://support.apple.com/en-us/HT204666 and http://9to5mac.com/2015/05/30/apple-says-watch-os-1-0-1-attempts-to-record-heart-rate-every-ten-minutes-but-wont-if-arm-is-moving/#more-382236.