mHealth Applications: Current Projects and their Status: Understanding the 12 Application Clusters of mHealth by C. Peter Waegemann, Executive Director, mHealth Initiative
2. New Era of Participatory Health
What is Participatory Health?
New roles for all participants
Patients
Clinicians
Consumers
Payers
Government
Inclusive: Health community within
participatory health
New communication
4. Goal: Enable consumers to
Research symptoms at any place at any
time
Communicate with healthcare providers
PHR interoperability
•
Email and text communication
•
Share information with others
Have a personal health assistant
Appointments
•
Communication
•
Reminders
•
5. Deloitte Survey: 2009 Survey of
Health Care Consumers: Key Findings, Strategic Implications
Wellness &
Healthy
Living
Traditional Alternative
Health Care Health
Services Services
Healthcare
Consumerism
Health
Information
Insurance
Resources
Health
Policy
Adapted from Deloitte Survey
March 2009
6. Participatory Care Model
Integration of Integration of
Public Health
Wellness and Alternative
Healthy Living Health
Systems Services
Information
Resources
Healthcare Services
Health Insurance
7. Deloitte Survey: 2009 Survey of
Health Care Consumers: Key Findings, Strategic Implications
71.5% of consumers want to be engaged or seek alternatives
30% of consumers report comparing doctors before choosing one in the last 12
months, up from the 23% who in 2008 reported doing so during the previous 24
months.
Before going to the hospital, 32% say they checked to see if their insurance
covered the treatment they were going to receive and 34% checked to see if the
hospital accepted their insurance; 15% compared hospitals.
Trusted sources for information about providers are websites sponsored by
doctors or medical practices (48%), medical associations (34%), independent
health related websites (33%) and hospital associations (28%).
6 in 10 consumers say they looked online for information about treatment
options in the past year.
Among prescription medication users, 1 in 3 consumers say they compared
available treatment options.
For information about the effectiveness and safety of treatment options, medical
associations and academic medical centers are most trusted (50% trust these
sources); health plans and manufacturers are least trusted (13% or less trust
these sources).
Source: Deloitte Survey http://www.deloitte.com/dtt/article/
8. Deloitte Survey: 2009 Survey of
Health Care Consumers: Key Findings, Strategic
Implications
Most trustworthy about treatment costs
37% academic medical centers
35% medical associations
31% community hospitals
29% health plans
19% FDA
13% manufacturers
22% say they looked or asked for information
about a health insurance plan in the last 12
months, and 20% say they compared plans before
choosing the one they purchased.
Source: Deloitte Survey http://www.deloitte.com/dtt/article/
9. Deloitte Survey: 2009 Survey
9% have a computerized personal health record (PHR) compared to
8% in 2008.
57% want a secure Internet site that would enable them to access their
medical records, schedule office visits, refill prescriptions and pay
medical bills.
42% want access to an online personal health record connected to
their doctor’s office.
55% want to be able to communicate with their doctor via email to
exchange health information and get answers to questions.
38% concerned about privacy and security of personal health
information- 24% are not at all concerned.
60% believe that the government should set standards for how medical
information is collected, stored, exchanged and protected, while others
view this as a role for health plans (21%) and employers (5%); 14%
say no entity should set standards.
Source: Deloitte Survey http://www.deloitte.com/dtt/article/
10. Privacy Concerns
Very
24% Not Concerned
38% Very
Concerned
Not sure
Concerned
Not
38% Not sure
concerned
11. Worldwide: about 800 million cable/satellite
TV subscribers
850 million registered automobiles
950 million people use PCs
1.2 billion fixed landline phones
1.3 billion access the internet
About 1.4 billion TV sets in use
1.5 billion people have at least 1 credit card
Total worldwide mobile subscriber base:
over 4 billion (Almost 50% of world
population has a mobile phone).
12. PHR
For over 2,000 years, the
Concern
patient was rarely Developments
over
informed about the 2009:
Internet
medical circumstances. mHealth
reliability
Disease details were left Revolution
1 million PHRs
to doctors. As recently as
10 mill. PHR-Lites
1965, patients were not
3-4 mill. PPPs
allowed to see medical
books in publicly funded Interoperability
sed
20% EMR
libraries a
Dot.com through
R-b
Implementation CC ecosystems
bubble
Professionally
bursts
guided
13 million disease
Personal Health 2007-2008 communities
Records will support
Health 2.0: new
2002-2006
research.
Disease-
guidelines
Patient specific
1999-2000 support and protocols
Communities
groups
Internet
opens up develop
HIPAA gives the
health
patient the right
information
to a copy of the
medical record
13. 12 Mobile Phone Function Clusters in Healthcare
- General Technology View -
4 Disease
1 Patient Communication Management
3 Point-of- Care
2 Access to web-
• Before Visit: •Diabetes
•Appointment •Dermatology
Documentation
•Agenda (Reason for Visit) based resources •Asthma
•Access patient history
•Patient Information (CCR) Guidelines and Protocols •Smoking Cessation
•Documentation
Data Set Decision Support •More
(information capture)
• General Telemedicine Guidance
•Transmission
•Text messages Formulas and Medications
5 P-o-C Education
•Navigation
•Email
•Medication Reminders
Programs
•Questions (with photos if
Teaching Applications
applicable)
•Patient education
6 Professional
12 BAN Communication
Pharmacy,
New Body Area Colleagues, Lab,
Network ecosystem Hospital, Others
8 Financial 7 Administrative Appl.
9
10 Public
11 Applications:
•Patient Tracking
Ambulance/EMS
Health •Charge Capture
•Asset Tracking
Pharma/Clinical •Disease •Search for PHR and •Eligibility Checking
•Scheduling
Reporting other Resources •Payment
Trials •Bed Assignment
•Bioterrorism •Capture information •Other Financial
•Clinical Trials •Other Communication
Communication •Transmit to ED Systems
14. Problem
Patients can see their clinicians only
periodically and for short periods of
time.
They need to remember all health
symptoms and health related events
within a very short visit that may be
emotionally laden.
16. Adjustment of Healthcare to
the 21st Century
Change in communication
Continuous communication exchanges
as needed
Using the Internet and mDevices as
appropriate
Requires patient education
Requires workflow changes at providers
17. Application Cluster 1
Communication between Patients
and Providers
Selection of caregiver
Pre-visit communication
Consumer/patient providing information
In the care process
References
18. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
19. Text Messaging
• In general, fewer than 5% of adults are currently
able to communicate with their providers
electronically
• When asked, 62% of adults stated that electronic
communication would influence their choice
• 75% stated they wanted to schedule
appointments electronically
• Harris Interactive: Feb. 8, 2007
• 50% of 12 to 24 year olds send or receive text
messages
• Ipsos: 2007
Credit: Renee McLeod
20. Types of Communication
Patient to provider (pre-engagement)
1.
General inquiry
a.
Appointment
b.
Insurance coverage or cost
c.
Provider-patient interactively
2.
Appointment confirmation/reminder
a.
Reason for visit: Agenda
b.
Referrals and other care management
c.
communication, e.g. How r u?
Other
d.
Patient education
3.
21. Problem
Outdated systems for appointments
and administrative reminders cost
healthcare providers hundreds of
millions of dollars.
22. Text Messaging
Appointments
•
Medication reminders
•
General inquiries
•
Administrative questions
•
Non‐healthcare related communication
•
Health promotion
•
Patient‐initiated communication
•
– Need to reschedule appointment
– Need for prescription refill (?)
23. Preferred Communication Like Airline
Industry
Programs like “Remember Me” provide
• A direct path to information about you when
calling from a phone number pre‐registered
with your provider.
• The system recognizes your phone number,
instantaneously pulls up your information and
even greets you by name.
• All of this information is available within a few
seconds at the beginning of the call
24.
25. Summary: Communication Systems
More communication between clinician and
patient
Better quality of care
Fewer visits
Disruptive patient behavior
mHealth is the enabler
26. mHealth Agenda for
Communication
All communication must be discernable and
customizable (usability)
Reason for visit
Both parties need acknowledgement. (This may even
be more important for the provider because it will allow them to be better
prepared and confirm that tests required for the visit have been done.)
Requires new workflow, parameters and
protocols
27. Considerations
ID Systems: Photo and “Remember me”
New reimbursement system
This opens a whole can of worms for evaluating the time and
impact of each communication.
Do all communications have equal value? If nine communications are
required in one instance and five in another, are they paid the same?
How do you measure the amount of work required by the physicians
behind the scenes for each communication?
Would compensation paradigms that include a frequency component
invite abuse?
Can the evaluation of the value/compensation be automated or does it
need a new bureaucracy?
Is this another good reason to move to capitated compensation structures
so that providers are free to focus on the optimal way to arrive at best case
outcomes?
28. Considerations
Providers must have an auto responder function
about emergencies
What is the difference between text messaging
and telephone messages in terms of impact and
liability?
Perhaps the terminology should be “emailing or
text messaging” since text messages are limited
to 140 characters, which will often be too
limiting.
29. Message/email Style
Standardize structured text or free text
Occasional need for a more personal touch
Text/emailing creates a far superior audit trail to telephone
messaging, so assuming that the provider has acted properly, it
reduces liability and the likelihood of litigation.
Fail-safe controls are required to ensure a timely response to all
communications, otherwise a new avenue of liability would be
created.
Need patient agreement and clear guidelines
Guidance where text messaging should be used; what
requirements for response and saving it (data base, EMR
document).
30. Considerations
All communication should be logged and saved
for a minimum period.
Everything that isn’t easily and automatically
identifiable as unnecessary (such as appointment
reminders) should be saved in an EMR,
otherwise time/money is wasted deciding on
what’s worthy.
33. Accessing Information at the
Point of Care
Patient health information
Insurance eligibility information
Care decision support information
Formularies
Guidelines and protocols
Disease management information
Access to scientific body of medicine
Other
34. Application Cluster 2
Cell Phone as Information Resource at the Point of Care
Formularies
1.
Guidelines and protocols
2.
Decision support
3.
Telemedicine guidelines
4.
Accessing specific CCR information
5.
Patient’s comments re Web
6.
Patient directives
7.
PHR
8.
35. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
39. Problem
Consumers have access to health
information outside the clinician
community.
They demand a more convenient, open
and communicative system.
They want privacy guaranteed but also
want to be able to share health data
with others
41. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
42. Application Cluster 3
Point-of-Care Documentation
Three parts:
Computer use at the point of care
1.
Accessing information
2.
Within the system
a.
Outside
b.
Documenting
3.
User preferences
Technologies
Integration
47. Using the CCR as the
base, a clinician can now
dictate or record through
speech recognition – or
with keyboard or stylus
This opens up a wide
range of workflow
options at the point of
care
48. As such recordings will
be integrated over the
next 18 months with
online protocols (new
and existing), a new
process of electronically
enabled care will emerge
49. Point-of-Care Computing in
Participatory Health
Combination of mDevices and monitors
Access to information resources
Rules for documentation
Integration into legacy systems
52. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
53. Cluster 4: Disease
Management
Wonders of better communication
Currently focused on
Diabetes
Asthma
Dermatology
Preventive care in pregnancy
Smoking cessation
Hypertension
54. Diabetes
Several companies
Applications
Parents to monitor their children
Patients to monitor and report their health
data
58. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
60. Issues
We need to understand projects and
experiences
Need for standards
61. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
62. Application Cluster #6:
Professional Communication
Preferred communication channels for
lab, pharmacy etc.
Colleagues
Specialty-specific communities
63. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
64. Application Cluster #7:
Administrative Applications
Wide range of applications
Provider – Patient applications
Staff communication
With others
Text v. email
65. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
67. Application Cluster #8:
Financial Applications
Charge capture
Providers accessing eligibility info
Providers sending bills
Payers in active communication with
patients and providers
Online real-time adjudication
68. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
69. Application Cluster #9: Emergency
Care in Participatory Health
Not starting with a “blank sheet”
Potential need for record locator system
Substantial cost reductions expected
70. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
71. Application Cluster #10:
Population Health Communication
in Participatory Health
Reporting of disease outbreaks
Instructing patients
Bioterrorism
Surveillance
Population notifications
Other
72. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
