On Tuesday, October 23, 2012, at 10:00AM PST, Apple released the iPad Mini.

On Tuesday, October 23, 2012, at approximately 10:05AM PST, physicians, nurses, and other caregivers began asking IT when the iPad Mini would be supported by the organization.

Below are three things to consider regarding the iPad Mini’s immediate impact on healthcare:

1. Ease of use. The iPad Mini has the same intuitive user interface and application standards that the iPad and iPhone feature. Users will have no problem picking up the device and using it with little-to-no training. Standardized products and ubiquitous experiences have their advantages.

2. No form factor. The iPad Mini is a dream device for physicians and nurses who are looking for a lightweight, mobile platform that can fit in their lab coat pocket. It’s big enough to enable both reading and writing information in an EHR, yet small enough to easily carry around throughout a shift. When it comes to the deployment of the iPad Mini, the real question will be, how quickly EHR vendors can optimize their applications for the iPad Mini’s new form factor? Epic’s Cantu and Cerner’s PowerChartTouch were both designed for a regular sized iPad. Not all features and functions that have been built into their iPad app will be suitable for a smaller screen size, so expect customization to occur.

3. Enterprise readiness. Right out of the gate, the iPad Mini runs Apple’s iOS, which is accepted by almost all IT organizations in one fashion or another. With the plethora of mobile device management solutions (such as Voalte Connect, powered by Airwatch), the iPad Mini will have no problem receiving the go-ahead from IT in terms of enterprise readiness. (This, of course, is a 180-degree change from the launch of the iPhone in 2008!)

Wondering how the iPad Mini will play into your organization’s mobility strategy? Feel free to give us a call here at Voalte and we will be happy to help guide the way.

The release of a new Apple device has become associated with adults behaving like children.  We camp out in sleeping bags with friends (in front of the nearest Apple store).  We stay up until 3 a.m. (to pre-order).  Some of us may even throw mini temper tantrums if delivery is delayed a day (not mentioning any coworker’s names).  And if we’re among the poor souls who have to wait, we become very, very jealous of the “in” crowd’s new toys.  Whether you’re reading this on your shiny new iPhone 5, pining away for one until your upgrade is available in January (moi), or just watching this whole game unfold like a football fan on Sunday, you’re probably aware of the existence of “device envy.” 

It doesn’t matter if you’re a consumer aching to trade in your phone or tablet for a fancier new model, or a healthcare administrator exploring intrahospital communication solutions – there are a few basic questions you should ask yourself before donning a clown costume and jumping on the upgrade bandwagon (Google the origin of “bandwagon” if you didn’t get the Bozo reference – interesting story…).

Is it necessary?
Don’t panic.  Answering “no” doesn’t categorically mean you should halt research on upgrades, but it’s important to understand your own or your facility’s motivations before assessing your options.  A non-essential upgrade may only be realistic when personal, department, or organizational budgets allow.

Is it practical?
Sure, Voalte is the communication solution used by U.S. News and World Report’s top ranked hospital, Massachusetts General.  And, yes, CNET just listed the iPhone as the best cell phone yet again.  But if you oversee a small rural facility that operates sans WiFi, or you’re in the Peace Corps in electricity-free Northern Ghana, no matter how great they sound, well, expensive ice cubes just aren’t that useful for Eskimos.

Does it have a documented history of success?
Whether it’s for posting your Facebook status updates, or its purchase represents a significant investment of hard-earned fundraising dollars, you don’t want to plunk down a hefty chunk of change for a fly-by-night device or solution that may not be around next year, or might not have the resources to provide quality, comprehensive service.  ‘Nuff said.

Is it a long-term solution; can it grow with me/us?
These days, it’s all about the “expanding platform.”  There’s no way around it – the world has changed, and when considering options for both personal and professional devices, your lifestyle or workflows are likely going to dictate that an expanding platform is the only viable solution.  Literally every day, new applications and new uses for existing hardware are developed; you’ll want to have access to them.  Be certain to make a sound investment in a device and company that has the ability to evolve with the dynamic communication landscape we operate in.

So there it is.  Now if you’ll excuse me; I’m off to pull another day from the Pinterest-inspired “Countdown to iPhone 5” calendar I created.

In my travels working with customers and partners I have the pleasure of talking with hospital management teams and end users about Voalte. Frequently our conversations gravitate to the lack of modern wireless communication solutions in healthcare and the truly unique capabilities Voalte brings to the market.

1. Convenience – Voalte eliminates the need for the nurse's "tool belt" of multiple devices and applications. Text messaging, alarms/notifications, and voice communications all flow naturally to a single smartphone application.

 

2. Ease of Use – Why is Apple selling 350,000+ iPhones Per DAY? It's intuitive and simple to use. Voalte leverages the advantages of the robust iPhone hardware and a software application that provides all of a caregiver's communications needs on a shared device with a single sign-on.

 

3. Functionality – I tried text messaging on my old Nokia cell phone. Remember pushing each button 1,2, or 3 times to get the letter you wanted? Forget it. The advent of full keyboards made text messaging a mainstay of communication in the modern world. The non-smartphone handsets currently used in most hospitals today provide the same functionality you abandoned 10 years ago in your personal life.

 

4. Efficiency – The workload of nurses and physicians is astounding. Few jobs require keeping multiple "balls in the air" quite like the hospital environment. A study shows that communication with team members, or other departments, accounts for 20.6% of nurse's time. Providing more streamlined communications leads to happier more effective caregivers. The result is more time spent at the bedside with patients and fewer mistakes. Voalte provides better outcomes and happier patients. This all leads to higher reimbursement and lower cost to the hospital and our over burdened healthcare system.

 

5. Flexibility – The typical process for replacing broken wireless phones in the hospital is for the telecom team to order the same proprietary phones they have been using for decades. The "new" handsets may be a different color or shape, but provide the same limited functionality and user interface they've always had. Why replace a dead-end phone with another dead-end phone?

Voalte can custom provision iPhones tailored to the hospital system's needs or even customize by department. Voice, alarms, and text are just the beginning. Voalte puts the power of 50,000+ medical applications in your hands at the bedside – drug reference, med math calculators, language translation – the options are endless and growing every day. Shouldn't your wireless hardware and software solution have the flexibility to grow and change with your communication needs?

What can we do to reduce noise? There are many attempts to reduce noise in hospitals. Reducing noise should improve the patient experience and improve HCAHP scores. Just as important and a bi-product of noise is patient anxiety! Patients unexpectedly find themselves in a new setting, away from home, facing the unknown in the form of a health condition, unfamiliar with their surroundings or the routine. Activity going on all around them that they do not understand:

What are all these alarms for? Did someone die? Are they for me?

Why does the nurse keep leaving my room to talk on the phone? Is it my doctor? Why don't they want me to hear?

They are always getting calls when they are treating me and leaving the room.

Are they understaffed? If I need assistance, will it be available?

That's a new alarm sound! What does it mean? I don't see any nurses anywhere? What is going on?

Why is this machine attached to me beeping? What does it mean? Am I taking a turn for the worst? Should I call my nurse? Where are they?

I wish my doctor would call. I asked the nurse to notify him I'm having a new pain. The nurse says they can't do anything without the doctor's approval. When will they contact him? Why hasn't he got back to them? Can't they call him again?

Why didn't the nurse answer her phone when she was in my room? Maybe it was my doctor?

Too often caregivers and the communication tools they are given only add to the anxiety.

Alarms all sounding the same and difficult to differentiate their urgency are heard throughout every hospital unit. Nurses go home exhausted from alarm fatigue. Patients lay in bed awakened at all hours of the day and night with anxiety at what the cacophony of alarms and other noises mean.

Nurses are provided phones as the main tool to communicate with other caregivers, departments, and doctors. Unfortunately HIPAA requires they do not talk of clinical matters in front of a patient. The phone causes numerous interruptions for nurses treating patients requiring they leave the room. If they do not answer the phone alternate strategies of overhead paging, and attempts to find them take over.

Today's technology offers many other solutions:

Alarm management tools can make sense of the numerous disjointed devices producing the cacophony of alarm noise.

Sophisticated nurse text messaging (similar to what is available on smartphones) can eliminate 78% of ringing telephone calls, almost all overhead paging and the potential for missed patient requests.

When looking to reduce noise, consider improving patient anxiety as well. It will more than give you justification and urgency to proceed and result in a better environment for all.

So, we all hate going to the doctor’s office for one reason or another, whether it’s because it’s not fun being sick, you hate needles, or it’s just a pain to take time out of your busy schedule. One of my biggest pet peeves is walking into my doctor’s office, checking in with the receptionist, filling out any necessary paperwork (which is normally about fifteen pages) and then you sit. You sit and wait for what seems like a lifetime, not knowing if you will be next or if the eight people sitting there along with you will be called back before you. No one gives you any idea of a time frame on how long you will be there. Everyone has his or her face buried in a magazine and not much conversation is had.

Well, all of that is about to change. Close your eyes and picture this. You enter through large wooden doors into a beautiful lobby area. Directly in front of you is a peaceful and serene waterfall. To your right is a big screen TV that takes up the entire wall. Right next to this is a cheerful chef making delicious chocolate chip cookies or a healthy chicken salad. A smiling face then greets you and introduces himself or herself as a member of the Life Guide team.

A Life Guide meets patients immediately upon entering the clinic and redirects them to a decentralized check-in area. This private, more intimate area allows patients to feel like their visit is one-on-one. The Life Guide helps with any paperwork and gives a brief tour of the clinic, and when the caregiver is ready, the Life Guide escorts the patient to a procedure room. No longer are patients sitting in a lobby, waiting and wondering how long it will be until they are seen by a caregiver. Sounds like a dream, doesn’t it?

Now open your eyes because this is the reality at one group of forward-thinking clinics. I recently went to a newly opened Mosaic Clinic in Kansas City, Missouri for a site visit, and as I was introducing new Voalte users to the solution, I kept asking myself, “What is this Life Guide position all about?” I learned that Life Guides are there to make patients feel as though they are not just numbers. Life Guides are welcoming, caring, and compassionate, and they help guide patients through the sometimes confusing and frustrating process of obtaining healthcare services. Most traditional clinics can make us feel like we’re trapped in the “hurry up and wait” game. We are checked in and paperwork is pushed through and we are left to wonder whether we will be there for ten minutes, one hour or half a day. In Kansas City, the status quo is no longer good enough. At Mosaic clinics, you, the patient, are the main priority from the moment you walk through those doors, and we all know there is no better feeling in the world than when someone makes you feel special. Inarguably, Life Guides are playing a critical role in solidly establishing Mosaic as a leader in this movement towards more comprehensive, personalized service. Nationwide clinics take note. We’re your patients, your customers, and THIS is what we want!