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Showing posts with label electronic. Show all posts
Showing posts with label electronic. Show all posts

Tuesday, 27 September 2011

HIPAA Allows for Regular Email Communication Between Patients and Physicians

Posted on 13:48 by Unknown
There is a widespread mistaken belief that HIPAA prohibits physicians from communicating with patients using regular un-encrypted email as well as with other physicians about patient care.

HIPAA, for those who don't know, is a law that requires patient information to be kept private with safeguards. Email (such as yahoo, gmail, aol, etc) is not considered a secure form of communication.

However, HIPAA does allow for such un-secured email communication under certain circumstances. I quote from the horse's mouth:
"Patients may initiate communications with a provider using e-mail. If this situation occurs, the health care provider can assume (unless the patient has explicitly stated otherwise) that e-mail communications are acceptable to the individual. If the provider feels the patient may not be aware of the possible risks of using unencrypted e-mail, or has concerns about potential liability, the provider can alert the patient of those risks, and let the patient decide whether to continue e-mail communications."
As such, it may be worthwhile for a patient to acknowledge the following statements before an email can be sent from a practice website using un-secured email:
"I understand email is not considered secure and as such, is not considered a confidential method of communication."  
"By your sending an email to us, you are giving permission for us to reply by email."
Even if private health information may be included, that's fine if, I quote from the horse's mouth:
"Further, while the Privacy Rule does not prohibit the use of unencrypted e-mail for treatment-related communications between health care providers and patients, other safeguards should be applied to reasonably protect privacy, such as limiting the amount or type of information disclosed through the unencrypted e-mail."
Read more about un-secured email communication as it relates to HIPAA here from the Department of Health & Human Services.
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Posted in allowed, communication, electronic, email, encrypted, hipaa, law, patient, Physician, secure, security | No comments

Saturday, 24 September 2011

United Kingdom Ends $17 Billion Electronic Medical Records Initiative

Posted on 09:35 by Unknown
The Wall Street Journal on Sept 23, 2011 reported that the United Kingdom will scrap the entire electronic medical records (EMR) initiative that has been 9 years in the making with nearly 6.4 billion pounds already spent.

That action was hinted at back in August 2011 after a scathing parliamentary report stating the initiative to be wasteful and incapable of delivery.

I'm not surprised...

It's hard enough to get a group of doctors in one hospital to agree with a treatment plan let alone agree to a medical records system. The problem is exponentially more difficult when applying it to an entire country.

Physicians practice medicine differently... just like teachers have their own unique way of teaching kids. A method that may work for one doctor or teacher will not work for another. Even the method may change depending on how "busy" things are (teacher with a class of 5 kids versus 30 kids) so a doctor in a busy inner-city emergency room will have different flows and needs from an electronic medical records than a rural family practice with a sedate pace. Furthermore, the needs of a dermatologist is very different from a pediatrician. One can't expect a single EMR system to meet the needs of both perfectly just like one cannot expect a math teacher to use the same teaching methods as a singing teacher.

Forcing physicians to use a single standard electronic medical records without adapting to these realities is bound to fail no matter how much time, training, software, and hardware you throw at it.

A better alternative (my opinion), is to treat electronic medical records like the computers they reside on. There should be many different types of EMR systems just like there are MANY different types of computer models, speeds, makes, cost, sizes, etc.

However, unlike current EMR systems, in spite of who makes a computer and what operating system software it runs, it has standardized components... USB, Firewire, HDMI, VGA, BlueTooth, etc. as well as a universal communication medium called the "internet" that works with phones, computers, laptops, etc regardless of who makes it and what software it is on.

You would think that an EMR system given its digital essence would be able to easily communicate with other systems... but no... they don't communicate at all... which is why paper reports still exist... which are than scanned into the EMR.

Rather than the government (whether the United Kingdom or the United States) dictating what physicians must do and mandating EMR initiatives, I believe the money would be much better spent on mandating inter-operability and communication standards. The free market will create the best EMR systems and physicians will pick the one that best meets their need.

The other more insidious side of EMR is the over-reaching health goal mandates which means well, but runs into the same problem of applying standards to all physicians. Take "meaningful use" set by the Centers of Medicare and Medicaid Services (CMS). One of the core measures of meaningful use is adult weight-screening and follow-up.

Now as an ENT specialist, I see patients specifically for earwax. Why in the world would I want to perform a weight-screening when all I want to do (and what the patient only wants me to do) is get earwax out???

Makes no sense.

Does it to you???

Reference:
U.K. Scrapping National Health IT Network. InformationWeek Healthcare. Aug 4, 2011
U.K. Ends Health-Service IT Upgrade. Wall Street Journal. Sept 23, 2011
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Posted in adoption, cms, doctor, ehr, electronic, emr, health, meaningful use, medicaid, medical, medicare, nhs, Physician, records, united kingdom | No comments

Tuesday, 23 November 2010

Fauquier ENT Blog Now Published on the Kindle

Posted on 03:36 by Unknown

We are pleased to report that our blog is now published on the Kindle! As many readers may already be aware, the Kindle is the top-selling e-book reader sold by Amazon.com. Click hereto subscribe to our blog on the Kindle!

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Posted in blog, book, e-book, electronic, kindle, medical, reader | No comments

Monday, 25 October 2010

New Video Produced on Using MediTech EMR on the iPad!

Posted on 17:50 by Unknown
Our office has been instrumental in bringing the Apple iPad to Fauquier Hospital allowing physicians to access MediTech.

In order for physicians to see how MediTech can be accessed and used on the iPad, our office has created a YouTube video tutorial. Not only is MediTech shown, but also PACS. This video has been added to our YouTube channel.

Please note that this video is in REAL-TIME. It has not been speeded up. The system we are using is Citrix Version XanApp 5 and MediTech Client/Server v5.6.4 PP13.

Watch the video on YouTube here or below.

Related iPad and MediTech Blog Articles:
6/12/10 iPad Use In the Medical Clinic and/or Hospital For the Surgeon Doctor
6/19/10 The Perfect Computer for Healthcare and Electronic Medical Records
9/8/10 Dr. Chang Featured in Magazine Article on Using iPad with MediTech EMR
9/20/10 UPDATE: iPad and MediTech Electronic Medical / Health Records
10/12/10 UPDATE #2: iPad and MediTech Electronic Medical / Health Records

Read More
Posted in apple, ehr, electronic, emr, health, ipad, medical, meditech, records | No comments

Tuesday, 19 October 2010

Fauquier Hospital MediTech Now Accessible on the Mac (As Well As iPad, Windows PC, iPhone, etc)!

Posted on 18:16 by Unknown
Can I just express how totally excited and grateful I am to Fauquier Hospital Information Technology Department for upgrading their Citrix server?!! I can now access the hospital's MediTech EMR from anywhere using not only Windows PC, but also the iPad and Mac platforms as well!!! Even the iPhone, though the screen is a bit small...

GREAT job and appreciate how responsive the department as a whole has been!

Thank you! Especially given I'm a Mac person.
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Posted in citrix, ehr, electronic, emr, ipad, iphone, mac, medical, meditech, records | No comments

Tuesday, 12 October 2010

UPDATE #2: iPad and MediTech Electronic Medical / Health Records

Posted on 17:42 by Unknown
This blog article is a continuation of prior blogs (6/12/10 and 9/20/10) I wrote on the use of the iPad with Meditech.

Since June 12, 2010 when I first wrote about my experiences of using the iPad with my hospital's Meditech EMR system, a LOT has happened...

First, the hospital has upgraded its Citrix infrastructure to allow iPad (as well as Mac) connectivity to the hospital's MediTech EMR using the Citrix Receiver app (free in iTunes). I reported this back in 9/20/10.

Since than, the hospital has done a remarkable job optimizing and speeding up the connectivity to the point where using MediTech on the iPad is JUST AS FAST as using it on a hospital networked desktop. Of course, the iPad needs WiFi access to achieve these speeds.

Furthermore, I can now access PACS directly via Citrix Receiver app on my iPad rather than going through MediTech which is just great!

My only complaint now (which may not be possible to address with current Citrix software) is the initial prolonged time it takes to get to the MediTech logon screen. After that, speed is quite zippy.

From my conversations with individuals in the know, the next step would be to create a "MediTech" app on the iPad, rather than going thru Citrix Receiver app.

Obviously, one way of doing this is if MediTech creates a native application for the iPad which does not appear to be likely anytime in the near future.

A more likely solution that may be achievable in the next few months is to create a "virtual" MediTech iPad app using Citrix as the engine "under-the-hood". This is an active area of development and I am optimistic that such a virtual MediTech iPad app will soon be available.

Related iPad and MediTech Blog Articles:
6/12/10 iPad Use In the Medical Clinic and/or Hospital For the Surgeon Doctor
6/19/10 The Perfect Computer for Healthcare and Electronic Medical Records
9/8/10 Dr. Chang Featured in Magazine Article on Using iPad with MediTech EMR
9/20/10 UPDATE: iPad and MediTech Electronic Medical / Health Records
10/25/10 New Video Produced on Using MediTech on the iPad!
Read More
Posted in apple, ehr, electronic, emr, health, ipad, medical, meditech, records | No comments

Monday, 20 September 2010

UPDATE: iPad and MediTech Electronic Medical / Health Records

Posted on 16:09 by Unknown
Ever since I wrote my initial impressions of using the iPad with Meditech EMR on June 12, 2010, that blog article has received almost a thousand hits since that time, averaging about 20 hits per day. I've even been featured in Meditech news.

Also in the interval period, I have received numerous inquiries from health systems all over North America using MediTech regarding more specifics on how the iPad is used/incorporated into MediTech EMR.  Due to this interest, I've decided to write an update regarding what is going on since that initial blog article...

SO... I no longer need to use LogMeIn in order to access MediTech. Since then, Fauquier Hospital has upgraded their Citrix infrastructure so I now use a Citrix Receiver app (free in iTunes) to access MediTech.

Things are of course much faster, but still not quite as fast as I would like it to be. Currently, the hospital and I are working to resolve some of the speed issues seen. McKesson PACS (radiology imaging software) also is on the drawing board for direct Citrix access rather than going through MediTech which would also be welcome.

I recently heard from a confidential and utterly reliable source that MediTech has been asked to create a native app for the iPad (thus avoiding Citrix altogether), but the company at this time has politely declined to develop such an app that would hugely improve the user experience and most likely speed.

I would encourage all MediTech users to contact MediTech directly and demand/request that such a native iPad app be developed which would be immensely beneficial and strongly desired. Otherwise, alternative 3rd party software like Citrix will have to be used along with its inherent handicaps.

Click here to view MediTech's contact information.

Related iPad and MediTech Blog Articles:
6/12/10 iPad Use In the Medical Clinic and/or Hospital For the Surgeon Doctor
6/19/10 The Perfect Computer for Healthcare and Electronic Medical Records
9/8/10 Dr. Chang Featured in Magazine Article on Using iPad with MediTech EMR
10/12/10 UPDATE #2: iPad and MediTech Electronic Medical / Health Records
10/25/10 New Video Produced on Using MediTech on the iPad!
Read More
Posted in apple, ehr, electronic, emr, health, ipad, medical, meditech, records | No comments

Wednesday, 8 September 2010

Dr. Chang Featured in Magazine Article on Using iPad with MediTech EMR

Posted on 10:41 by Unknown
On Sept 8, 2010, a story was published in MediTech Magazine regarding how Dr. Chang has piloted the use of the Apple iPad with MediTech electronic medical records used in Fauquier Hospital.

Click here to read the story (pdf document).

Related iPad and MediTech Blog Articles:
6/12/10 iPad Use In the Medical Clinic and/or Hospital For the Surgeon Doctor
6/19/10 The Perfect Computer for Healthcare and Electronic Medical Records
9/20/10 UPDATE: iPad and MediTech Electronic Medical / Health Records
10/12/10 UPDATE #2: iPad and MediTech Electronic Medical / Health Records
10/25/10 New Video Produced on Using MediTech on the iPad!
Read More
Posted in ehr, electronic, emr, health, In The News, ipad, medical, meditech, records | No comments

Saturday, 19 June 2010

The Perfect Computer for Healthcare and Electronic Medical Records

Posted on 12:45 by Unknown
So I've been using computers in the healthcare setting for over a decade now. First at Yale than Duke. I've been thru the Veteran's Affairs Medical Center using Vista (New Haven, CT; Durham, NC; Asheville, NC; and Portland, OR). I've been at 5 different community hospitals on both the West and East Coasts. I've used all the different flavors of electronic medical records (EMR) in all these different locations/settings. I'm now using (not by choice) NextGen, Meditech, Rcopia, and PACS currently in the office, hospital operating suites, and inpatient settings.

Throughout this time period, I've used desktop computers, handhelds, laptops, netbooks, and tablet computers. I've even tried to cobble together a semi-functional iPad able to access all the different EMRs I need on a daily basis (read blog about this here).

What I discovered is that the perfect system (in my mind) is ALMOST there... just not quite yet. Maybe in the next few years, it will exist because all the pieces now exist! The bad news is that it does not exist RIGHT now.

So, here's my dream machine and the reasons. I hope some computer company is paying attention!

To understand how this all fits together, one needs to envision how my office works right now. There's a desktop computer in each exam room. Patients are taken back by a nurse and information inputted into the desktop computer. Than the computer is locked and the nurse leaves. The physician than soon follows, unlocks the computer, and then proceeds with further history, exam, and plans treatment which all gets documented in the computer. If tests are ordered (ie, hearing test, blood draw), the doctor leaves and sees another patient while the tests gets done before coming back. As such, the computer stays in the room with the patient. One can envision that there is a lot of back and forth into and out of an exam room movement of nurse, doctor, and patient. The computer gets locked every single time. Furthermore, I need EMR access when seeing patients in the hospital as well as during surgery.

First the Hardware:
• A tablet touchscreen (with no physical keyboard) 12 inches diagonal. That size hits the sweet spot. Any larger and the size itself becomes unwieldy to constantly move around as well as heavy by the end of a day. Any smaller and the screen real estate becomes so small to become inefficient. 12 inches diagonal also allows the possibility of an actual full-size virtual keyboard on the screen with adequate screen left-over to see what's going on.

My experiences with the iPad virtual keyboard was mixed (given it is somewhat smaller than full-size). I CAN do it and I did do it... I just didn't like it to the point I relied on a wireless bluetooth keyboard.

• Bluetooth technology and WiFi are a MUST because...

• With this tablet computer, one can dock it without wires or connector pins (similar in concept to Motion Computing JR3400 with its FlexDock). The docking station allows for use of regular USB keyboards and mouse along with direct ethernet wired connectivity. My dream machine docking station and tablet would communicate with each other using bluetooth or some other alternative short-range wireless technology which makes direct physical connection unnecessary. This is important, because I would have the docking station in each exam room. When I leave the exam room, I would have the option of taking the tablet (and therefore the screen) with me. The constant connecting and disconnecting of current docks is quite the pain given it requires an actual physical connecting port as well as precise placement. With the constant connecting and disconnecting, it opens the possibility for breaking as well.

What would be even cooler would be if the tablet charges when in its docking station using inductive charging similar to how a Philips Sonicare Toothbrush recharges.

Why do I even want a docking station? Several-fold. Ergonomics... I like the screen at my eye level. Also, I can still see the patient while typing away. If I depended on the virtual keyboard like on the iPad, I'm looking down which is not patient-friendly as well as a pain in the neck (from looking down). Also, though I guess I can learn to type fast on a virtual keyboard, I think I would still prefer the physical full-sized keyboard if given a choice. Furthermore, though wireless WiFi for all internet connectivity is nice in principal, it does introduce potential security problems as well as speed issues (wired ethernet in my experience is still the most reliable and fastest way of communication along with being secure).

However, WiFi connectivity is still important as pretty much every medical setting has WiFi and so one does have continuous high speed wireless access. Also, it would allow me to read a little bit of what's going on with a patient before walking into an exam room (I would load up the patient's chart using the touchscreen before walking into the exam room and docking the tablet). I just do not want to always DEPEND on WiFi.

A WiFi tablet touchscreen like the iPad is also great as one can BRING your office with you where-ever you go like the hospital and operating room without bringing a keyboard, mouse, etc. It's all self-contained. It's intuitive. It's all neatly packed into a simple, elegant tablet touchscreen that's highly portable and usable.

• Proximity security whereby the computer tablet "knows" you are right there. When you are no longer around the computer, it automatically locks. When you come back, it recognizes you and it automatically unlocks, all occurring invisibly to me without requiring me to actually do anything. I HATE the fact that I have 4 different userids with 4 different passwords to access the various EMR programs. Though I try to, I do not always remember to lock the computer 100% of the time. It should be all automatic. Does the technology exist? It sure does... It's called Single Sign-On for one userid and password that unlocks it all. And Xyloc by Ensure Technologies to allow for proximity recognition using RF technology. All I ask is that this technology be built-in to the hardware!

In a clinic where I'm constantly moving around where the tablet may not always be with me, due to HIPAA and HITECH, the computer needs to be secured. Though I try, I can not always remember 100% of the time to lock the computer. And same goes for my medical assistants. The security should be automatic, invisible, and secure.

The problem with biometric verification like fingerprint scanning or even ID card swipes is that I have to REMEMBER to do it. And the mere fact of doing it is aggravating because I would have to do it SO many times in a given day.

• Sturdy construction. The tablet is going to move around... a lot... It needs to stay working after being dropped from at least a height of 3 feet.

Which Brings Me to the Software:
What can I say? I LOVE the intuitive and simple interface of the iPad. Now, there's a few things I would tweak about it to make it MORE relevant in the healthcare setting.

• Multi-Tasking is a must. As I literally use Meditech (hospital EMR), NextGen (clinic EMR), Rcopia (electronic prescribing software), and PACS (radiology viewing software) all day long swapping back and forth even with a single patient encounter, I need to be able to easily jump between all these programs without shutting down the others. From what I understand, this functionality on the iPad will soon be reality with the release of the iOS4 operating system later June 2010.

• I constantly move back and forth among Meditech, NextGen, Rcopia, and PACS all day long. As such, having a few physical programmable buttons on one side of the screen on the edge would be wonderful which I could just press and it would take me immediately to my program of choice. Keyboard shortcut works, but imagine what touch-strokes would be required when I'm using it in pure tablet touchscreen mode...

• Apps already exist to connect via Citrix, Remote Desktop Connection, or screen mirroring... so I would just use those programs. If I was prone to unrealistic wishful thinking, I would ask for a single EMR program that incorporates Meditech, Nextgen, Rcopia, and PACS, but I do not forsee anything like that happening for decades (if ever). So, I'm going to stick with what is possible.

• A "tablet pen" is 100% optional and not necessary for use... Tablet touchscreen would be used predominantly using a finger(s) just like on the iPad. Personally, I do not foresee myself ever using a tablet pen. It's just one more thing that can get lost.

That's pretty much it! Is that so much to ask for???

Related iPad and MediTech Blog Articles:
6/12/10 iPad Use In the Medical Clinic and/or Hospital For the Surgeon Doctor
9/8/10 Dr. Chang Featured in Magazine Article on Using iPad with MediTech EMR
9/20/10 UPDATE: iPad and MediTech Electronic Medical / Health Records
10/12/10 UPDATE #2: iPad and MediTech Electronic Medical / Health Records
10/25/10 New Video Produced on Using MediTech on the iPad!
Read More
Posted in best, clinic, computer, desktop, docking, doctor, electronic, Hospital, ideal, ipad, medical, office, optimal, Physician, prescribing, station, surgeon, tablet | No comments

Saturday, 12 June 2010

iPad Use In the Medical Clinic and/or Hospital For the Surgeon Doctor

Posted on 08:51 by Unknown
To read what I consider the perfect computer for healthcare, click here.


UPDATE 10/25/10: Watch video of using MediTech on the iPad

To give a little background, I am a ENT (otolaryngology-head and neck surgeon). I see patients in all sorts of environments including the hospital, operating room, and outpatient clinic. In the hospital, I use MediTech and PACS while in the clinic I use NextGen. Admittedly, I was not entirely convinced the iPad would ever be useful in this varied medical setting which utilized different EMR platforms when it first came out earlier this year.

However, several developments have occurred that has since changed my mind due to the ingenuity of app developers and other progressive technology that allows the iPad to connect with hospital and outpatient clinic electronic medical records (EMR) regardless of operating system and security settings.

The information provided here is based on using an Apple iPad 16GB model with WiFi only ($499).

Software

Foremost of these evolutions is the iPad/iPhone apps now available that allows for EMR access. To give some background, I use MediTech and PACS in the hospital and NextGen in the outpatient clinic. In order for me to access all electronic health records, two iPad apps are necessary:

1) LogMeIn: Wonderful app that allows the iPad to remotely control a Windows (or Mac) desktop computer anywhere in the world. The iPad app itself is $29.99. The LogMeIn desktop software (free) also needs to be downloaded to any desktop you want to access/control with the iPad. In essence, the iPad takes control of the desktop which you can see on the iPad screen. As such, any software including EMR programs like MediTech, NextGen, or indeed any other application (via Citrix) on the desktop, can be opened and visualized on the iPad. Click here to download this program.

The pictures below show MediTech as well as PACS being opened on the iPad using LogMeIn. The keyboard you see is a bluetooth keyboard wirelessly connected to the iPad (more on this below).


Of course, this method produces a slow response time as one is jumping through different networks to obtain medical records access (iPad --> LogMeIn --> Desktop --> Citrix --> Medical Records).

A more elegant solution would be direct Citrix/VPN access to the medical records (iPad --> Citrix/VPN --> Medical Records). Unfortunately, the hospital/clinic would need to upgrade their software in order to make this happen (which has not yet happened at my hospital). For those curious, the iPad software is called Citrix Receiver and is a FREE app download! Click here.

2) WinAdmin or Jump: Of course, if one is able to access medical records using terminal services (rather than citrix, VPN, etc), there's a perfect app for that called WinAdmin or Jump. Just punch in the same info you do to open terminal services on Windows and viola... the remote desktop appears on your iPad! Both  apps are iPad optimized and costs $8.99 for WinAdmin or $19.99 for Jump. Click here to download WinAdmin or here to download Jump. You can see a screenshot (to the right) where NextGen Master IM was opened up on the iPad using WinAdmin app.

The difference between Jump and WinAdmin are several-fold. Jump has better mouse usage controls (there's a mouse!), better virtual keyboard (including Tab, Esc, Function keys), and allows for external keyboard text entry. WinAdmin does not (so far). But I guess you get what you pay for! Having used both, I personally prefer Jump (originally purchased WinAdmin because it was cheaper).

SO, I basically use Jump to access NextGen which is accessible via terminal services and I use LogMeIn to access MediTech (as well as PACS viewer). As soon as direct Citrix access is available (should the hospital upgrade their Citrix software), I would change to Citrix Receiver instead of LogMeIn in a heartbeat.

Hardware

The keyboard is essential as I do a great deal of free-typing which is not easy (to type very fast) when using the iPad's virtual keyboard. As such, a bluetooth wireless keyboard is important for me to allow fast touch-typing. There are plenty of wireless keyboards out there... the one I use is the Apple Wireless Keyboard. However, this keyboard isn't perfect as the keyboard is bigger than the iPad and as such, needs to be carried around separately. I never even bothered getting the iPad Keyboard Dock as one MUST orient the keyboard vertically (in order to dock the iPad) which is not preferable when I used the iPad for accessing electronic medical records. For just that reason, I always keep the iPad screen locked in horizontal orientation.

As such, for me, the next piece of the iPad implementation for medical use is hardware. Here, I am most eagerly awaiting for the ClamCase which is supposed to be available for sale in Fall 2010. The "ClamCase" offers the perfect package in my mind:

• A nice case for the iPad for transportation
• A wireless bluetooth keyboard for freetyping
• Full use of the iPad as a standalone device in case I don't want to use the keyboard
• Keyboard fits within the case where you want it (so it can be opened up like a laptop)

What the ClamCase does that no other device offers is a wireless bluetooth keyboard BUILT-IN to the iPad case in a single beautiful package!

Here's a YouTube video showing the full features of the ClamCase:



Hopefully, it will live up to its hype and I will be basking in heaven using the iPad to do pretty much everything whether in the hospital, operating room, or clinic. Once multi-tasking becomes available with the next OS Upgrade (iOS4) later this month, that will be most awesome as than I can have NextGen, MediTech, and Safari up with Rcopia (the electronic prescribing program I use) all up and running simultaneously and I will be able to just switch among the programs without losing anything.

For now, I'm trying it out on a limited basis before ditching the old system (desktop computer in each exam room) and using iPad exclusively.

Will keep those interested updated on my experiences over time...

In meantime, read what I consider the perfect computer for healthcare here.

Related iPad and MediTech Blog Articles:
6/19/10 The Perfect Computer for Healthcare and Electronic Medical Records
9/8/10 Dr. Chang Featured in Magazine Article on Using iPad with MediTech EMR
9/20/10 UPDATE: iPad and MediTech Electronic Medical / Health Records
10/12/10 UPDATE #2: iPad and MediTech Electronic Medical / Health Records
10/25/10 New Video Produced on Using MediTech on the iPad!
Read More
Posted in clinic, doctor, electronic, Hospital, ipad, medical, Physician, prescribing, surgeon | No comments
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  • bad breath
  • baer
  • balance
  • ball
  • balloon
  • ballpoint
  • band
  • bar
  • barber
  • barcode
  • barium
  • base
  • base of tongue coblation
  • baseball
  • based
  • battery
  • bear
  • beating
  • beauty
  • beethoven
  • behavior
  • benckiser
  • benefit
  • benefits
  • Benford's Law
  • benign
  • best
  • bialik
  • bigger shark
  • bilateral
  • biological
  • bird
  • birdsong
  • birth
  • bite
  • bite mark
  • bitter
  • bizarre
  • bleeding
  • block
  • blog
  • blogging
  • blood
  • blood pressure
  • blood type
  • bloodwork
  • body
  • bone
  • boniva
  • booger
  • book
  • book chapter
  • books
  • both
  • botox
  • botulinum
  • bovie
  • boy
  • BPPV
  • brain
  • brain freeze
  • brain surgery
  • brain tumor
  • brainlab
  • brainstem
  • brand
  • brand name
  • brass
  • breath
  • breathing
  • breathy
  • breathy voice
  • britain
  • british
  • bronch
  • bronchoscopy
  • browser
  • buccal
  • buggers
  • bullying
  • bump
  • burning mouth
  • burning tongue
  • businessweek
  • buster
  • button
  • buy
  • bw
  • cable
  • CAD
  • caffeine
  • caffiene
  • calcium
  • california
  • call
  • camcorder
  • camera
  • campanella
  • cancel
  • cancer
  • candida
  • candle
  • candling
  • cannula
  • carbon dioxide
  • carbonation
  • cardiac arrest
  • cardiac disease
  • carrier
  • cartilage
  • cartoon
  • carving
  • casesblog
  • cat
  • cauliflower
  • cause
  • causes
  • cauterization
  • cautery
  • cavity
  • cawliflower
  • CBS
  • celebrity
  • cell
  • cell phone
  • cello
  • cerebellum
  • cerumen
  • cetirizine
  • chamber
  • chang
  • change
  • changes
  • channel
  • charges
  • cheap
  • cheaper
  • cheek
  • chevalier
  • chewing
  • child
  • childhood
  • children
  • chill
  • chip
  • choanal atresia
  • choking
  • chopstick
  • christopher
  • christopher chang
  • chronic
  • chronic cough
  • chronic ear
  • chronic sinusitis
  • cialis
  • cigarette
  • ciprodex
  • citrix
  • clarinex
  • claritin
  • clearing
  • climate
  • clinic
  • clinical
  • clippings
  • clogged ears
  • close
  • clot
  • clothing
  • cm
  • cms
  • co2
  • coblation
  • cocaine
  • cochlear impant
  • codes
  • coding
  • coffee
  • cold
  • colds
  • collapse
  • collar
  • collection
  • colored
  • columbia
  • coma
  • commercial
  • common cold
  • communication
  • company
  • competition
  • computer
  • concert
  • condition
  • conductive
  • congestion
  • consent
  • constant
  • contagious
  • continuous
  • contour
  • contrast
  • control
  • convertible
  • cooler
  • copays
  • cord
  • cortex
  • cortisporin
  • cosmetic
  • Cost
  • costs
  • cough
  • coupon
  • cover
  • cpap
  • cpt
  • crab
  • crackling
  • craniofacial
  • crazy
  • cream
  • create
  • creating
  • cric
  • cricothyroidotomy
  • crowne
  • crypt
  • cryptolysis
  • crypts
  • csf
  • csi
  • css3
  • ct
  • ct sinus
  • culture
  • cure
  • custom
  • cut
  • cyrus
  • cyst
  • dad
  • daltry
  • damage
  • damp
  • dance
  • danger
  • danica
  • datamatrix
  • deaf
  • deafness
  • death
  • debate
  • decadron
  • decrease
  • deep
  • deer
  • defect
  • deficiency
  • deficient
  • deformity
  • dehydration
  • dementia
  • dental
  • dentist
  • dermatitis
  • desensitization
  • desktop
  • development
  • deviated
  • deviated septum
  • device
  • diagnosis
  • diane
  • died
  • difference
  • dilation
  • dimov
  • dinozzo
  • directory
  • disc
  • discharge
  • discount
  • discounted
  • discus
  • disease
  • disgusting
  • disimpaction
  • disorder
  • dissolvable
  • distance
  • diverticulum
  • dizziness
  • dizzy
  • dizzyfix
  • DNA
  • docking
  • doctor
  • dog
  • donate
  • down
  • download
  • dr.
  • Dr. chang
  • dr. oz
  • DRACO
  • drainage
  • drink
  • drooling
  • droopy
  • droplet
  • drops
  • drug
  • dry
  • dust
  • dymista
  • dynamics
  • dysfunction
  • dysphagia
  • dysphonia
  • dysport
  • dystonia
  • e-book
  • ear
  • ear canal
  • ear candles
  • ear clicking
  • ear drops
  • ear hole
  • ear infections
  • ear pain
  • ear plugs
  • ear pressure
  • ear ringing
  • ear tubes
  • eardoc
  • eardrum
  • earrings
  • ears
  • ears feel clogged
  • ears feel full
  • earthquake
  • earwax
  • earworm
  • eating
  • eczema
  • education
  • effect
  • effects
  • egg
  • ehr
  • elderly
  • electrocautery
  • electrolysis
  • electron
  • electronic
  • email
  • emergency
  • emergent
  • emission
  • emr
  • encrypted
  • endoscope
  • endoscopic
  • endoscopic sinus surgery
  • endoscopic staple diverticulostomy
  • endoscopy
  • endotracheal
  • england
  • english
  • enlargement
  • ent
  • environmentally
  • epiglottis
  • epiglottitis
  • epipen
  • epistaxis
  • er
  • erectile dysfunction
  • error
  • esd
  • esophageal cancer
  • esophageal function testing
  • esophagus
  • ess
  • estrogen
  • ETD
  • eustachian
  • eustachian tube
  • evidence
  • evolution
  • exam
  • examination
  • excision
  • exercise
  • exercise induced asthma
  • expendables
  • experience
  • explosion
  • exposure
  • eye
  • eyelid
  • face
  • facebook
  • faces
  • facial
  • facial fracture
  • fade
  • failling
  • failure
  • faint
  • fainting
  • farm
  • fashion
  • fauquier
  • fauquier health
  • fauquier hearing
  • fauquier hospital
  • fda
  • feedback
  • feel
  • fees
  • fel d1
  • feline
  • female
  • fess
  • fiberoptic
  • figure
  • film
  • filter
  • financial
  • find
  • fine
  • finger
  • fire
  • first aid
  • first branchial
  • fish
  • fixation
  • florida
  • floxin
  • flu
  • flu shot
  • fluid
  • fluid in ears
  • flush
  • follicle
  • food
  • food allergy
  • foreign
  • foreign body
  • format
  • forms
  • forum
  • fosamax
  • foul
  • frank
  • free
  • free clinic
  • full
  • full ears
  • fullness
  • functional
  • fungal
  • furniture
  • garbage
  • garbled
  • gardasil
  • gargle
  • gastritis
  • gaviscon
  • gavison
  • ge
  • Gene
  • General News
  • generic
  • genetic
  • genius
  • george washington
  • georgia
  • ger
  • gerd
  • germs
  • get
  • getzlaf
  • gifford
  • gland
  • glee
  • globus
  • glossopyrosis
  • glottic
  • glue
  • golden
  • golden nugget
  • google
  • gopro
  • gps
  • grade
  • grammy
  • granuloma
  • graphic
  • gross
  • groupon
  • grow
  • growth
  • gsk
  • guard
  • guideline
  • guiness
  • guinness
  • gum
  • gun
  • gunshot
  • H1N1
  • habit cough
  • habitual
  • hair
  • hairdresser
  • halitosis
  • halloween
  • hammer
  • hawaii
  • hbo
  • head
  • head dressing
  • headache
  • heads
  • health
  • health insurance
  • healthcare
  • healthy
  • healthy voice
  • healthymagination
  • hearing
  • hearing aid
  • hearing aids
  • hearing loss
  • hearing protection
  • heart
  • heart attack
  • heart disease
  • hedy
  • height
  • help
  • hematoma
  • hemorrhage
  • hepa
  • hibernating
  • hibernation
  • hiccup
  • hiccups
  • hidden
  • high
  • high quality
  • hipaa
  • hives
  • hoarse
  • hoarse voice
  • hoarseness
  • hockey
  • hollywood
  • home
  • homeless
  • honor
  • hormone
  • horn
  • Hospital
  • hotel
  • hour
  • hours
  • house
  • how
  • how to
  • how to stop
  • hpv
  • html5
  • huffington post
  • human
  • humidity
  • humming
  • humor
  • hyatt
  • hyperbaric oxygen
  • hyperfunctional
  • hyperreactive
  • hypertension
  • hypertrophy
  • hypoallergenic
  • hypopharyngocele
  • ibuprofen
  • icd
  • icd10
  • icd9
  • ice
  • ice cream
  • icebox
  • icu
  • ideal
  • idiopathic
  • ig
  • ig nobel
  • igf
  • illness
  • illusion
  • illustrated guide
  • image
  • image guided sinus surgery
  • imbalance
  • immune
  • immunization
  • immunotherapy
  • impedance
  • implant
  • in
  • In The News
  • inattention
  • incentive
  • incision
  • incison
  • income
  • infant
  • infection
  • infections
  • ingrid bock
  • inhaler
  • injection
  • injured
  • injury
  • inner ear
  • inova
  • insect
  • insecticide
  • instructor
  • instrument
  • insurance
  • integrity
  • intensive care unit
  • internet
  • intracapsular
  • intratympanic
  • intubation
  • invasive
  • iodide
  • iodine
  • ipad
  • iphone
  • ipod
  • irritable
  • isomer
  • issue
  • it
  • itching
  • itchy
  • jackson
  • jail
  • jairo
  • james kirkwood
  • janus
  • japan
  • jaw
  • jay leno
  • jericho
  • jewelry
  • jimmy kimmel
  • jogger
  • John Lewis
  • john mayer
  • jugular vein
  • kevinmd
  • kid
  • kids
  • kindle
  • king's speech
  • knife
  • knowledge
  • krulwich
  • la times
  • labor
  • lamarr
  • language
  • laptop
  • large
  • largest
  • lars
  • laryngeal
  • laryngeal dystonia
  • laryngeal sensory neuropathy
  • laryngitis
  • laryngologist
  • laryngology
  • laryngopharyngeal
  • laryngopharyngeal reflux
  • laryngospasm
  • larynx
  • laser
  • lauren
  • law
  • lawmaker
  • lawsuit
  • lawyer
  • laying
  • lazy ear
  • leak
  • Lecture
  • left
  • legislation
  • legislature
  • Lemierre's
  • lesion
  • life-cycle
  • lifestat
  • light
  • light-headed
  • lingual tonsils
  • lining
  • link
  • linkedin
  • lip
  • lips
  • liquid
  • live
  • lobster
  • local
  • location
  • long
  • longest
  • looxcie
  • loss
  • loss of smell
  • lost
  • lost voice
  • lotion
  • loud
  • loud music
  • loud noise
  • loud noises
  • louie
  • love
  • love in slow motion
  • lpr
  • luminol
  • lump
  • lung
  • lungs
  • mac
  • machine
  • magazine
  • maggie q
  • magnesium
  • mail
  • make
  • making
  • male
  • malignancy
  • man
  • management
  • manager
  • manometry
  • map
  • marker
  • marketing
  • mask
  • mass
  • mattress
  • maxillary
  • mayim
  • mcgovern nipple
  • mckellar
  • md
  • meaningful use
  • mechanism
  • media
  • medicaid
  • medical
  • medical mystery
  • medicamentosa
  • medicare
  • medication
  • medications
  • medicine
  • meditech
  • membrane
  • men
  • meniere's disease
  • metal
  • metallica
  • methylation
  • mgh
  • mice
  • michael douglas
  • micro
  • microbes
  • microscope
  • migraine
  • miley
  • mimic
  • mineral
  • minimally
  • minimally invasive
  • mirror
  • miscarriage
  • miscommunication
  • misdiagnosis
  • miss
  • missing
  • mission
  • mit
  • mobile
  • modified
  • mold
  • molding
  • mole
  • mom
  • money
  • monkey
  • morning breath
  • mortality
  • mosquito
  • motion
  • motrin
  • mouse
  • mouth
  • mouth breathing
  • movie
  • moving
  • mri
  • mrsa
  • msnbc
  • mtd
  • mucoid
  • mucus
  • mucus in throat
  • Multichannel Intraluminal Impedance
  • murder
  • muscle
  • muscle tension dysphonia
  • museum
  • music
  • musician
  • mutation
  • mutter
  • myobloc
  • myoclonus
  • mystery
  • mythbuster
  • nail
  • nar
  • narcotic
  • nasacort
  • nasal
  • nasal congestion
  • nasal crusting
  • nasal drainage
  • nasal hair
  • nasal obstruction
  • nasal polyps
  • nasal spray
  • nasonex
  • natalie
  • national security
  • ncis
  • ndm-1
  • nebulizer
  • neck
  • needle
  • negative
  • neonate
  • nerve
  • network
  • neuralgia
  • neurologic
  • neuropathy
  • neurorraphy
  • neurostimulator
  • New
  • new delhi
  • new england journal of medicine
  • new york times
  • newborn
  • news
  • nexium
  • nhs
  • nice
  • nickel
  • nickle
  • nicotine
  • night guard
  • nobel
  • nodule
  • noise
  • noisy breathing
  • non
  • non-acid
  • non-acidic
  • non-addictive
  • non-allergic
  • non-toxic
  • nonsedated
  • normal
  • northern virginia
  • nose
  • nose blowing
  • nosebleed
  • nosebleeds
  • nosejob
  • npr
  • nsaid
  • number
  • numbing
  • nurse
  • NYT
  • oae
  • obesity
  • observation
  • obstruction
  • obstructive
  • obstructive sleep apnea
  • obtain
  • odd
  • ode to joy
  • office
  • ointment
  • old
  • olympic
  • omeprazole
  • ondine's curse
  • online
  • opera
  • operating
  • operation
  • optical
  • optima
  • optimal
  • oral
  • oral appliance
  • oral sex
  • orchestra
  • organ
  • oropyrosis
  • orthopedic
  • orthopedics
  • osa
  • otalgia
  • otc
  • otoacoustic
  • otolaryngology
  • out
  • out-of-pocket
  • outer
  • over
  • over-the-counter
  • overweight
  • oyster
  • oz
  • pa
  • pacemaker
  • packing
  • pageant
  • pain
  • painful
  • paint
  • palate
  • pandas
  • paper
  • papilloma
  • parachute
  • paradoxical vocal cord
  • paralysis
  • paralyzed
  • parathyroid
  • parents
  • participating
  • past
  • patch
  • pathologist
  • pathology
  • patient
  • pattern
  • patulous
  • pbm
  • pediatric
  • pediatrician
  • pellet
  • pen
  • peptide
  • perennial
  • perfect
  • perforation
  • perfume
  • peri
  • perichondrium
  • period
  • peritonsillar
  • permanent
  • permission
  • persistent
  • personal
  • pet
  • ph
  • ph probe
  • pharmacist
  • pharmacy
  • pharyngeal
  • pharyngitis treatment
  • pharyngocele
  • pharynx
  • phd
  • phegm
  • phelgm
  • phelgmy throat
  • phlegm
  • phlegmy
  • phlegmy throat
  • phone
  • Physician
  • pick
  • picking
  • picture
  • pictures
  • piercing
  • piezoelectric
  • pillar
  • pipe
  • pitch
  • PKCzeta
  • placebo
  • plan
  • planet
  • planetree
  • plastic surgery
  • plastics
  • plugs
  • pocket
  • police
  • policy
  • pollen
  • polly hunsberger
  • polonium
  • polyp
  • pons
  • poor
  • popping
  • popular
  • popularity
  • portable
  • portman
  • positive
  • post
  • post-nasal
  • post-nasal drainage
  • posterior
  • pouch
  • power
  • ppo
  • practice
  • predicting
  • prediction
  • prednisone
  • pregnancy
  • pregnant
  • premarin
  • prenatal
  • prescribing
  • prescription
  • prescriptions
  • pressure
  • prick
  • prilosec
  • primer
  • problem
  • problems
  • procedure
  • process
  • professional
  • propel
  • protein kinase
  • provider
  • public
  • publication
  • puck
  • pulsatile
  • pumpkin
  • punishment
  • purchase
  • purulent
  • pus
  • puzzle
  • pylori
  • quickly
  • quickmark
  • r. kelly
  • radiation
  • radio
  • radioactive
  • radioactivity
  • radiological
  • radiology
  • raft
  • ragweed
  • random
  • rapid
  • raspy
  • RAST
  • reaction
  • reader
  • real-time
  • rebound
  • reckitt
  • record
  • recording
  • records
  • recurrent
  • red eyes
  • reduction
  • referral
  • reflux
  • regurgitation
  • rehm
  • removal
  • renovation
  • renovations
  • repair
  • repellant
  • replacement
  • reporter
  • research
  • residency
  • resident
  • resistance
  • response
  • resurface
  • resurfacing
  • review
  • rhinitis
  • rhinoplasty
  • richmond
  • right
  • ringing
  • rinse
  • risk
  • robert
  • robot
  • robotic
  • rock
  • roger
  • roof
  • room
  • rotating
  • routine
  • rubber
  • runny nose
  • rupture
  • ryan
  • safe
  • sale
  • saline
  • saliva
  • salivary stone
  • saltwater
  • santa claus
  • scan
  • scans
  • scar
  • scheduling
  • science
  • scientist
  • SCIT
  • scopolamine
  • scramble
  • scratch
  • screening
  • SD
  • seafood
  • search
  • seasonal
  • seaweed
  • secondhand
  • secure
  • security
  • sedated
  • sedation
  • self-pay
  • sensory
  • sepsis
  • septal
  • septo
  • septoplasty
  • septum
  • sermo
  • service
  • set
  • severe
  • sex
  • shampoo
  • shape
  • shark
  • shenandoah university
  • shop
  • shortness of breath
  • shot
  • shots
  • show
  • shrimp
  • sialadenitis
  • sialendoscopy
  • sialoadenitis
  • sickness
  • side
  • side effect
  • silent
  • silver nitrate
  • singer
  • singing
  • singing cat
  • singulair
  • singultus
  • sinuneb
  • sinuplasty
  • sinus
  • sinus fracture
  • sinus infection
  • sinus lift
  • sinus surgery
  • sinusitis
  • skating
  • skin
  • skin cancer
  • skull
  • sleep
  • sleep disorder
  • SLIT
  • sluder
  • small
  • smartphone
  • smell
  • smoke
  • smoking
  • sms
  • sneeze
  • sneezing
  • snore
  • snoring
  • snot
  • snotty nose
  • social
  • social media
  • social networking
  • soda
  • sodium
  • soft
  • song
  • sore
  • sore throat
  • sour
  • spa
  • spam
  • spanish
  • spasmodic
  • spasmodic dypshonia
  • spasmodic dysphonia
  • spasms
  • special
  • specialist
  • speech
  • speech therapy
  • spinal
  • spinning
  • spit
  • splints
  • split tube
  • spray
  • spur
  • ssnhl
  • staph
  • starvation
  • stat
  • station
  • stem
  • stereoisomer
  • sterile
  • steroid
  • steroids
  • sticky
  • stink
  • stone
  • stones
  • stops
  • storybooks
  • strange
  • strep
  • strep throat
  • stridor
  • strobe
  • stroboscopy
  • stroke
  • stuck
  • stud
  • student
  • study
  • stuffed animals
  • stuttering
  • sublingual
  • submandibular
  • submaxillary
  • sudden
  • sudden hearing loss
  • sun
  • sunblock
  • sunscreen
  • sunshine
  • superbill
  • superbowl
  • superbug
  • support
  • surgeon
  • surgery
  • surgical
  • survey
  • suture
  • swallow
  • swallowing
  • swelling
  • sword
  • symbicort
  • symphony
  • symptom
  • symptoms
  • syndrome
  • T-tube
  • tablet
  • talk
  • talking
  • tall
  • target
  • taste
  • tea
  • teacher
  • technology
  • teen
  • teenager
  • teeth
  • television
  • temperature
  • terrorism
  • terrorist
  • test
  • testing
  • tests
  • text messaging
  • the doctors
  • the onion
  • theory
  • therapy
  • thick
  • throat
  • throat cancer
  • throat clearing
  • throat-clearing
  • thrombosis
  • thrombus
  • throwing
  • thyroid
  • thyroidectomy
  • tia
  • tic
  • tic cough
  • tick
  • tilt
  • time
  • times
  • tinnitus
  • tiny
  • Tionne
  • TLC
  • TMJ
  • tobacco
  • TOCPM
  • today
  • tongue
  • tonsil
  • tonsil stones
  • tonsillectomy
  • tonsilliits
  • tonsillitis
  • tonsilloliths
  • tonsillotomy
  • tonsilolith
  • tonsiloliths
  • tony
  • tooth
  • tooth pain
  • top
  • topical
  • TORD
  • torres
  • tors
  • torticollis
  • tour
  • toxin
  • toyota
  • trach
  • tracheostomy
  • training
  • trans
  • translation
  • transmedics
  • transmission
  • transplant
  • transplantation
  • transportation
  • trauma
  • treating
  • treatment
  • tremor
  • trend
  • triangle
  • trombone
  • trouble
  • tube
  • tubes
  • tucci
  • tumor
  • turbinate coblation
  • turbinate hypertrophy
  • turbinate reduction
  • turning
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Blog Archive

  • ▼  2011 (190)
    • ▼  September (26)
      • Cat with Two Faces (Literally)
      • Cigarettes Contain Radioactive Polonium
      • Not All Spinning Motions Cause Dizziness
      • HIPAA Allows for Regular Email Communication Betwe...
      • MRI Scans CAN Cause Vertigo
      • Oral Exam Using a Finger
      • United Kingdom Ends $17 Billion Electronic Medical...
      • New Webpage on Vocal Cord Granuloma
      • Singer John Mayer Diagnosed with Vocal Cord Granuloma
      • Tongue Acrobatics
      • World's Longest Human Tongue
      • Another Rock Singer With Injured Voice
      • World Record Large Ears
      • Keychain Emergency Airway Device (Video)
      • Smoker's Kids Have More Ear Infections
      • 100 Years of Style and Dance
      • Carbon Dioxide Helps with Nasal Allergies
      • Intranasal Treatment for Clogged Ears
      • Best Ballpoint Pen for Emergency Cricothyroidotomy?
      • Beating Heart in a Box
      • The Healthcare Dilemma Simplified
      • Man Chokes to Death During Air Flight... Preventable?
      • Best Medication for Dizziness
      • Surgery Without Wires
      • Movie Sets are Dangerous to Ears!
      • Hearing Loss Can Can Accelerate Brain Volume Loss
    • ►  August (22)
    • ►  July (20)
    • ►  June (15)
    • ►  May (10)
    • ►  April (18)
    • ►  March (12)
    • ►  February (33)
    • ►  January (34)
  • ►  2010 (267)
    • ►  December (23)
    • ►  November (18)
    • ►  October (32)
    • ►  September (30)
    • ►  August (35)
    • ►  July (16)
    • ►  June (27)
    • ►  May (22)
    • ►  April (27)
    • ►  March (11)
    • ►  February (13)
    • ►  January (13)
  • ►  2009 (43)
    • ►  December (11)
    • ►  November (13)
    • ►  October (19)
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