View Poll Results: Treo In Healthcare

Voters
148. You may not vote on this poll
  • Invaluable

    112 75.68%
  • Occasionally Helpful

    33 22.30%
  • Doesn't do much but a cool toy

    2 1.35%
  • Useless...old pen and paper wins!

    1 0.68%
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  1. #81  
    Quote Originally Posted by TreoDoc
    Yes there are inward facing clips...also in the accessories area. My concern was the Treo popping out or fumbling it while taking it out of the inward clip. I share your concern but so far so good...............
    I second that. The low profile of a clip is appealing to me, so I got the Seidio clip. It works very much like the clip that comes with the Kyocera 7135. However, when you pull it out of the clip it needs to be rotated in your hand for use. When my hands are dry the 650 is pretty slippery, so it just felt like getting the phone from the clip was an accident waiting to happen.

    I abandoned the clip for the Piel Frama flip case and have been happy with it so far. It is easy to remove and access with one hand, and it gives good protection when on my belt. Also, the leather is easier to grip and feels safer than handling the bare phone from a clip or pouch.
  2.    #82  
    Quote Originally Posted by WittiDoc
    Hi again,
    while it is acceptable for many physicians to delay a call back for 5 ot 10 minutes while looking at x-rays. However, I can't have my coding patient bag themselves while I am in the basement cafeteria chowing down. I'd like to see a separate pager function/circuit in my next phone/pda. Many docs in our hospital say the same thing. Nobody cares about an additional $10/month (hey, we're paying for SMS anyway) but all want a guaranteed one-way connection.

    But thanks for answering my question - basically there is no guarantee that an SMS-page will get through.
    In the paging/Treo realm...I use a service called Webley (www.callmykate.com). It is a single locator number. Many of you may be familiar with the concept. A few people that I have turned on to it have given up their answering services as it costs about 1/8 as much. Essentially you get a toll free number that you can use after hours or whenever....when a call is made..they system asks the caller for their name and the calls you wherever you have it set to call you...home/office/cell/all three at once or "follow me" where it will call the last place you called into the system from. When the caller gives the name it calls you announces the call and you have the option to tell the system to send the call to voicemail or simply say "I'll take the call" and you are connected. If you send to voicemail or if you are busy and do not pick up or have it set to go directly to voicemail it will send the message that is left as an MP3 file to any number of email address you supply. It sends it to my work address which gets picked up by Chatter Email. It can also send it as an sms. As I have minimal confidence that an sms gets sent to you if you are in a low signal area and simply miss it (anyone know for sure), I use Chatter which utilizes IMAP and queries the system as soon as you get a signal and will forward the message. Webley sends the message with the time and the callers number (impossible to hide the caller ID for those pesky patients who try and do that) and sends the attached MP3 which you can download and listen to on the treo and store or delete. You can also call into the system and listen to the message. If you call in and listen to the message simply say "return the call" and you are connected to your patient without having to worry about blocking your number.
    The system also serves as a fax that will automatically forward the fax to a machine and also sends the fax to your email as a tiff/pdf attachment which I also can download onto the Treo and view. It does teleconferencing, will call with appt reminders, has my complete outlook contact list so I can voicedial contacts and allows web or voice conferences. Pretty neat service that can work well as an answering service. My message is pretty clear when callers call as to what constitutes an emergency and will get a call back...since all the answering service does is take all messages I might as well collect them for 1/8 of the cost. My administrative assistant can field them in the am. Using chatter or similiar service instead of sms may solve a paging problem as at least you will get the messages when you get in range...I have found there to be no more than a 30 sec lag. I admit I do use sms mainly with my other answering service but am using the toll free Webley number more and more. Actually saving the voicefile on a computer in the office... Nothing like playing back the patients own voice to convince them that they really did say that they were calling you to let you know that little toe was better and Johnny got an A in gym!
    __________________
    Jazz is life
    SharpWizard->Zaurusx3->PalmIII-PalmV->Vx->Treo180->270-->Bberry--T650--Treo 700p---Treo750
  3. #83  
    For those of you who are using ePocrates (or haven't been using it due to memory limitations), good news in the form of the Sprint ROM update...it seems to have decreased ePocrates by at least a few MB (hard to say exactly how many because everything else got shrunk as well.
  4. #84  
    You could do the above, but our group has a much simpler system. We have simply done away with our service and, after hours, we just forward the office phones to our Treos. If we recognize the telephone number (caller ID makes this fairly easy) or, if we aren't busy, we answer right then and there. Surprises the nurses, referring docs, and patients every time. Also cuts down on the time wasted calling a messaging service back to get your message and then redialing the person looking for you. However, if we choose we can let the phone roll to Cingular VM and take a message. This arrangement is completely free and much less involved.
  5. #85  
    Quote Originally Posted by WittiDoc
    while it is acceptable for many physicians to delay a call back for 5 ot 10 minutes while looking at x-rays. However, I can't have my coding patient bag themselves while I am in the basement cafeteria chowing down.
    Dramatic. At our hospital the code team is paged overhead as well as via a code pager. Since the operator has to call the entire code team at once, a special pager is needed to allow one call to page multiple people.
  6. #86  
    Quote Originally Posted by acousticbiker
    For those of you who are using ePocrates (or haven't been using it due to memory limitations), good news in the form of the Sprint ROM update...it seems to have decreased ePocrates by at least a few MB (hard to say exactly how many because everything else got shrunk as well.
    I switched to the digital version Tarascon's (the little pocket book everyone used in residency). Works great off the SD card And only like $23 a year. Uses link to drugstore.com to give you approx. street prices of drugs.
    http://www.tarascon.com/
    Pilot 512 >PPilot Pro > PalmV > Tungsten T > T3> Treo 650 Cingular
  7. #87  
    ARGHH!! I just updated to SPCS firmware 1.08 and epocrates is now buggy. I can access and use it fine, but after exiting the program (or not, it doesn't seem to matter), when I turn the display off, it soft resets. EVERY time. Kind of limits its use. I had no problems before the upgrade. Anyone else have this problem after upgrading? Uninstalling/reinstalling epocrates didn't help. I guess I could hard reset, but I'm a resident, and I don't have that kind of time. Any guesses?

    -Sketchy
  8. #88  
    Quote Originally Posted by sketchy9
    ARGHH!! I just updated to SPCS firmware 1.08 and epocrates is now buggy. I can access and use it fine, but after exiting the program (or not, it doesn't seem to matter), when I turn the display off, it soft resets. EVERY time. Kind of limits its use. I had no problems before the upgrade. Anyone else have this problem after upgrading? Uninstalling/reinstalling epocrates didn't help. I guess I could hard reset, but I'm a resident, and I don't have that kind of time. Any guesses?

    -Sketchy
    I used to use ePocrates (mainly because it was "free"), but I have to second the suggestion above on switching to Tarascon's product. It's less than $30 a year (if you're a resident, your "book fund" might even cover it), its databases can live on the card, and it isn't constantly trying to upsell you to a "premium" version. When I finally excised ePocrates (just the free one), it was >100 files, occupying over 5 MB, spread over 12-13 creator ID's. If that's not bloatware, I don't know what is.
    PEG N760C>Treo 600>iPaq4350>Zaurus SL-5600>Zaurus SL-6000L>Treo 650
  9.    #89  
    Quote Originally Posted by cheers
    You could do the above, but our group has a much simpler system. We have simply done away with our service and, after hours, we just forward the office phones to our Treos. If we recognize the telephone number (caller ID makes this fairly easy) or, if we aren't busy, we answer right then and there. Surprises the nurses, referring docs, and patients every time. Also cuts down on the time wasted calling a messaging service back to get your message and then redialing the person looking for you. However, if we choose we can let the phone roll to Cingular VM and take a message. This arrangement is completely free and much less involved.
    We are in a cross coverage group of 10 docs...that is 10 practices one covers for each time on call...I would go crazy if my phone had to ring/buzz/or even light up with that many potential calls in an evening. With no intervening message you really could be pretty inconvenienced. This system...intercepts...warns them off...if they meet criterion for real emergency they push one and we will be called..if not they leave a message. Outgoing message instructs them without bothering the doc...also pretty inexpensive system.
    __________________
    Jazz is life
    SharpWizard->Zaurusx3->PalmIII-PalmV->Vx->Treo180->270-->Bberry--T650--Treo 700p---Treo750
  10. #90  
    Quote Originally Posted by TreoDoc
    We are in a cross coverage group of 10 docs...that is 10 practices one covers for each time on call...I would go crazy if my phone had to ring/buzz/or even light up with that many potential calls in an evening. With no intervening message you really could be pretty inconvenienced. This system...intercepts...warns them off...if they meet criterion for real emergency they push one and we will be called..if not they leave a message. Outgoing message instructs them without bothering the doc...also pretty inexpensive system.
    I understand your situation and I'm certainly impressed with your grasp of the technology. We have 6 docs in our call group which is considerably smaller and we are specialists which also keeps the volume of messages down. My message also "warns them off" (in a nice way) but instead of leaving a routine message at 8pm, we ask them to call during business hours. Again, this way no one has to retrieve messages and then play phone tag trying to call patients back. We found the call back process to be a huge waste of time. We are big into keeping things simple.--With the exception of our techy gadgets! Thanks for starting this forum...
  11. #91  
    Quote Originally Posted by sketchy9
    ARGHH!! I just updated to SPCS firmware 1.08 and epocrates is now buggy. I can access and use it fine, but after exiting the program (or not, it doesn't seem to matter), when I turn the display off, it soft resets. EVERY time. Kind of limits its use. I had no problems before the upgrade. Anyone else have this problem after upgrading? Uninstalling/reinstalling epocrates didn't help. I guess I could hard reset, but I'm a resident, and I don't have that kind of time. Any guesses?

    -Sketchy
    sketchy9, I found the same problem. It's very annoying. I called ePocrates and they did not seem to be familiar with the problem. They are supposed to get back to me by email. Seems they already had problems with memory management issues in the T650 and T5 before the upgrade. Anybody else have problems with resets after upgrading to 1.08? It doesn't matter what application happens to be open when the T650 is shut down. Once ePocrates has been run we are doomed to a soft reset.
  12. #92  
    Quote Originally Posted by TreoDoc
    A little more about me. I began using PDA's in medical school when I had the first Sharp Wizard units and stuck with them all the way to the Zaurus..had from an early age tried to push the thing past its limits...used a telephone book to store patients and patient data...bought the sidecar modem and used to fax my notes to a local fax machine at the nurses station and put on the chart (with much rebuking). Kept with the Zaurus through residency but found as a fellow when I was spending less time in scrubs and a white coat that the Zaurus was too bulky...which is when I switched to the Palm OS. Again...had wired modems and wireless modems for my Palm V and Vx and began using Epocrates and the early versions of Patient Keeper. As noted previously I have been with Treo's since the release of the 180 until my present 650. As an orthopaedic surgeon working with PA's it has really been invaluable to have them snap a pic of a fracture in the Emergency Room and send it to me wherever I am so I can decide if I need to go into the hospital or it is something that can simply be casted. As one of a few orthopaedic surgeons covering an Emergency Room to not have to rely on someone painting a verbal picture is invaluable and better care for my patients. I use Epocrates but secondary to space issues may need to move to PDR.
    My office utilize both the SMS capability and Verichat too keep in touch with me throughout the day and out of the office. Verichat is more of a real time interface that does not depend on needing to enter in an email address each time my administrative assistant wants to send me a message...
    What finally brought me to the Treo (previously was using a Nextel Blackberry...pager (as the blackberry was not loud enough nor did it have the capability to nag with a repeat beep if I missed a call or page) and a Sony Clie UX50 (still the best dedicated PDA IMHO) ), was the availability of "push email". Versamail was not soon enough nor flexible e nough...I use Chatter which pushes email to me directly without the need and interval of VersaMail or other clients which require periodic logging on. Chatter is a wonderful program with a very responsive and responsible developer.
    I have found HandDbase to be invaluable as a database of patient interactions...I have made my own cpt/icd dropdown lists and have created one database that allows me to record patient phone calls...clinical consultations in the hospital/ER and tasks that need to be followed...very flexible database and really allows you to customize to what Y OU as the caregiver feels they need.
    I utilize MDCoder to track and bill my surgeries...a very well written piece of software that automatically chooses the correct icd9 codes for a cpt code chosen...would like it to have a few more data fields but all in all is the best of what I have seen out there for charge capture.
    I use Docs To Go...to keep patient handouts/post-op protocols...which allow me to easily email to the patient or print out via IR or wi-fi network and hand to them directly...patients love feeling that their doctor has so much info at hand :-)! My assistant keeps my non-patient schedule in ACT! and I purchased companion link which allows me to sync meetings etc to my T reo but I can choose which categories to NOT SYNC so alot of my personal data does not make it to the ACT database and it all can be transferred to my home computer.
    Recently purchased Bluetooth dongle for my work computer so my PA can easily send to me any new consultations to either the Treo or my computer (from our HandDbase database) so that I can review them after a night on call.
    TreoAlert has allowed me to get rid of my pager as it allows the treo to continually to annoy after a missed sms message/email or phone call until you recognize it and of course the Treo does a much better job of tracking info/msgs than most pagers. I recently added voicedialing so I can dial on the road via my bluetooth head set..Sony HBH660. TreoTechnician with Pocket Tunes has allowed me to add some levity to my day as my phone ringer is now an MP3 as is my pager...at least now when it goes off while seeing a patient (oops forgot to put on vibrate) the dulcet tones of John Coltrane or Miles Davis come through vs some evil Midi or built in ringtone. Also use PocketTunes for streaming Audio via Shoutcast...like having satellite radio on the cheap :-)!!!!
    Wish list...a 1.strong interface for an EMR...I am purchasing EClinicalworks EMR (actually will lease to make sure I like it)...have also purchased 2 Motion Computing tablets to work with the EMR looking forward to having the Treo work with them. Would love to have an EMR that had a small program for the Treo for charge capture that could sync via bluetooth to the main database.

    2.Voice recognition software that works...

    3.A simple not FEE BASED prescription program integratedwith one of the prescribing databases...that would work via a fax server to the pharmacy...
    All in all I love the unit and truly believe it has helped me to be a better doctor....
    PS: The bolds do not imply endorsement but as I rambled aimlessly wanted to make it easy for folks to find key software/hardware that I utilize..Thanks!
    I am in the medical software sales industry. (Incidentally I will be in CT next week meeting with St. Vincent's in Bridgeport, William Backus Hospital, Norwich Hospital and Waterbury Hospital). We sell a solution that delivers clinical results from a hospital's clinical information system and delivers it through a specific PDA interface to Palms or PocketPCs. I had the 650 when it first came out but had to abandon it. Since we deliver ALL clinical results and demographic information for Charging (we work with MDCoder) - our application must be secure and cannot sit on an expansion card. My Treo 650 could not handle all I needed to do on it due to the memory limitations. So I have gone back to a 650 (I need a smartphone because that allows me to update the clinical results via the cell network). But now that the patch seems to have fixed the memory issue, I may have to get another 650!
  13. #93  
    In case you did not know yet, PalmOne will ship a free 128MB card to all Treo650 users. I already have a 512 card in, but the 128 works great for my camera!

    http://web.palmone.com/support/sd.jh...equestid=82584
  14. #94  
    1. What kind of calender software has been found to be most useful especially indicating all the call schedules , appoint ment and meetings ?
    Treo, I love you !!!!!!!!!!!!!!!!!!!!
  15. #95  
    I am a IT Systems Analyst (document management) for two hospitals. I am curiouis if anyone is using the T650 to access their Health Care Information System (HCIS). We are currently using Meditech Client Server as our HCIS. I belive that there is an interface available for CE but am not aware of any for palm.

    We are also scanning our medical records using the Valco system. This allows clinicians to access scans of paper medical records (tif images) via their desktop workstations. I can see where the ability to connect to the network, pull up patient information in the HCIS, and view medical records all on the Treo would be a huge benifit to patient care.

    Has anyone used their Treos to perform these types of funtions?


    - E44
  16. #96  
    Quote Originally Posted by Enzo44
    I am a IT Systems Analyst (document management) for two hospitals. I am curiouis if anyone is using the T650 to access their Health Care Information System (HCIS). We are currently using Meditech Client Server as our HCIS. I belive that there is an interface available for CE but am not aware of any for palm.

    We are also scanning our medical records using the Valco system. This allows clinicians to access scans of paper medical records (tif images) via their desktop workstations. I can see where the ability to connect to the network, pull up patient information in the HCIS, and view medical records all on the Treo would be a huge benifit to patient care.

    Has anyone used their Treos to perform these types of funtions?


    - E44
    There is a company called MercuryMD that delivers results from meditech to a PDA. About 50-60 Meditech Hospitals use it currently. They are based out of Durham NC, and have Meditech Clients accross the country. I know that Riverside Health System in VA is using this solution via Palm Treo devices

    www.mercurymd.com

    Hope that helps.
  17. #97  
    Hi,

    Great thread .
    I recently took a HIPPA privacy mandatory examination. I am not sure if you can do all the things described in the thread .
    HIPPA rules are very strict regarding maintaining patient confidentaility.
    Forget the names . You can not even say things like " The patient who coded last night " in the elevator .
    I am not sure you can take CT or MRI Pictures on your Treo as most of them have patient identifiers.
    You cannot describe patient identifiers in the subject of your email .
    So be careful in using all the things you are describing.
    Finally encryption or no encryption you cannot use patient identifiers on your personnel equipments.
    Any research database needs IRB approval and HIPPA clearance
    I do not carry any patient database, but it is very helpful in communication with my fellows and referring MD's.

    Would highly recommend PUBMED ON TAP free software. Very useful.
  18. #98  
    Quote Originally Posted by sketchy9
    ARGHH!! I just updated to SPCS firmware 1.08 and epocrates is now buggy. I can access and use it fine, but after exiting the program (or not, it doesn't seem to matter), when I turn the display off, it soft resets. EVERY time. Kind of limits its use. I had no problems before the upgrade. Anyone else have this problem after upgrading? Uninstalling/reinstalling epocrates didn't help. I guess I could hard reset, but I'm a resident, and I don't have that kind of time. Any guesses?

    -Sketchy
    I haven't had any problems using ePocrates after the ROM upgrade, although I do use the Rx Pro version...
  19. #99  
    I just ran into problems with my daughters voicemail. Cingular fixed it in hurry but I ended up reading about multiple voicemail issues with the Treo650. Apprenetly there is a fix (Voicemail Palm Software update) The newest version is 1.04 (Treo 650 came with 1.02. The update will erase all your data and then re-sync it. But without the update you may use voice mail functions.
    Has anyboy done this update? Was it as pain free as advertised by P1 ?





    http://www.palmone.com/us/support/do...ilUpdater.html
  20. #100  
    Has anybody "unlocked" their Treo so they can use a foreign SIM card?
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