Category Archives : Technology


I know this isn’t an Immunization directly related post but I think this is pretty huge.  Apple Watch has implemented an application that synch’s up with Sens4Baby. The result is a doctor can remotely monitor an expecting mother in near real-time. Sounds like it can be used to both monitor the babies heart beat and the mother’s contractions. Also it can allow for security real time messaging between the doctor and the mother. Apparently I’m not the only one that things this is huge, their website crashed from all the traffic after the announcement. It’s going to be really interesting to see how health care evolves with the current evolution of wireless devices.


I recently attended a talk by Dr. Rafael Grossman on the use of Google Glass.  Dr. Rafael Grossmann was the first surgeon to use Google Glass during a live surgery and has been giving talks in it’s possible application in regards to tele-medicine (remote surgeries), m-health, etc.  There are many interviews and talks he has given on on the subject.  Towards the end there were questions in regards to how it could be used to integrate with the Electronic Medical Record, demos by different companies coming up with applications for it and of course HIPAA concerns in regards to the use of it.  Amusingly the following talk was by an attorney who while fascinated with the possible applications expressed many legal concerns, especially in regards to concerns with RemoteScribing.

Regardless, this got me thinking about possible applications in the Immunization Registry world and integrating in with EMRs.  I don’t feel technology should be used for the sake of technology, but rather in cases where it can lead to increased productivity and better data quality.

One are I thought of was the inventory management.  Often the vials/boxes are manually entered into the system.  Some people have started down the down of using hand-held bar code scanners, I would assume others have looked into turning smart phones into these scanners but I would assume they ran into similar issues as me with some of those bar codes being so small there are hard to reliably scan, to the point of it being quicker to enter by hand.  But what if the device you were wearing on your head was able to to scan the bar code.  Literally speak to Google Glass ‘Add Inventory’ and scan in the code.  No device to carry about, no manual entry.  Quicker, faster, less prone to errors.

This could of course be extended to when you are administering a vaccination, simply look at the code on the vial to associate it to the current vaccination.

Another possible application I thought was something similar to the lines of what Google Now does.  Let’s you know everything going on now, or things you might have doing on.  For example, notifications for what is going on now.  I have 3 vaccinations that need administered, perhaps I need to reconcile my inventory, HL7 has an unusually high number of errors.  In other words things that could lead to less time at the computer and more time facing the patient.  In theory, that should lead to being able to see more patients a day and hopefully less data entry errors.

It’s all forward thinking type stuff, obviously in the last of Immunization Registries it isn’t as critical to have the latest and greatest technology, but starting at the EMR level things that can lead to quicker and more accurate data can lead to better quality data being sent to our registry and that is certainly interesting to think about.