I know for a fact that there a groups that still talk about these “facts”. Specifically a large national chiropractic care chain that literally teaches anti-vaccination classes. The scary part is a lot of these are educated people, unfortunately fear and uncertainty can be powerful weapons.
“The outbreak has left public health officials frustrated because fewer than half of the nearly 20,000 undergraduate students they’d hoped to vaccinate have gotten the first dose of the vaccine. It’s offered in two or three dose courses and you’re not fully immunized unless you take the full course.”
Just a reminder of why we need to do our job properly. This article reminds me a bit of the Google Glass talk where one of the things doctor’s discussed liking was they didn’t have to turn away from their patient and lose that personal contact. Obviously using a tablet helps, but a good intuitive UI is just as important as the functionality being provided from a productivity point of view.
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.