Oncology EHR

Promoting Quality & Safety in Oncology Electronic Health Records

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We use Fujitsu tablets for all MDs, RN and MA. We are wireless but do have port replicators at our desks where we can dock our tablets with the LAN line which is faster for downloaded images for review. We have been using tablets now for 5 years and couldn't do without them.

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I use a Motion C5 (1st Gen Intel Core 1.2 GHz processor with 1.5 GB RAM) tablet when I round in 2 hospitals, & find it very helpful interacting with each hospitals EHR (both Cerner variants). I'm currently leasing, & have the desktop set up so I can access each EHR quickly without having to log in repeatedly using Omnipass & Stardock. I also use SIgnUp Shield, which was Editors' Choice at PC Magazine. I find this all makes me much more efficient when I'm covering, & brings the EHR right to the bedside. I dictate my progress notes & consults using a Palm Treo 700p programmed to access the dictation line for the particular site I'm at & for the particular dictation I'm doing. I use a Aliph Jawbone II, which has noise cancelling technology that seems to work pretty well with the dictation service, though I've lost a few notes - not sure why. I plan to upgrade everything in the next 6 months or so, as the technology has improved.

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We have used basic Tablets but prefer having desk tops in the exam rooms and in the office.

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I believe the posts above speak to the hardware tablets that can be used in a medical practice. I beliee Kenneth Adler was asking about the Oncology Specific EMR called MDTablet that came into the Oncology market in 2008. I have just seen a demo on it and am impressed and wish to follow up more.

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Hello:

We are a 4 MD practice in heme-onc and use DNS with our tablets in Centricity PM/EMR. What software system are you using to dicate using your Treo. We would like to set up a system using our Treos or IPhones.

Marilou Terpenning MD

David M. Urbanski, M.D. said:
I use a Motion C5 (1st Gen Intel Core 1.2 GHz processor with 1.5 GB RAM) tablet when I round in 2 hospitals, & find it very helpful interacting with each hospitals EHR (both Cerner variants). I'm currently leasing, & have the desktop set up so I can access each EHR quickly without having to log in repeatedly using Omnipass & Stardock. I also use SIgnUp Shield, which was Editors' Choice at PC Magazine. I find this all makes me much more efficient when I'm covering, & brings the EHR right to the bedside. I dictate my progress notes & consults using a Palm Treo 700p programmed to access the dictation line for the particular site I'm at & for the particular dictation I'm doing. I use a Aliph Jawbone II, which has noise cancelling technology that seems to work pretty well with the dictation service, though I've lost a few notes - not sure why. I plan to upgrade everything in the next 6 months or so, as the technology has improved.

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Hi, Marylou,
I use a Palm Treo 700p, & the software is the phone application itself. I'm on Verizon, which may make a difference, but probably not. Go to the phone app, & at the bottom, you'll see Voicemail & Contacts. There's a little arrow there, so if you scroll down, you'll get into the Favorites component of the app. If you scroll to an empty Button (there are 5 pages with 14 Buttons each), and hit the menu key (bottom right-most hard button) or tap the top left of the screen, you'll see a drop-down menu - select Edit Favorites Button. Select 'Speed Dial' from the drop-down menu at the top, then fill in the Label (e.g., Hospital Consult - you don't have much room, so use your own abbreviations), the phone Number, then a Quick Key, so that you only have to press & hold a hard key to dial the number. On the bottom right, tap on 'More', which takes you to 'More Options'. Add pauses using a comma (you'll have to play around with how long the pauses are, more commas = longer pause), and the number codes that access the dictation system, your Physician ID, & the work type for that particular hospital. You'll have to add the Patient ID manually at the time of dictation. Tap 'Dial Extra Digits automatically', tap OK twice to close the editing functions, & you should be all set. If you have any problems, there's an Info button on the top right of the screen that will guide you through the process. I don't have a iPhone, but this is a pretty standard function for phones. This can GREATLY reduce the grief of entereing multiple numbers when you dictate, thus reducing the chance of errors. Hope this helps!

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Thanks. You are a true find! I will work on this with my partners. Are you able to dictate directly into your office EHR? It sounds like you dictate using your Treo into the dictation systems of your hospitals. I don't catch how you are dictating into office notes unless you are dictating to a dial in transcription service then when you receive the transcription back having a staff member get it into the EHR.

Marilou

David M. Urbanski, M.D. said:
Hi, Marylou,
I use a Palm Treo 700p, & the software is the phone application itself. I'm on Verizon, which may make a difference, but probably not. Go to the phone app, & at the bottom, you'll see Voicemail & Contacts. There's a little arrow there, so if you scroll down, you'll get into the Favorites component of the app. If you scroll to an empty Button (there are 5 pages with 14 Buttons each), and hit the menu key (bottom right-most hard button) or tap the top left of the screen, you'll see a drop-down menu - select Edit Favorites Button. Select 'Speed Dial' from the drop-down menu at the top, then fill in the Label (e.g., Hospital Consult - you don't have much room, so use your own abbreviations), the phone Number, then a Quick Key, so that you only have to press & hold a hard key to dial the number. On the bottom right, tap on 'More', which takes you to 'More Options'. Add pauses using a comma (you'll have to play around with how long the pauses are, more commas = longer pause), and the number codes that access the dictation system, your Physician ID, & the work type for that particular hospital. You'll have to add the Patient ID manually at the time of dictation. Tap 'Dial Extra Digits automatically', tap OK twice to close the editing functions, & you should be all set. If you have any problems, there's an Info button on the top right of the screen that will guide you through the process. I don't have a iPhone, but this is a pretty standard function for phones. This can GREATLY reduce the grief of entereing multiple numbers when you dictate, thus reducing the chance of errors. Hope this helps!

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