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Coding - Hospital Admissions and Asthma Codes from Medical Economics

http://www.memag.com/memag/article/articleDetail.jsp?id=312268&ref=25
Q. I discharged a patient from the hospital and had to readmit him the next day. Should I code for the second admission service?
Q. When reporting an asthma diagnosis, do I need a fifth digit?
Topic are covered at the link above.

3D effect with XP and with Vista too

I found this nice application that allows me to flatten the windows instead of moving them to to the tray. Works well with any pc and even nicer with a tablet. Very interesting when used with an EMR. Some programs, such as ITunes windows may not function, but most of the standard Windows will flatten and you can move the windows around as well. Also, it could provide some interesting possibilities with radiology working with images and having several moving images on the screen at once for easy access and moving images around.


Here is a link to a site where you can download...
http://samanathon.com/2007/03/20/madotate-a-lite-weight-3d-windows-application/

First Oral Once-Daily Mesalamine For Ulcerative Colitis: LIALDA Available Now

http://www.medicalnewstoday.com/medicalnews.php?newsid=65634&nfid=rssfeeds
LIALDA is available to patients by prescription for oral administration in dosages of 2.4 g/day and 4.8 g/day, allowing patients to take as few as two tablets once daily. Other currently available mesalamines require three to four times daily dosing and six to 16 pills a day. A study found that patients who are not compliant with their mesalamine medications have a five-fold greater risk of disease flares, a serious worsening of symptoms, than compliant patients.

Potential Non-Surgical Repair Technology To Replace Spinal Fusion

http://www.medicalnewstoday.com/medicalnews.php?newsid=65617&nfid=rssfeeds

Scientists at The University of Manchester believe injections of tiny sponge-like particles could provide an alternative to major surgery in the treatment of chronic lower back pain.
Dr Brian Saunders from The School of Materials and Professor Tony Freemont from The Faculty of Medical and Human Sciences have developed tiny gel particles that swell and stiffen when injected into a damaged area.

Newark Airport - retail medical clinic at Terminal C

http://biz.yahoo.com/bw/070321/20070321005237.html?.v=1

Conveniently located in Terminal C at Newark Liberty International Airport, Harmony Pharmacy will redefine America's retail drugstore shopping experience. From dispensing prescriptions to offering access to an on-site nurse practitioner to providing an exceptional shopping experience, Harmony Pharmacy is bringing together the best aspects of a traditional European pharmacy coupled with a service focused staff to reach today's busy traveler. In addition, Harmony Pharmacy will offer a broad array of preventative assistance and screening services, such as flu shots, vaccinations and examinations.

Sahara Tablet from Tablet Kiosk - great video presentation

Sahara Tablet PC video from Hugo Ortega...he does a nice job in reviewing the tablet. This is the one I use every day for my own business. The Sahara and EO are my 2 everyday companions as I need to be mobile every day. BD

Bionic hand with can-crushing grip

http://www.pinktentacle.com/2007/03/bionic-hand-with-can-crushing-grip/
From Engadget that links to the story above...
A team of researchers from the Tokyo Institute of Technology (TIT) claim to have developed the world’s first electromechanical prosthetic hand with a grip strong enough to crush an empty beverage can.
This bionic hand weighs a little more than 300 grams and has a grip strength of around 15 kg (33 lbs), which is about half that of the average adult male. The hand also features four quick, nimble fingers that take as little as 1 second to flex and extend. When used in combination with the hand’s opposable thumb, each finger can deftly pinch and pick up small objects of various shapes.

Zoom it for Presentations - Tablets or Desktops

I saw this tool at a recent MSDN presentation. The inking works well with a tablet and allows you to draw on the screen on the current application and then once disabled, it goes back to normal program functions. The zoom is nice too when projecting to a larger screen.
ZoomIt is screen zoom and annotation tool for technical presentations that include application demonstrations. ZoomIt runs unobtrusively in the tray and activates with customizable hotkeys to zoom in on an area of the screen, move around while zoomed, and draw on the zoomed image. I wrote ZoomIt to fit my specific needs and use it in all my presentations.
http://www.microsoft.com/technet/sysinternals/utilities/zoomit.mspx

New look for Cell Phones with Windows Mobile 6

http://www.mobilitysite.com/2007/03/gigabyte_gsmart_wm6_eye_candy.php



Today's Eye Candy is brought to you by AkihabaraNews. These two Gigibyte devices are running Windows Mobile 6. These are expected to see the light in April.

From Medical Economics - good article on secuirty with patient data and suggestions on how to implement security

http://www.memag.com/memag/article/articleDetail.jsp?id=312270&ref=25
Security has to be a top priority today with medical records. This article offers some common sense suggestions on how to lock down your data. It is much more difficult to obtain records from a server for the most part. If you are a physician using a portable device, make sure you have a password in place if the device does not have fingerprint identity hardware. BD
Jumbo breaches in computer security also plague the rest of society, but when the wrong eyes are looking at your medical history as well as your Social Security number, there's even more cause for angst. And healthcare IT has had plenty of scary mishaps besides the one in Oregon over the last 12 months:

California Hospital Ratings - Consumer Page to Review Hospitals in California

http://www.calhospitalcompare.org/
A Service of the California HealthCare Foundation....if the hospital has chosen to participate, information can be found here...BD
Some hospitals provide better care than others. This site rates quality of care, patient satisfaction, and safety measures for hospitals in your area.
The 209 hospitals rated on this site account for 70% of all hospital admissions in California and the conditions and procedures rated (heart attack, heart failure, heart bypass surgery, pneumonia, and maternity) are the five most common reasons for being admitted to a hospital. Other conditions and measures will be included in future updates to this site.

Electronic Nerve Stimulator Enables Walking

http://www.curespinalcordinjury.com/electronic-nerve-stimulator-enables-walking

For those of us at the AAAS meeting, nothing was more impressive than the demonstration given by Jennifer French. She's not a scientist. She's a young woman sitting in a wheelchair, paralyzed from a snowboarding accident. She presses a button on a control box strapped to her waist ... and then she stands up.
Sooner or later, it seems, most everything imagined in science fiction comes true. From flying in space to talking on a telephone without wires, today's science increasingly resembles yesterday's fiction. And that's becoming more and more true in medicine.

Einstein Philadelphia Pioneers Use Of Technology To Ease Stress Of Medical Emergencies

Registration in the program is fast, secure and free. Area residents simply call 1-800-EINSTEIN or visit http://www.einstein.edu/prereg where they will voluntarily provide as much relevant information (name, primary care physician, insurance information, etc.) as they want about themselves and any family members they wish to enroll. Einstein logs this information and sends them special ID tags that can be carried in their wallet or on a key chain. If they ever have a need to visit the Elkins Park ER, the card is scanned and their information automatically entered, saving the patient valuable time and avoiding extra paperwork in an actual emergency.

Patient information is 100 percent secure, because the ID cards contain no personal information and can only be scanned at the Einstein at Elkins Park Emergency Department. If the ID tag is ever lost, the participant need only call Einstein for a replacement.

Picture from Medical Gadgets...
http://www.medgadget.com/archives/2007/03/einstein_helps.html

The Devil Wears Prada - Microsoft Spoof

They are always connected here.using Windows Mobile Technology and a few other goodies...BD

Can you read this prescription???

I ran across this article at the Kevin MD blog and a picture just paints 1000 words! This is a real good reason for E-Prescribing. This post was made by a pharmacist and he's actually taking guesses on his site for 2 more and will post the answers tomorrow. It takes valuable time from staff and MDs to have to sit on the phone to ensure the correct medication is dispensed. Good time to maybe look at signing up for the FREE E-PRESCRIBING INITIATIVE.

http://onthepharm.net/2007/03/can-you-read-these-prescriptions.html
http://www.nationalerx.com/

Skype Rolling Out PayPal Service

Skype announced Tuesday that the popular Voice over Internet Protocol (VoIP) service would soon allow PayPal payments, further opening the service for business transactions.
http://news.yahoo.com/s/nf/20070321/tc_nf/50904
If you are not familiar with Skype, you can read more here:
http://www.skype.com/download/skype/windows/business.html

Also, there are many additional add ons. I currently use the Skype Office Toolbar and it includes a PayPal link, whereby you can send payments. So why have I included this information on Skype? If you have patients/clients who are not set up with credit cards or debit cards, this is another way you can collect payments! You can also set up a video conference with a web cam with a patient.

Then there is the standard voice over IP features where you can use your PC for phone calls, free anywhere in the world to other Skype members and for a small fee, you can call telephones from the software.
http://www.skype.com/download/skypeofficetoolbar/
https://www.paypal.com/
http://www.skype.com/products/controlpanel/

UCI on probation again

http://www.ocregister.com/ocregister/homepage/abox/article_1624975.php

UCI Medical Center, which in recent years has run afoul of state and federal regulators for a number of missteps, confirmed Monday that the hospital's Radiation Oncology department is on probation.
The Accreditation Council for Graduate Medical Education sanctioned the department in January for failing to meet the council's requirements in an on-site review conducted in May 2006. While neither the hospital nor the accreditation group would discuss specific reasons for the probation, the council evaluates all residency programs for their quality of training and leadership.

From UMPC Portal - Tablet Kiosk Power Bank

http://www.umpcportal.com/modules/news/article.php?storyid=429
DO YOU NEED 10 HOURS OF PORTABLE BATTERY LIFE?
This is a new product from Tablet Kiosk that can be used with not only the products from Tablet Kiosk, but other units as well.

Is there another Ultra Mobile PC package in the world that can run for 10 hours, weighs under 1.5KG and costs under $1200? Just under 10 hours ago I plugged the TabletKiosk MP3400 Powerbank into the fully charged Kohjinsha SA1 and its just shut down. That's 9hrs and 45 minutes of disk thrashing, movie playing, 100% CPU, WiFi-connected mobile goodness. (No easy tests here!) Without the movie playing or WiFi, I would get about 11 hours life.

More information at the Tablet Kiosk Site:
http://www.tabletkiosk.com/tkstore/pc/viewPrd.asp?idcategory=19&idproduct=176

Ever wonder what students are doing with Tablet PCs?

This is a great site to see how students are making use of tablet pcs, doing everything from taking notes in class to downloading digital books. I visit the site from time to time myself and pick up hints and suggestions as well. The page is unique in the fact that it is all supported by students. They know exactly what they are doing with tablet pcs and with one look at the site, you'll understand. This group has definitely figured out what it is all about and how having everything together really makes a huge difference, they post many how to pages. The group also is very active in using MS Office One Note and they offer all types of hints and even some student oriented templates for use. The site is so good that it earned Tracie a Microsoft MVP title.
http://studenttabletpc.com/beginners_guide/

Welcome to The Student Tablet PC! If you are here, you are likely considering a Tablet PC or you already own one and want to maximize your experience. The following will serve as a rough guide to help you explore some of what a Tablet PC can offer.
(For any term you’re not familiar with, please take a look at our Glossary)
We do cater to students, as we are students ourselves, but the information here relates to anyone who is interested in Tablet PCs and wants to manage information more effectively.

Medical site is on a mission to set records

Practice Fusion, free web based EMR - well the jury is still out on this one. From my own perspective in creating an EMR, real estate is something all software developers deal with, in other words getting the maximum amount of information available on a page and it never seems to be enough, and the ads would appear to add to this issue. In dealing with many MDs, one of the most annoying issues is having to constantly click to view additional information and add chart data. You could opt for no ads, but then the price is no longer free. In addition, profiling will be enabled as well, minus patient name, etc. so where does all this information go as well? The free version will be full of pharma and insurance ads as well. Interesting concept and it will be interesting to see how the product advances through time. As the information is available now, there seems to be just too many unanswered issues to create a concise review. BD
http://www.sfgate.com/cgi-bin/article.cgi?file=/chronicle/archive/2007/03/16/BUG9OOM1FJ1.DTL&type=printable

In addition to a medical records system, Practice Fusion offers practice-management tools, such as billing systems. It says that by partnering with Google's AdSense network, the company can cover the cost of its services.
Practice Fusion is not the only company offering Internet-based medical-record systems. "We just happened to find a way to subsidize the cost of it," said Ryan Howard, the company's chief executive officer.
Advertising will be discreet -- no pop-ups -- and keywords are limited to a patient's condition, diagnosis or treatment. Practice Fusion says it complies with all federal privacy laws and will protect patient data, Howard said.
Practice Fusion will provide advertisers with basic demographic information about the physicians who view the ads -- such as their city and specialty -- but will not reveal names.
Pharmaceutical companies interested in having their ads viewed by a captive physician audience are expected to be the primary advertising clients. But Howard says the model will also appeal to insurance companies and other health-related firms and services.

NewYork-Presbyterian Hospital Selects Microsoft’s Azyxxi Solution for Its Enterprise Operations

http://www.microsoft.com/presspass/press/2007/mar07/03-19MSNYPHPR.mspx
Microsoft will support the implementation of the software in an agreement with NewYork-Presbyterian, which will serve as a development partner. The hospital will use the implementation to focus on applications that enable its clinicians to practice better medicine, that achieve truly integrated reporting across the enterprise, and that advance its organizational goal of being one of the nation’s top hospitals based on quality measures. The facility has more than 2,335 beds and 5,000 physicians, and serves a population of more than 6 million people in the New York City tri-state area.

Tablet Kiosk - new EO Tuf Tab UMPC V7112 XT

This is a great looking UMPC. You should be able to order on the website shortly. I do like the new biometric finger print reader too!
Also look for the new Sahara Tuftab for those wanting a full size tablet. Both are water, shock and dust resistant. We don't have a picture yet for the Sahara, but will include one as soon as one is available.



Here are some of the features at a glance.
eo TufTab™ v7112XT Fast Facts:
Processor: VIA C7-M® ULV, 1.2 GHz, 5W, 400MHz FSB
Memory 1.0 GB DDR2 SDRAM
Hard Drive: 40 GB,1.8” IDE Ultra DMA PATA HDD
Operating System: Microsoft Windows Vista™ Business, Windows® XP Tablet Edition or SUSE Linux
Display: 7” LCD sunlight viewable touch screen (80 gram sensitivity)
Expansion: 1x PCMCIA 2.1 Type II 32-bit PC Card Slot
Wireless: 802.11 b/g networking / Bluetooth® 2.0
I/O: 1 x USB 2.0
1 x SD-IO/MMC
1 x Headphone jack, Built-in Stereo Microphone
1 x HD15 VGA (Dual Screen Support)
1 x 10/100 Mbps Full Duplex 32-bit Ethernet (RJ45)
Digital camera
Security: Biometric Fingerprint Reader
Weight: 1.97 lbs (895 grams) with standard 4-cell battery
Dimensions: 206 x 135 x 29 mm (8.1” x 5.31” x 1.14”)
Ratings: IP53 compliant for resistance to water and dust; Shock/ Drop/ Vibration: 75cm

Medication Costs: The Role Physicians Play with Their Senior Patients

Until there is a full integrated solution, there are a few links on this site to give some helpful information regarding discounted or $4.00 prescription prices at retailers. I use these too! I need help as well as the seniors with prescription costs. Sometimes this can mean the difference of whether or not the patient can afford the prescription. Not to fault the physicians either here as this is a new thought process to be considered and included with the office visit. They know what works and when patient flow is heavy, may not think about the lower cost alternatives if one is available for treatment. It's also a good idea for us, the patient, to be aware of these facts so as not to put the entire burden on the physician too, so we have teamwork. I have spoken with some senior groups and I always make sure I take time to cover this topic so they too are in the know.
http://www.medscape.com/viewarticle/553368_print(may require log in)
A cross-sectional, random sample of 1,200 internal medicine and family practice physicians in California, selected from the American Medical Association (AMA) Masterfile list, were mailed self-administered questionnaires.
Physicians need resource guides to assist with rapid and up-to-date access to health plan formularies, discount programs, and the least-expensive therapeutic alternatives to assist them with cost-reducing strategies and cost-effective prescribing. An integrated e-prescribing system is one example of how a healthcare system could assist physicians with this challenging and often confusing task.[27] A tool to assist physicians in prospectively identifying seniors at high risk for financial burden due to out-of-pocket medication costs may prompt clinicians to take the time to discuss medication costs and possibly prevent detrimental cost-reducing strategies such as skipping or spacing out medications when seniors cannot afford their medication.

Robotic brace aids stroke recovery

Robotics on the move for better health care, good article about how robotics in the health industry are working for us. BD
http://web.mit.edu/newsoffice/2007/brace.html
The device--which sensed Fermental's electrical muscle activity and provided power assistance to facilitate her movements--also altered her brain.

Following a stroke, the destruction of brain cells leads to loss of motor function. With painstakingly repetitive exercise therapy, other neurons can take over some of the lost function. Devices such as the MIT-developed robotic brace can help people exploit their neural plasticity--the increasingly recognized ability of the brain to rewire itself in response to experience and training.


WalMart Health Issues Phoenix, AZ

http://ktar.com/?nid=6&sid=422585


A health inspector said he found mouse droppings at a Valley Wal-Mart on Monday after shoppers reported seeing rodents in a bakery case.

Windows Smart Phones and Pocket PCs

Are you looking for a new Cell Phone? If you are mobile and rely on your contacts stored in your phone, why depend on the software from the phone. Upgrade to a Windows Mobile unit. With synchronizing contacts with Outlook, you will never have to worry about storing information with a sim card or on the phone itself, plus all contacts will have much more information available. Synch with 2 PCs and always have a back up of your valuable contacts.
Voice commands to dial numbers works like a charm.

http://www.microsoft.com/windowsmobile/gettingstarted/default.mspx


http://www.microsoft.com/windowsmobile/microsoftprograms/outlookmobile.mspx


Training - Use it or Lose It - Best ROI for the money

If you are not taking advantage of software training today, you are in fact helping to sink health care IT. This is a subject dear to my heart in the fact that I see this every day.

As the world is rapidly changing around us and IT continues to grow at a rapid rate, training seems to be the last issue at heart, when in fact it should be number one. In some areas, the software is very inexpensive, however, the training costs can be quadruple the cost of the software itself.

After spending a large amount of time on selecting the software to work in your organization, don’t skimp on training, or you will end up with users not utilizing new procedures and not have a successful implementation, and the bottom line will not allow for a good ROI for your time and efforts.

In my travels, I see this frequently, even with staff not even using Microsoft Office to it’s fullest, or not knowing which product to use to create the type of document they desire and time after time, it takes up much more time than necessary to either re-create the document in another format, or in many instances, the data may not be re-useable in other areas.

Most are familiar with MS Word and see it as the answer to all their needs, when in fact, there are better and more efficient solutions right at hand and basic training on MS Office would allow one to perhaps use another solution for the information they want to create. MS Word is not a data base, but is a word processing program, not made to store data in re-useable tables and requires human manipulation to transfer non ASCII text into other software. Word can be used in conjunction with other software to provide user templates though and the data is still stored elsewhere, thus the information created can be easily re-created at any time. Think about this the next time you go to open Word, is there a better way to work more efficiently?

When introducing an EMR to an office, the basic understanding of MS Office is a real plus as well, as most software will export to either Word or Excel formats or many beyond this. Are you doing a mailing list, then Excel would be a better choice if this information is to be re-created and use in other software. Are you doing a presentation, perhaps Power Point would be the better solution rather than trying to do this with Word.

In summary, DON’T CUT YOURSELF AND VALUED STAFF SHORT ON TRAINING WHEN IT IS AVAILABLE. You can have the best and most proficient software installed, but if management and staff are not equally proficient, you may have wasted a whole bunch of money on software that will do the job for you, but the staff has not a clue on how to maximize the software to it’s fullest potential, thus you end up with staff and management taking up to 4 times the amount of time to complete the same task, whereby a trained staff could accomplish the same thing in a minimal amount of time.

Also, use software that is secure when needed, and avoid storing information in unsecured Word and other document formats if privacy implications are there. Don’t be another statistic in the “lost information” headlines. Use software wisely and store this type of information where it belongs, in the software, not with unsecured documents that also require a lot of disk storage areas. Your software program will also back this up for you too, unlike having to store a file of documents and it can be reproduced again at any time. With security as it is today, it is just way to risky to rely on unsecured documents for storing information with privacy implications.

Put the shoe on the other foot for a moment and think of the information being stored without security being yours, now that's a scary thought. Nobody wants to purposely expose information that shouldn't be out there for those that are less than honest. Think of the implications this creates for others having to do all the legwork to clean up an identity after it has been compromised. I hope that I never have to face this or be the cause of someone else having to do the same if it was easily preventable by having enough training in how to handle documents, software and a basic knowledge of security.

Medical Education Technologies - Patient Simulators

Interesting training site with using both adult and baby mannequins...and full training courses available....BD
http://www.meti.com/Product_HPS.html
Meet Stan (Standard Man), the Man who saves more lives.
At every level of patient care, hands-on experience is the best teacher. The Human Patient Simulator (HPS) – a computer-model-driven, full-sized mannequin – delivers that experience in true-to-life scenarios that swiftly change to meet instructors’ goals. The ultra sophisticated and highly versatile HPS blinks, speaks and breathes, has a heartbeat and a pulse, and accurately mirrors human responses to such procedures as CPR, intravenous medication, intubation, ventilation, and catheterization.


Forensic Data Recovery - Be Aware it does exist in places you might not even think of

More and more we see this technology being used, not only in law enforcement areas, but this site has several medical stories included. We read so many stories about data recovery and loss in the news today. If you think you have destroyed your data for good, think twice as companies like this one sure make a good living at data recovery. BD


http://www.krollontrack.com/

Say Ah! to Windows Mobile

Check out information available for your PDA/Cell Phone here. BD
http://www.microsoft.com/windowsmobile/articles/medical.mspx

While they may not be as common as a stethoscope or a tongue depressor, Windows Mobile powered devices are becoming vital tools for doctors and nurses.
Many drug and disease databases are now available electronically, and Pocket PCs certainly are much easier to carry around than thick reference books.
There are also plenty of medical software packages to choose from, regardless of your medical specialty.

Alive Diabetes Management System

Interesting to see how the glucose meter works with a cell phone to transmit results. BD
The Alive Diabetes Management System utilises the latest advances in technology to provide an affordable solution which meets the need for improved disease management and care planning. The system uses Bluetooth, GPRS, and SMS wireless technologies.
http://www.alivetec.com/products.htm

Live Surgeries on line - Register to receive CME Credit for Physicians

http://video.google.com/videoplay?docid=6390446192795481593&q=da+vinci+pediatric
This is a long video that shows actual robotics surgery at Children's Hospital in Boston from You Tube. There are additional live surgeries at OR Live and links to upcoming events have been added to the blog on the left hand side for future reference.

http://www.or-live.com/

OR Live also offers RSS Feeds. Why use RSS Feeds? Upcoming events are automatically received in preview format for registration purposes without having to re-visit the site.
Here is another site, Hartford Hospital, as an example with an upcoming event, available for CME credit.
http://www.or-live.com/Hartfordhospital/1619/index.cfm?r=orlive
If you have ITunes, the videos can be downloaded to view at your convenience as well as sending to an IPOD.

A Better Artificial Skin

http://www.technologyreview.com/Biotech/18059/
Over the past decade, artificial-skin products--made from scaffolds of collagen, the molecule that gives skin its structure and elasticity--have drastically improved burn victims' chances of survival. Large sheets of the flexible mesh placed over open wounds encourage growth of new dermis, the bottom layer of skin, which does not regenerate under normal circumstances. Surgeons can then transplant small pieces of the patient's epidermis, the top layer of skin, which grows and spreads over the newly grown dermis.

Typical Annual Salary for Family Practice MD $75,000.00 in Connecticut

I think the title here says it all - why we are facing a shortage of Primary Practice physicians. Also, this reinstates the need for "affordable" EMRs and technology for many to convert to paperless and continue to practice. BD
http://www.courant.com/news/opinion/commentary/hc-commentarydoctors0318.artmar18,0,6179078.story?coll=hc-headlines-commentary

Each year, it's harder for Volpintesta to stay in business. His malpractice insurance costs $15,000. His annual salary is $75,000. That's not a typo - it's fairly typical for a primary care physician in Connecticut. For the record, Volpintesta plans to drive his 5-year-old Toyota until it stops running.
Government hasn't done them any favors lately. Medicare reimbursements have been frozen since 2004, and a 10 percent cut is expected in 2008 - a $96 million decrease for Connecticut, according to analysts at the American Medical Association.
Medicaid reimbursements are also so low that the Department of Social Services recently found that only one in four Medicaid patients can obtain an appointment with a physician.
Five years ago, a family physician would have received $56 for that visit. Today, he receives $46. If he performed 1,500 of these evaluations a year, a physician like Volpintesta would have lost $14,600 - and that figure covers just one of hundreds of thousands of medical billing codes.

Rugged UMPC from Tablet Kiosk to be released soon

As you all know from reading this blog, I am a big fan of the products from Tablet Kiosk. Coming soon is the latest released of a "ruggedized" UMPC. It still has some of the same familiarity of their current products. By adding a card reader for example, a restaurant worker could easily become mobile by entering orders and running a credit card for payment while still in the view of the customer. From the health care side of things, the unit could also be used to enter chart data and have the potential of adding patient data simply by swiping a patient's insurance card or personal health record card to add the information to a medical record, which would mean no longer having to fill out all those "paper" forms we all see in most practices and hate to write the same information over and over. Tablet PCs and UMPCs are really the ideal tool to bring paperless records to the forefront. Something along this line also saves valuable staff and physician time in not having to enter the hand written information from the paper to chart as well. It's a win-win for all.

Wal-Marts Linda Dillman Talks About Changing the Health Care System

Interesting article with WalMart executive vice president of risk management and former CIO. In this interview many topics are covered including their involvement in Dossia, the personal health record program initiated by several large employers. Walmart as well as Intel are the founding members of the initiative. She also discusses the involvement of the retail clinics in the full scenario. BD
http://www.workforceonline.com/section/09/feature/24/81/12/index.html
As CIO, Dillman led Wal-Mart’s embrace of radio-frequency identification (RFID) tags, which use wireless bar-code technology to track products from factories in China to store shelves around the globe. Now, the use of RFID is standard in the industry—and just about everywhere else.
WM: How soon after talking to Intel chairman Craig Barrett did you give the OK to join Dossia?
Dillman: We knew we were interested. You go through an initial interest level, which was actually pretty quick. And then work through all the logistics. So it was probably three or four months.
WM: What does Wal-Mart bring to Dossia?
Dillman: We’ve got a pretty good track record for being able to use technology. We’ve built large data warehouses. We’ve deployed to a large number of people, specifically. Our associate base uses a lot of technology every day, so we kind of know how to do that.
Dillman: Dossia is meant to be the framework that personal health records, that are customer-facing, and electronic health records, that are provider-facing—they all can connect to this framework. Dossia is not trying to create the software that others are going to go use. But whatever anybody creates will have the ability to connect to this to get all the information. Having said that, all of our [health] clinic providers have their own information systems that they use to manage their clinics. Most are already using electronic health records. Of course, we’d like for their system to connect to Dossia so when [customers] come in they can have an entire record.
More information on Dossia here:
http://www.dossia.org/index.html