Tag Archives: medical grade computers

medical computers and emr certification

How EMR Software Upgrades Can Drive Computer Hardware Updates

The demand for computer capability has increased because of encroaching software complexity; we can no longer use clunky, old hardware to help our doctors and nurses complete an entire hospital shift. It’s not just a matter of how slow a process might run on a medical computer, but rather if a computer is compatible with software in question and how physicians interact with the computers. One of the reasons aging computers put restraints on the workflow for a hospital is because of increasing software demands, so here are several ways that software may drive the necessary upgrade in hardware.

Medical Computers are Popular for Multitasking

Computers don’t always serve just one purpose—multitasking is a commonplace activity, so what’s required is enough memory in order to support the concurrent programs they run simultaneously. Not enough RAM will turn any computer sluggish—multitasking and load time will suffer. It isn’t always easy to install more after deployment depending on the system. Some are sealed shut to prevent ingress, and so installing RAM may damage the internal components. Or, if the person installing RAM isn’t careful, the entire computer could receive electrostatic discharge turning it into a nice paperweight. The best way to address this problem is ensuring each computer in a deployment has more RAM than the minimum to run a particular software product. It’s a good idea to install the recommended level of RAM or go beyond what’s recommended. Thankfully, a lot of medical computers have customization options to choose how much RAM should be installed into the system before deployment.

EMR Systems Need Processing Power

If your EMR system is running sluggish, it’s time to upgrade. Most likely it’s a problem of an aged processor that can’t handle the number of Floating Point Operations Per Second (FLOPS), one measurement among many to determine the speed of a processor. Imagine all the frustrated doctors and nurses waiting to open a patient’s chart  while the computer cycles for several minutes just to display information. With the wide processor availability on the market, it can be a little confusing on what to select for a processor. Computers with Epic certification often run 6th generation Intel Skylake processors, common CPUs for a lot of Epic’s more complex modules. Medical staff can rest assured that the processor can handle software modules with ease and won’t suffer from excessive load times or computer hang-ups.

EMR Software Modules Utilize Touch Screen

A computer’s internal components aren’t the only factor in running a software product optimally. The way a doctor, nurse, or staff member interfaces with the software is also important. Imagine installing a VESA mountable computer only to find there’s no surface for using a keyboard or mouse and the computer isn’t touch-screen enabled! Touch screen functionality is important because it frees up the hands and removes the need for a physical keyboard if there’s no space for one. Plus, some EMR software products are only compatible with screens that are 24 inches diagonally in order to display all patient information. Computers with Epic certification are typically 24 inches or wider because of the visual aspect ratio for Epic; anything smaller and the software won’t run optimally—or at all.

Dedicated Video is a Must for some EMR Software

Surgeons using EMR software to give them instant video feedback—take an endoscopy for example—can’t use unclear, low-definition, choppy video to perform successful operations on patients. Upgrading to a surgical display equipped with a dedicated NVIDIA card is best for surgeons so they’re able to see in real-time what they’re doing as they perform on patients. Integrated video cards don’t provide that level of sophistication, so they pale in comparison to what a surgical display might provide.

Increased Software Security Means Increased Hardware Security

HIPAA violations are no laughing matter, and EMR software is developed with security in mind to prevent those violations. However, the software here dictates the requirements for hardware. Without a Trusted Platform Module (TPM), patient data is at a greater risk. TPMs encrypt patient information so drives can’t be pulled out of a medical computer and installed into a different computer, adding a layer of protection to sensitive information.

At Cybernet, we work with our partners to understand the complex challenges that healthcare IT professionals face on a daily basis. Because of that, we have engineered a full line of medical grade computers specifically engineered for multiple hospital and healthcare applications. For more information you can check out our website or contact us here.

 

medical computers and their role with patient engagement in telehealth

Here’s How Telehealth is Revolutionizing the Way We Practice Healthcare

Telehealth is a topic under heavy study because it’s extremely effective at reducing time and streamlining processes for medical care. It’s a complex umbrella term that addresses physician to patient interaction, how medical records are viewed and delivered, physician care and outreach, patient infotainment systems, and other important factors. One key aspect of telehealth is patient engagement technology which we are seeing improve over time with the rise of smaller, faster medical computers. Here are some ways patient engagement technology is changing telehealth and making healthcare more convenient for everyone.

Virtual Appointments are a Reality with Medical Computers

Online videoconferencing is the first telehealth innovation that comes to mind. It’s still a common practice for people to schedule appointments months in advance for an initial diagnosis and then follow-up appointments to treat or cure an ailment. If a patient needs information from a nurse, it still requires an appointment, more waiting, travel, another waiting room, etc. With the rise of telehealth, patients are able to skip waiting rooms and connect with a doctor or nurse via videoconference with a computer in nursing. If live appointments aren’t available, patients can still leave video messages and possibly show progress of a medicine’s effect. Nurses can hold “question and answer” sessions to keep patients informed and use visual aids to help patients understand their health complications. Plus, medical records can be updated on-the-fly using EMR software, streamlining the process from patient feedback to updating medical records. Growing advancements in this field have strengthened the interconnectivity of rural areas with hospitals. According to an online source published in 2012 called The Role of Telehealth in an Evolving Health Care Environment, telehealth reduces cost and increases quality of care for patients that can’t easily access the nearest hospital. A recent dermatology study showed physicians were able to increase their patient head count by approximately 270 per month with virtual appointments. Virtual appointments are a growing trend and studies reflect it!

Online Patient Portals are More Common

Patients in rural areas don’t always have the luxury of stopping by a clinic to get medical record printouts, so now there are online patient portals dedicated to showing medical records. Patients can even take questionnaires to narrow down a medicinal recommendation from a physician, request prescription refills, look at bill and payment history, or communicate directly with nurses in an orderly system to relay information about healthcare developments. As reported from the National Coordinator for Health Information Technology, over 60 percent of hospitals let their patients view, download, and transfer their health data in 2014. It’s a real growing trend now because of technological advancements with medical computers and web-based interfaces that take the waiting process out of healthcare.

Medical Computers Have Started Remote Patient Monitoring

Patients of all types struggle with time and keeping proper records for a doctor’s evaluation. Diabetics must watch their diet and monitor their blood glucose levels to track their health records. Clinically obese individuals transfer their caloric burn rate to doctors, necessitating another appointment, more travel, and more waiting rooms. It’s the same across the board for individuals with limited lung function, insomnia, heart palpitations, dementia, and other patients with measurable results of their health problems. With the advent of telehealth, remote patient monitoring can be automated and sent to a physician almost immediately. It’s all done within the medical computer, streamlining the process of getting information to the doctors without human error introduced.  The benefits have showed in research as well. As before, the key aspect to telehealth is patient engagement, and keeping patients informed through doctors’ notes and information about their illnesses has shown increased rates of consistent medicine ingestion and other metrics. There are interactive disease management programs in the field (BeWell Mobile for instance) that let patients send their vital signs to their providers electronically with quick recommendations from their providers on what to do if their symptoms flare up. Another excellent example is called the Virtual Dental Home, a telehealth program that lets dental health professionals transfer information between each other to assist patients in remote locations.

Patient Engagement Solutions are Integrated into Hospitals

One of the most desired aspects of telehealth is connecting inpatients to their families during their (hopefully short) hospital stay. Patient infotainment systems are a standard in hospitals because hospital guests can remotely connect with anyone they desire over the internet, along with ordering food, watching movies, or calling staff when necessary. It’s part of the entire patient engagement package, ensuring patients are well-educated on their ailments so they understand their role in self-care.

These are all results of advancement in medical computer technology pushing telehealth to expand healthcare reach, cut down on waiting time, streamline communication, provide remote monitoring, increase patient engagement, connect patients remotely with doctors and family, and deliver an overall better patient care experience.

 

 

medical computer systems

3 Ways Healthcare Usage Dramatically Impacts Hardware Longevity

It’s important for medical computers to operate 24/7 since healthcare is just as demanding. Internal components do not last forever, unfortunately, and demanding uptime for computers can seriously affect the longevity of hardware. According to an analysis by the Institute of Electrical and Electronics Engineers, The FDA issued almost six thousand recalls to hardware between 2006 and 2011, with approximately 1,200 of the recalls from computer-related failures. A vast majority of those recalls affected patient health. This study alone outlines a problem that hospitals face with computer-related failures and how those have affected patients—injury or worse. The FDA monitors reports of malfunctions and other problems after their approved hardware goes into the field in order to make adjustments to their regulations, but it’s an ongoing, never-perfect process. The best that can be done with post-fielding is ensuring stricter regulations on hardware, but that doesn’t guarantee that a hospital will utilize an FDA-approved piece of hardware to monitor patient health or control a medical device. The best way to minimize adverse events and malfunctions from a computer hardware standpoint is to ensure all components in a hospital’s set of medical computer systems are used with healthcare in mind. Here’s what we mean in detail below.

Medical Computer Systems Benefit from Solid State Drives

The unseen infection is terrible for hospitals and can result in nosocomial infections, so hospitals must take all precautions possible to ward away those infections. One such precaution has to do with patient data storage. Standard platter hard drives cause problems in hospitals by circulating dust mites and airborne germs throughout the air with their moving parts. A lot of consumer-grade computers only come with one hard drive without a backup solution, so if hospitals store their patient data on a regular hard drive without redundancy or backup, that’s a risky situation from data loss and HIPAA violation standpoints. Standard platter hard drives last (according to some sources) four years on average, but that’s with standard use, not constant. A lot of medical computer systems use solid state drives that, on average, last several years longer than older hard drive technology. Why? Fewer moving parts and less dust. Typically in a sealed plastic enclosure, solid state drives in embedded PCs alleviate a hardware component’s greatest threat—dust—and don’t use moving parts to read data. Solid state drives are put to the test from manufacturing plants via rigorous read/write tests and hold up against older technology. That’s why it’s crucial to select the best components to ensure the longevity of life for a medical panel PC and to protect patient data. Plus, medical computer systems often use solid state drives in pairs for redundancy and backup, ensuring nothing is lost when a hard drive failure occurs. Use of paired solid state drives combat three problems in one—spreading of airborne illnesses and dust, better longevity because of no moving parts, and patient information backup with a second drive.

Heat in a Medical Computer System is a Terrible Component Killer

Since EMR systems receive constant software updates, it’s important to get powerful hardware (intel i7s) and strong video capability to run and view the demanding software. However, pulling a consumer-grade PC off the shelf to run as a mobile EMR system won’t operate well. Let’s say a new computer runs an intel Coffee Lake i7 8700k with 32 gigabytes of RAM and an NVIDIA GTX 1090. Great! This system is capable of running the latest software at blazing speeds. However, what’s not addressed is the power of the CPU and components. The CPU on a consumer-grade processor pulls more power, which means more heat. Without a way to dissipate heat, the processor and surrounding components can easily overheat and melt. Fans are necessary for running components at high wattage, but they are also thought of as points of failure. If a fan fails, the computer in question fails—that’s it. That’s specifically why many healthcare facilities choose to deploy fanless medical computers  which run components at much lower power ratings, usually 35 watts for the processor alone. Less power means less heat, which means higher longevity and no fans. No fans mean no dust, which means even higher longevity for computer components and less risk for patient health.

A Medical Computer System Uses Higher-Grade Components

The MTBF (Mean Time Between Failure) is considered a defining standard for hardware reliability with two “branching” standards—the Department of Defense standard and the Bellcore/Telcordia Predictive Method, the former of the two being more recognized. Consumer-grade computers by some reports have a 2-year MTBF, and it’s likely that the lifespan of such a computer may be cut short if used in a demanding environment like a hospital. If a computer needs to operate 24/7, it’s far too demanding for a consumer-grade computer to handle. Constant heat, ceaseless running fans, and excessive power draw (adding expenses to an already skyrocketing energy bill for a hospital) will guarantee a shorter lifespan than a medical computer system which is built for 24/7 operation. This lower MTBF is also on a component-based level; consumer PC manufacturers don’t use high grade discrete components (diodes, resistors, transistors, etc.) that meet the reliability standard found in medical computer systems. The lifespans for medical computer systems on the market today span typically 3-5 years.

Heat, dust, power, lower-grade components with moving parts, and other factors clearly all point to less reliability and lower longevity when using a consumer grade computer as a medical computer system. Dust is a huge internal component hazard, so it’s best to have a sealed system that doesn’t ingest it. Heat is another gigantic factor in system longevity, so keeping components operating at lower wattage ratings will increase their longevity—also removing the need for fans. Medical computers with higher-quality, military-grade components will always outlast consumer-grade computers on average, ensuring medical professionals can get the job done while avoiding computer hazards to the patient.

Understanding the Unique Requirements for Medical Computers in a Hospital Setting

Hospitals gather a large population of infected individuals in one place, so it’s difficult to keep nosocomial infections from happening. That requires different standards for hospital operation and use of equipment. One of the largest reasons for hospital beds and rooms filling up is the invisible agent—microbes and bacteria that pass on unwanted viruses and pathogens that can quickly affect a small population. Since medical computers and devices operate with patient care in mind, careful consideration of a device’s build, materials, controlling software, and other factors must pass FDA regulations and meet necessary standards. Plus, medical care is not just a “part time” task. Hospitals operate on a round-the-clock schedule—a health-related disaster can strike at a moment’s notice, especially within an intensive care unit. These specific reasons why medical computers and devices are unique to the hospital environment are examined in detail here.

Medical Computers Need Antimicrobial Housings

Medical grade computers are built with either an antimicrobial coating sprayed onto the device post production or include an antimicrobial resin mixed into the plastic housing during manufacturing. But what exactly does that mean? Antimicrobial is an umbrella term that describes a range of abilities that disinfect and ward off growth of microorganisms, often times originating from bacterial, fungal, viral, or parasitical natures. The benefit of these medical computer builds is that even with passing microbes from surface to surface, the plastic housing of these medical computers discourages microbe growth. After multiple uses from several medical professionals, a computer built with antimicrobial plastics can still help prevent the spread of germs without constant disinfection. Recent news reports detail there was a bacterial outbreak at a nationally renowned hospital that infected ten patients, thankfully none of which were fatal. The patients were infants. An online report that detailed research into an Army ICU revealed MRSA bacteria living on keyboards, a problem that could have been alleviated with antimicrobial materials. It’s clear to see why medical computers require antimicrobial housing.

Medical Grade Computers Need to Meet Standards

One might ask what kind of regulations hardware and software might need for a hospital. A lot of consumer off-the-shelf products, both hardware and software, aren’t safe for patient and medical use. Consider what the implications could be using buggy software on a medical device! For that reason there are several rules, regulations, and standards for medical devices, some set by the International Electrotechnical Commission. One of the most accepted standards is the 60601-1 electrical and radiation standard, addressing verification, design methodology, risk / safety assessment for patients and staff, and other factors. It’s not possible to determine the total number of test cases for final revisions of hardware, which is why this standard is in place. Every revision this standard goes through brings significant changes to how medical grade computers and other devices must be built, often times focusing on the medical device’s operational distance to the patient. There are three distance classifications for the standard: B, BF, and CF. Type B operates near the patient, BF makes contact with the patient, and CF makes contact with a patient’s heart. Any medical device, whether in close vicinity or making contact with the patient, must meet the standards for safety. The FDA ensures medical grade computers and devices pass these standards for the safety of patients and the professionals that use them under the 510(k) regulation, requiring that manufacturers demonstrate their product is safe. There are a number of manufacturers that claim to have medical grade products, but haven’t actually been independently tested. Be sure to do your homework before any major hardware deployment.

Hospitals Need to Operate 24/7

Hospitals need to operate on a 24/7 timeline. Fortunately, the medical grade computers in question can operate with those time demands. It’s not just a matter of having a computer that’s always on—it’s a question of the computer’s internal components and if they’re intended to be on 24/7. For instance, many medical computers have an emergency back-up battery installed in order to remain functional during a power outage. Imagine if the power went out, all medical computers shut down, and all that patient data was lost! Even though most hospitals are equipped with backup generators, the seconds between a power outage and the generators coming online could result in massive data loss. Medical computers with hot swappable batteries eliminate the need to be reliant on an AC power source completely. These computers are powered by removable batteries and can provide up to 16 hours of run time before you need to exchange the batteries.

Medical grade computers cannot operate in the same manner that consumer-grade computers do; the implications of losing data, hardware malfunction, overheating, spread of germs, and other factors are far too great to sacrifice for patients. Plus, computers with moving parts are more likely to malfunction, especially under 24/7 operation.

One Must Consider the Application as Well

Even within a hospital, different departments have different needs. Operating rooms, labs, and ICU units are often sterile environments. In these environments,  a fanless medical computer would be required. To achieve fanless operation without overheating, these computers need to be built with specialized components that commercial grade manufacturers aren’t willing to invest in. The fanless operation prevents to spread of dust and germs through the air, which could be a major contamination concern in these high specialized areas.

In a perfect world, we’d be able to stop all nosocomial infections. For the world we live in, it’s important to use the right tools for hospital use to avoid spreading infection, keep patients safe, and operate at a moment’s notice without a high risk of failure. The published studies show that these are factors required by all hospitals to operate in the best manner possible.

medical grade PCs

Extending the Life of Medical Equipment with Medical Grade PCs

The IT challenges and needs for a healthcare facility are far different than those of a traditional enterprise. Mobility, EMR compatibility, 24/7 operability as well as the need to mitigate the transfer of germs and disease must all be factored in. But even within the healthcare space, needs can vary tremendously. Consider the differences between a hospital in a large metropolitan area vs. a hospital in a rural area. In a lot of rural areas, medical facilities don’t have the luxury of large budgets or the ability to upgrade medical equipment as regularly as a larger hospital in a more densely populated area might have. Extending the life of that machinery in a cost efficient manner is vital for these types of facilities in order to provide the very best in patient care without breaking the bank.

A customer of ours recently reached out to us to let us know how they have managed to extend the life of their mobile x-ray units by integrating a medical grade computer. Their solution turned out to be a stroke of genius, and allowed their facility to move from the analog age into the digital age.

Mobility Matters in Medical Grade Computing

Our customer employed mobile x-ray units in rural areas that needed medical grade computers for control. Consumer-grade computers wouldn’t have fit the bill—carrying around a heavily-wired computer and monitor would have been insufficient and cumbersome for medical staff, so they used medical-grade PCs with hot swappable battery functionality.  With a full 16 hours of uptime running on batteries, the staff didn’t need to connect to AC power while using their mobile x-ray medical devices with the medical grade computers. Plus, there’s no downtime with computers featuring hot swappable battery technology ensuring constant healthcare. Internet connectivity is also a concern. In rural areas, internet accessibility isn’t the best which calls for a different type of wireless capability. Many mobile computers are equipped with 3 and 4G wireless technology, so even in the most distant of places medical staff can send patient data to the hospital for review if need be.

Using Surgical Grade Monitors to Enter the Digital Age

Our customer was able to connect the surgical grade monitors to the mobile x-ray devices and get an instant x-ray result on the medical computer’s touch screen. Older technologies required large film emulsion plates that took hours to process within a dark room—that obviously isn’t a mobile solution. With an instant x-ray, our customer was able to zoom in on the patient’s affected area in question and diagnose patients. Instead of having to travel several miles to a distant hospital, wait for an x-ray, process the film, and then have a doctor review the x-rays, it’s done instantly on site so the hospital doesn’t need to purchase expensive and bulky film slates for x-rays. When patient mobility is reduced, it’s up to the medical staff to transport what’s needed in the most crucial times of patient healthcare. Our provided solution fit the needs for our customer and their patients.

Medical Devices in Healthcare IT Aren’t Cheap

Our customer needed a medical grade computer that interfaced with the mobile x-ray machines without a significant price tag. Older medical devices use a serial RS-232 port, which is a legacy port not often found on consumer-grade computers. The option to upgrade to a newer set of x-ray machines wasn’t available with average prices for them ranging well over 100 thousand. In acquiring the medical grade computers, they saved crucial business funds to focus on traveling to patients with hampered mobility.

Medical Computers That Also Meet Certifications

The medical grade computers our customer used weren’t just capable of interfacing with x-ray machines for medical staff use. The computers they purchased had a full spectrum of patient safety in mind, starting with an antimicrobial plastic that inhibited the spread and growth of microorganisms. These mobile computers with the hot swappable battery function were fanless and used internal solid state drives to prevent spreading dust and germs. They also met FDA standards for patient safety with a 60601-1 certification to protect patients from electrical and radiation-related hazards.

Online sources report that 80 rural hospitals have seen closures since 2010 and approximately 600 are suffering financially, numbers likely because patients and hospitals lack mobility. These computers helped the lives of people and kept hospital doors open. There are reasons beyond mobility, however, that prompted our customer to purchase these computers—they’re medically certified for hospital and patient room use. Consumer-grade PCs don’t measure up to the standard that these computers meet! Our customer was satisfied with their purchase of these computers with the hot swappable battery function, the instant x-ray feedback, and the medical certifications to protect patients.

 

EHR Compatibility

A Few Problems Medical Professionals Face with EHR Compatibility

Per the Health IT Dashboard, 87 percent of hospitals in the United States started utilizing EHR software in 2015, a massive jump in a ten-year timespan from 25 percent in 2005. It’s clear use of EHR software has become the majority standard in a decade. Medical professionals stick by this method of health IT and information monitoring because it reduces error, streamlines processes, and ensures patient satisfaction. However, that doesn’t suggest the EHR software universe is snag-free. As with any software, problems can arise when a new EHR software product is released into a medical environment with a competing software product, and many sources note that a collective of medical professionals are raising concerns about one of the most pressing aspects of EHR software: interoperability. This aspect of EHR does not address the capability or functionality of the software itself, but rather data transfer between systems that run on medical monitors. It comes down to what’s called the CCD, or continuing care document.

In EHR Compatibility, the CCD is What Matters Most

The CCD, per Wikipedia, is an “XML-based markup standard intended to specify the encoding, structure, and semantics of a patient summary clinical document for exchange.” A compromised development by ASTM International and Health Level Seven International’s Clinical Document Architecure, it is encoded by EHR software as it contains a substantial amount of data including medications, allergies, problems, lab results, and patient chart data. This document is widely shared among medical computers and EHR devices. While not a complete medical record, the CCD includes just the most crucial information for effective medical care. It should be viewable via any standard web browser, but some voices lament that’s not always the case with a lot of EHR software, which leads to one of the most prevalent problems in healthcare IT…

EHR Compatibility Can be Terrible Because of Proprietary Formatting

Much like proprietary audio files or specific Apple chargers vs. Android phone chargers, not every EHR software product exports a CCD that will be read by another. At first glance, it may seem that transferring EHR between systems is just a file transfer, but how does that file transfer take place? If medical professionals bring their own devices, there are HIPAA security concerns—putting a patient’s data on a USB flash drive certainly isn’t secure. If one EHR system is web-based and another isn’t, how does an individual transfer the files? Does a physician-hosted EHR system function with a remotely hosted system or a cloud-based system? EHR compatibility problems can arise within hospitals—not just on a hospital to hospital transfer—if their IT departments decide on conflicting software environments, further causing connectivity problems. It’s a tough call between remaining secure, transferring the information from one medical monitor to another, and finding the quickest way to do so without compromising the data. Sometimes medical professionals have to print EHR documents and transcribe them to another platform, introducing human error and lengthening a typically automated process. EHR has been a wide success because of the Meaningful Use program and the HITECH Act, but medical staff still spend time bothering with menial tasks getting information from A to B. Health care companies are encouraging EHR software developers to start using open format file types instead of proprietary. There’s still a lot of room to improve, unfortunately.

EHR Compatibility Depends on the Medical Computer

Certain medical computers, while meeting FDA standards for near-patient use, aren’t compatible with all EHR systems—some medical monitors operate on a 4:3 aspect ratio, while EHR systems may utilize a 16:9 ratio to display a full gamut of patient information. A computer with an incompatible display may reject software installation or could limit the functionality of the software. Furthermore, highly advanced EHR systems require two-factor authentication, and if a system isn’t equipped with hardware to scan authentication methods, it may likely reject installation. Compatibility isn’t just a matter of speaking with other EHR software products—it’s a matter if the medical monitor in question can even support it.

A Way Out of EHR Compatibility Concern

Epic is one of the most prominent EHR systems used in the medical industry, and there’s a strong reason for it; interoperability is a key aspect of the Epic EHR system. There have been strides to see a universal healthcare data format for EHR systems, but it’s still a goal that not every company adheres to yet, even though Epic has been a key software product in that avenue. The Sequoia Project is an organization that advocates for nationwide health information exchange, and Carequality is a project within Sequoia designed to address interoperability between all parties in a healthcare IT network—addressing policy and technical agreements for the exchange of data. As for now, EHR compatibility can be addressed by ensuring all computers running a specific EHR—whichever it may be—remain in the same local “network.” Having a unified system with similar hardware cuts down on training time and bypasses any compatibility problems. Ensuring that the computers that run the EHR software are certified for that software is a must too—purchasing a computer deployment that ultimately doesn’t work with a given EHR system is wasted money. If your corporation goes with Epic for your EHR solution, keep in mind that many of our CyberMed computers are Epic and Cerner certified.

Hopefully in the near future we’ll see a unified, open format data file shareable among all EHR systems so we can focus on patient health instead of the technology supporting it. This unified system will take effort from several roles—the government, EHR providers, payers, and patients too. Some medical professionals argue that EHR developers must have proper incentives to cater to a unified system; it is a competitive market, after all.

 

Multiple Hardware Vendors

Multiple Hardware Vendors vs 1—Weighing the Pros and Cons of Both Approaches

In a business setting, it’s not always clear what the best decisions are. Discounts often drive who is chosen for hardware implementation. Unfortunately for many, the largest discount might mean the fattest payout in the long run, and it’s the clairvoyance IT professionals need to see how extensive an expensive route will pay off for them, ironically. Sometimes choosing multiple hardware vendors for a company’s IT needs is a good idea for certain business applications—and sometimes not. Imagine placing a competitor computer’s battery in the wrong workstation on wheels! Problems can arise for multiple industries if an IT department takes the wrong business approach. We look at both sides critically, first by pointing out that multiple hardware vendors isn’t the best idea.

Multiple Hardware Vendors Don’t Work Together

The sad truth is that no IT infrastructure lasts forever. It’s nice to have support on hand whenever a hardware component goes awry, even though the process may not be the most enjoyable. The roughest part is when IT professionals can’t pinpoint a specific diagnosis for a particular problem—maybe a firewall is blocking internal access to a server by one small setting, or perhaps another component in the entire infrastructure causes all emails to be rerouted to the helpdesk. Either way, if a problem with a computer arises, like with a workstation on wheels, and there’s a conflict with another computer from a different vendor, prepare for a battle of finger pointing. One vendor will likely accuse another’s hardware of malfunction, and so beings the process of calling each vendor back and forth or even having a conference call to determine what the true problem with the conflicting computer might be—if that even solves the problem. Once the “finger pointing battle” is over, it might take a networking specialist to locate the culprit. Purchasing from a single vendor increases the likelihood of network integrity, higher security, total functionality, and easier support so that every workstation communicates effectively with all others.

Multiple Hardware Vendors Leave You to Figure out the Problems

Sometimes with different hardware on the network, a vendor’s integration technician won’t be able to get computers talking. For instance, let’s say the data on one workstation on wheels is encrypted with a trusted platform module and a technician needs to network it with un-encrypted computers—is that a possibility? Likely not, and it’s left up to the IT department to figure out. Medical grade computers are often equipped with trusted platform modules to encrypt data, and they won’t talk well with something off the shelf. Refer to the first point we mentioned about the potential fiasco an IT department could face when mixing different vendors.

Contract Negotiations Can be Troublesome

Hypothetically, let’s say an IT department purchases from three separate vendors—one can deliver in two days, another can deliver in three weeks, and the third hasn’t gotten approval from department heads. A full network of computers won’t be deployed for weeks! Consulting with one hardware vendor will ensure full deployment of all computers for the entire network instead of having to deal with multiple contracts, conflicting contract timelines, several points of communication, delays in shipping, differences in support, distinctions in policies, mismatched software upgrade timelines, and hardware incompatibilities. Single contract business operations clearly outweigh multiple here.

Think About The End Users–Your Staff

It takes time to train people on specific hardware. If the powers that be purchase vastly different workstations, it’ll take time and effort to train people on proper usage of each of them. A tablet with barcode scanner is used in a much different manner than a workstation on wheels. The hardware differences between conflicting vendors could be vast to a point where it takes more training than necessary, unless all hardware comes from the same vendor. Some vendors require to have training specialists sent out in the field—an expense companies only want to endure once.

The Positive Points of Multiple Hardware Vendors

In our unbiased approach, we recognize that there are benefits to multiple vendors. As before, the clearest benefit is access to discounts—generally the lowest bidder is the winner in the short run. Also, mixing hardware gives IT departments greater access to a variety of technology so professionals can pick and choose what they consider easier to work with or better. Choosing multiple hardware vendors also addresses individual preferences for hardware—perhaps one nurse on a medical staff prefers using one brand’s workstation on wheels over another. That’s a clear aspect where multiple hardware vendors may benefit the staff. Every corporation is different, so consider all possibilities that can benefit the staff and help the corporation grow. As before, keeping competition between vendors for your next workstation deployments might be better in the short term for price, but total network connectivity will net better results in the long-term. Consider Cybernet’s workstations for your next deployment.

3 Ways Patient Infotainment is Improving Patient Health

Credence Research, a worldwide market research and counseling firm, reports that increasing demands across the US, UK, and other nations for patient infotainment systems have prompted large investments from hospitals, making patient infotainment one of the largest markets in the world. The last place anyone wants to visit for an extended period of time is a hospital, so we’re seeing an increase in patient infotainment solutions. Trends for this market have been on the rise, combining the entertainment software application market with medical tracking software so medical computers serve a dual purpose—informing medical staff about patient conditions, and (hopefully) improving patient conditions by taking their mind off of why they’re in a hospital to begin with. There’s more to infotainment than that, however, and it requires a little education in patient infotainment trends to understand why.

Trends in Patient Infotainment Remove the Mystery

It’s not always clear how things operate in hospitals. The standard used to be reliance on nurses for everything—changing a television channel, ordering food, adjusting the bed, and other factors that would detract from a nurse’s duties. Patient infotainment is designed to remove the guesswork and present all options to a patient while freeing up most of the menial duties originally tended to by nurses and doctors. Instead of using a call button, waiting for a nurse to arrive, and then asking for blinds to be open or shut, that process is a patient engagement wrapped into a medical computer that a patient can easily access. Fewer questions are asked, nurses and doctors have more time to address pressing needs, and patient satisfaction results are higher. This reduces workload and stress for medical staff, thus boosting morale, potentially opening the door for larger staff, reducing the patient to nurse ratio, and increasing overall hospital efficiency rates. A recent case study showed that a standard hospital in France had a total staff-to-patient care time of about eight minutes on average. Efforts to implement patient infotainment systems can increase that time. To add, patients can turn their infotainment into edutainment, learning about their ailments while awaiting their next visitation or apple pie. RomexSoft recently gave a list of five overriding goals of EHR, one of them being inclusion and engagement of patients in their own care. If patients are educated about their own ailments, they may know enough to avoid ending up in the hospital again. Infotainment systems are key in stimulating conversations between medical staff and patients, removing ignorance about medical conditions that are keeping patients from their normal lives.

Connectivity is a Phone Call Away

Perhaps the most crucial aspect of patient infotainment is the ability to reach out to friends and family. With voice-and-video applications built-in to the medical grade monitors, patients can reach out to loved ones with the touch of a few buttons to connect. This factor alone is probably the greatest patient satisfaction feature medical computers can provide in hospitals. Not only can patients talk with anyone online, the connectivity of a medical tablet gives access to music, YouTube, movies, and even games. Much of the patient recuperation process isn’t just about healing—it’s about taking care of the full needs of the patient, which includes mental stimulation and removing the feeling that a patient is “all alone.”

Patient Infotainment Still Needs to be Informative

The benefits of having a single medical grade monitor for both the patient and hospital staff are numerous. Nurses can check medical records and see instant patient biofeedback, then return the PC to patient use. Doctors can prescribe medications and then have them sent to patient rooms within minutes. With security features enabled like a CAC or RFID scanner, medical staff can access important records, hide the unimportant details for patients, and then return the PC to patient operating status. A lot of the EHR software is entirely cloud-based, so if there’s ever a PC malfunction it can be replaced quickly with minimal loss to data. Plus, EHR software updates can happen universally, avoiding EHR compatibility between PCs. Medical professionals are constantly kept at the latest version of their software, and patients get the latest entertainment values during their stay.

The CyberMed H22 medical grade all in one computer is a widely popular choice for hospitals and patient infotainment systems. It features a sealed front bezel to protect against dust and water, an anti-microbial housing to ward off infections, and is certified to be patient safe. It’s built with infotainment in mind, reducing time medical staff use to cater to a patient’s needs so they can focus on more important duties. Customize it today to fit your medical PC needs.

For Medical Device Manufacturers, Compliance Can Hinge on your Technology Partner

There are constant revisions to compliance in the medical field; Wikipedia cites that the FDA recently released several regulations to medical devices and how they handle sensitive patient data. Cleanliness, compatibility, safety, and cyber-security standards are ever-changing. It can be maddening to stay aware of all regulations to FDA compliance, which is why medical device manufacturers should be wise in selecting who they pair with when it comes to technology. The wrong machinery in the hospital can cost time, money, or worse—lives. That’s why it’s crucial to find the proper hardware to support medical devices—such as medical grade computers that meet or exceed the required standards. Here’s a rundown of the standards in question most pertinent to Cybernet.

International Electrotechnical Commission Standard 60601-1

The 60601-1 standard is set by the IEC to enforce safety rules when it comes to electrical equipment around patients. There’s always a question of what comes in contact with a patient and what said apparatus might do—consider radiation effects of an X-ray machine on a patient. Effects concerning safety, health, and other factors, not just of patients but for medical professionals too. These standards protect against fire, radiation, mechanical impact, electrical shock, and excessive electrical energy output.

All medical grade monitors from Cybernet meet this standard, and every hardware development cycle includes the certifications within the deployment timeline. The result is a more cost effective product for clients at the sacrifice of an internal long-term development cycle—three to five years. Project certification approval for some manufacturers can take several months, but at high costs to the client. We literally take the time and effort to have our medical PCs independently certified so it costs the client less. Once a given line of products is approved, clients can purchase computers to fit their project needs without waiting for approval.

Ingress Protection Ratings and Why they Matter

For medical device manufacturers, the choice should be clear; partner with a company that produces tech that can protect itself. Ingress protection is another compliance standard that should be met in the medical space when medical device manufacturers are looking for proper technology. There are two factors to IP—foreign objects and water, numerically denoted. The first digit suggests tools, body parts, dust, etc. Every medical computer that Cybernet manufactures is rated a 6 on the front bezel, which is dust resistant. Dust is a huge impairment for any kind of electronic component and a potential health hazard for patients.

The second digit addresses water. Lower numbers address moisture and condensation, while higher numbers address streams of water and even immersion. Cybernet’s medical devices are usually rated at a 5 for water ingress, meaning the front bezel of our machines are protected against projected water. We even have a video demonstration of how resilient they are against splash damage. These standards are a must-have for the medical space.

The FDA Regulation Cycle and Compliance with Medical Device Manufacturers

All devices made by medical device manufacturers are subject for review by the FDA’s Center for Devices and Radiological Health. Devices that do not pass the FDA’s standards can become extreme health hazards for patients—imagine what a malfunctioning pacemaker could do! If a device falls outside of FDA regulations, the process to have the device approved or cleared by the FDA must begin again. The same mentality must be held when questioning what kind of medical monitoring system hospitals need to utilize. Cybernet’s advantage is that all products within a project are kept the exact same—that means if a medical tablet wears down or malfunctions within it’s expected lifespan, the replacement device is already approved for use and goes into real-world application without fuss over more regulations. That ensures patient care is still the primary focus without squabble over technology or time wasted.

Medical device manufacturers are at the whim of the FDA, but regulations and compliance standards shouldn’t stop there. The whole solution lies in pairing medical devices with EMR computers that are ready to be deployed when the need arises. Our medical grade monitors meet the ever-changing compliance rules and regulations set by the FDA, the IEC, and other governing bodies.

How to Implement Patient Infotainment Using Bedside Computers or Tablets

The value-based healthcare system becomes more competitive than ever, and hospitals need to focus on the patient experience as one of the main contributing factors to how patients evaluate their stay. As Medicare reimbursement now directly depends on patient satisfaction, hospitals focus on boosting their Hospital Consumer Assessment of Healthcare Providers and Systems score, HCAHPS. It is this pursuit of the HCAHPS score that urges medical facilities to adopt a patient-centric approach. The patient infotainment and engagement systems have proven to be effective in increasing patient satisfaction, HCAHPS scores, and building loyalty.

When implemented efficiently, patient infotainment systems serve multiple purposes, for both patients and medical professionals. Here is a brief list of things to consider before you choose the medical bedside computers or medical tablets for your patient infotainment systems.

Key Considerations

Goals.

Determine what your goals you can achieve by deploying an All-in-One patient entertainment point-of-care system:

  1. increase patient satisfaction
  2. increase clinician productivity
  3. use a single device for multiple purposes
  4. replace multiple pieces of equipment with a single computer or tablet

Potential for hardware upgrades.

Define what upgrades for the medical computers, on the software and the hardware level, you might need to request from the provider. Inquire whether they can provide the corresponding support.

Infrastructure capacity.

Define what upgrade requirements the infotainment system imposes on your existing infrastructure and network. New cabling, new furniture, more bandwidth, etc. Can you minimize the footprint?

Integration.

Decide whether to integrate the bedside medical computers with your clinical applications. The benefits of integrating are numerous – your staff is more productive, the patient tracking is more streamlined, with fewer errors, the complete record of all episodes of care, etc. If you deploy a medical grade computer at the patient bedside, why not harness its full potential?

Identify the most valuable features/apps a patient infotainment system can offer to:

  1. Your Patients
  • Communication – browser, chat, email, teleconferencing, quick nurse call button, a way to contact the doctor, front-facing webcam.
  • Entertainment – patients should be able to order meals, access their subscription services like Netflix, and have access to YouTube, games, music, radio, news.
  • Productivity – calendar, personal email, notes, MS Office, easy way to access personal health record, secure way to process online financial transactions, complete online forms, control the lights, room temperature, window covers, bed. Consider installing a translation app and a voice recognition software for patients with limited physical ability to control the computer with voice commands.
  • Education – interactive presentations, educational games that increase patient awareness on their condition, symptoms, medication, dietary and lifestyle recommendations
  1. Your Staff
  • EMR for instant access and input if all episodes of care, input patient vitals.
  • Order tests, share test results.
  • View diagnostic images.
  • Use the electronic prescribing system, HELP, PACS and CPOE.
  • RFID reader.
  • Barcode scanner.
  • CAC or SmartCard reader.
  • Biometric scanner.
  • Secure access to sensitive information.

TCO.

Include several key departments in the decision-making process. Your financial department is likely to favor a known brand and a low purchase price. However, task them with calculating a Total Cost of Ownership of your purchase, taking into account device’s lifespan, ruggedness, failure rates, transmission of nosocomial infections, regulatory compliance. Your legal department will help you make the right choice to remain complaint with the FDA, HIPAA, HITECH and many other regulations that impose specific hardware requirements in patient safety, nosocomial infections, data security, and privacy. Your IT department will provide an even more valuable insight into the TCO of your potential acquisition. They will assess the deployment and maintenance expenses, compatibility with your enterprise software and medical equipment, disk imaging and customization possibilities, and explain how overall failure rates translate into either downtime/expenses or reliability/benefits.

Hardware.

Depending on your requirements and budget, you can customize the build of your infotainment system, be it a medical computer or tablet.

  • Do you intend to mount it on a wall, desktop, moving arm – VESA mounting is a welcome feature.
  • Wired or wireless – the latter is more ergonomic.
  • Does it need serial ports to support legacy equipment?
  • What operating system, RAM, processor, video card, storage do you need?
  • Do you need sandboxing capability?
  • Large-screen high-resolution medical computer or compact medical grade tablet?
  • Easy-to-use touchscreen is ergonomic as opposed to a solution that required external keyboard and mouse.

Compliance.

Unlike consumer TVs and computers, bedside infotainment devices must meet medical-grade standards of patient safety and durability. An antimicrobial coating prevents the spread of pathogens, while a sturdy, waterproof IP65 casing allows for disinfection with liquid chemicals. Medical grade computer or tablet supports your infection control objectives.
MIL-STD certified components ensure compliance with safety standards and prevent harm to patients.  For post-operation infection control, consider a fanless design that prevents germ circulation and is near-silent.

Customizations, warranties.

When selecting a provider, consider manufacturer vs vendor, as the former is more flexible in providing necessary customizations (include legacy ports, embedded scanners/readers, free disk imaging, more RAM, storage, etc.) and offer extended warranties and out of warranty service.

Benefits

  • Patient bedside computers serve dual purposes and cater to the patients and the doctors.
  • All-in-One medical computers or medical grade tablets used as patient infotainment systems combine multiple tools in a single build – computer, TV, telephone, nurse call button, remote control for TV,  curtains, beds, lights, communication terminal.
  • Easy mounting with standard VESA holes enables an ergonomic integration into the existing design of the patient rooms without any critical system upgrades or remodeling.
  • Models with hot-swap batteries or internal backup UPS are ergonomic and eliminate the extra wire clutter, which is unwelcome in patient rooms.
  • AIO medical grade computers or medical grade tablets come integrated with a plethora of peripherals – barcode reader, RFID scanner, biometric reader, CAC, Smart Card reader. This enables secure user authentication, reliable data protection and enables integration and control of IoT devices.
  • Medical grade computers and tablets have an antimicrobial coating and withstand disinfection with chemical solutions, so help prevent nosocomial infections at the point of care.

Progress Enabler

Bedside infotainment systems offer a host of education, entertainment, communication, engagement options for patients in an interactive, customized manner. Medical point-of-care computers easily combine bedside entertainment systems with clinical applications, becoming an indispensable tool for clinicians, nurses and other caregivers. Patient infotainment/engagement improves patient satisfaction, patient safety, doctor productivity, and quality outcomes.

As hospitals recognize the positive effect of infotainment on patient satisfaction, and bedside medical AIOs for clinician productivity, these versatile patient-doctor systems become the new norm.