Medicine is the Apple iPad sweet spot

By | January 28, 2010, 6:12am PST

Summary: This device transforms medical practice and delivers a solid, easy-to-follow upgrade path directly from paper.

Now that we know what Apple has been working on these last many months (it’s an iPad) one of the first questions has to be, what do we do with it?

The answer is it’s what your doctor has been dreaming of ever since the PC revolution began.

Take a look at the specs. It’s a half-inch deep and weighs just 1.5 pounds. The screen is about 10 inches on the diagonal. It’s basically a smart notepad.

Imagine this in a flip-up case, in every examination room at your clinic.

The nurse sets up the chart, the doctor walks in with a stylus and examines you, and when he’s done the chart goes into the file and the prescription is waiting at the desk for you, printed clearly, along with your Coordination of Care Record. Hand the nurse your credit card and you’re off.

Doctors love iPhones. They know how to use iPhones. Which means they’re half way through their iPad training already. And all those clever little software companies that dialed-down their medical applications to fit on the iPhone? They’re halfway to iPad models.

The low-end version of the iPad goes fur under $500, about where the iPhone started, and comes with WiFi, which most hospitals and clinics have. The iPhone comes down to $200 with a phone carrier subsidy, and the iPad can be similarly subsidized by an Electronic Medical Record (EMR) company so it’s practically free.

The initial chip memory capacity is “just” 16 Gigabytes, but that’s enough for lots of great stuff. You can collect videos about a patient’s condition and treatment, then show them while you point out things with the stylus. A 16 Gigabyte capacity means there is plenty of room for a patient’s current chart, including all their imaging tests.

You can put a full day’s work in there and give one to every doctor. Or you can load charts remotely from the nursing station as each patient is admitted, and keep one in each exam room. At these prices you can do both — one per doctor, one per exam room. My own internist is in a two-doc shop with four rooms, so for just $3,000 they’re outfitted.

Quite simply, this device transforms medical practice and delivers a solid, easy-to-follow upgrade path directly from paper. Put security on the clinic’s WiFi (you probably have that already) and HIPAA is happy. A little VOIP and pager software and you can follow the staff wherever they go, which is one reason WiFi is so cool in a hospital setting to begin with.

You can interface this with either an in-house EMR system or a SaaS system — just run a small clinic’s signals directly through a router at the nurse’s station.

I can’t see a thing wrong with it. It’s cheap, it’s easy to use, it’s got all the power and connectivity you want, and it looks pretty cool too.

How bad do you want one?
[poll=32]

Kick off your day with ZDNet's daily e-mail newsletter. It's the freshest tech news and opinion, served hot. Get it.

Topics

Disclosure

Dana Blankenhorn

Dana Blankenhorn has been a journalist, writer and part-time futurist for over 30 years. At the present moment I run only a personal blog in addition to my ZDNet open source blog. DanaBlankenhorn.Com has the subtitle The War Against Oil. In the past I have used it to write about political history, e-commerce, personal matters, some ideas related to open source, and The World of Always On, which is the idea of using sensors, motes and RFID to turn WiFi links into platforms for applications which live in the air. My IRA account at Schwab holds a few tech shares, most notably some Intel and Applied Materials, but there are no open source companies in it. I don’t even own any CBS stock.

Biography

Dana Blankenhorn

Dana Blankenhorn has been a business journalist since 1978, and has covered technology since 1982. He launched the Interactive Age Daily, the first daily coverage of the Internet to launch with a magazine, in September 1994.
53
Comments

Join the conversation!

Just In

RE: Medicine is the Apple iPad sweet spot
tomslama 2nd Feb 2010
More substance than speculation: Here is a great article:
Prepare Your Enterprise for the iPad
by Rich Mogull
http://db.tidbits.com/article/10972
My friend is a Dr and looking for tablet just weeks ago. all essential softwares are windows only. Medisoft, soapware, etc, etc

and they need handwriting fast, rather than a big virtual keyboard needs two hand to operate at decent speed.

there is no chance this can work for them.
0 Votes
+ -
If they can figure out how to load Linux on it
Ron Bergundy Updated - 28th Jan 2010
then it'll take off in the medical field like a wildfire.

NOBODY uses Windoze medical software because we're talking life and death here.

Hospitals are full of enough viruses that they don't need patients dying because their medical equipment has them!!

Thats why real hospitals with a good track record all use Linux!
0 Votes
+ -
Citation please...
Snooki_smoosh_smoosh 28th Jan 2010
"Thats why real hospitals with a good track record all use Linux!"

Please if this is the case, there should be some documentation with credible verifiable sources.
0 Votes
+ -
We still use VAXes!
bnordberg 28th Jan 2010
A lot of big hospitals still use VMS on Alpha or Unix. We tried for years to get macs to work with the DEC function keys and they just never did function (Function keys on the macbook are a joke). Maybe this virtual keyboard will be better - but I doubt it.
0 Votes
+ -
Function keys?
DeusExMachina 30th Jan 2010
If you could not get DEC style function keys to work on a mac, you just
didn't try very hard. Numerous terminal apps with full terminal key
support exits, including PowerTerm and many others. Talk about joke,
sorry, but that is a really lame reason to pass on a platform.
0 Votes
+ -
Unbelivable!
Ninram 28th Jan 2010
One of the leading hospitals is Los Angeles uses
Windows for ALL their computing needs on the front
end, where the doctors and staff are.

I even noticed the respirators running on Embedded
Windows!
0 Votes
+ -
That's not true
DanaBlankenhorn 28th Jan 2010
There are both SaaS and Linux EMR systems available, and Mac clients often interface with Windows servers. In fact, the spec sheet I linked includes the Windows requirements for the unit.
0 Votes
+ -
My doctors office already did this
mdemuth 28th Jan 2010
with PC's running Vista (Fujitsu tablets of some sort)
They don't use the touch screens much, preferring the keyboard to enter information, but they do sign everything on screen with a stylus.
Pretty cool, and they say it has been rock solid.
But I suppose some feel they have to wait and wait and wait for Apple to 'invent' the solution.
0 Votes
+ -
"Practically free"
Economister 28th Jan 2010
Dana, I like most of your writing, but please stop the "subsidized" and "practically free" nonsense. You pay for the device via blended payments. One part is for the service and the other part is for the HW. Just because it is not listed on the invoice, does not mean it is not there. How do you think the providers set the price?:

Part one: Amortize the HW: $XX
Part two: Access/service fee: $YY
Total: $ZZ

You are generally quite objective and balanced in your writing. Please do not keep feeding your readers the carrier "lies". You are doing us all a disservice. The sooner we manage to split the HW from the service, the better off we will be. Then the carriers can compete on the quality of their network and service, instead of locking you in with a shiny new toy, supposedly "practically free".
0 Votes
+ -
The customer's point of view
DanaBlankenhorn 28th Jan 2010
The customer's point of view is very important, and I'm not going to stop reporting it just because it's uncomfortable.

The "gadget price point" of the Apple iPad is similar to that of the iPhone, thus it can be subject to similar subsidization. That's all I said. And it's true.
0 Votes
+ -
Stop dreaming; the IPad is NOT a commercial device and never will be. I agree that tablets will become more ubiquitousin the medical community, but the vast majority will end up using Win7 tablets, because they are REAL computing platforms which can quickly interface with networked database applications

The IPad is little more than a toy, and will never see widespread use in the medical community.
0 Votes
+ -
RE: Medicine is the Apple iPad sweet spot
nothingness 28th Jan 2010
With the iPhone and iPod Touch around, this device is pointless.
0 Votes
+ -
Want a thing wrong ? I give you one
s_souche 28th Jan 2010
Doctors and nurses need software. You can find
medical software for Mac ok, but with the
closed model for iPhone software that is
reproduced with the iPad, you must have every
single piece of software go through Apple
acceptance/validation process, which means
that n the end you will have zero medical
software for the iPad

A second one I just thought of, medical record
system need strong user authentication, medical
card readers... etc, you cannot have this for
the iPad the only extension mechanism if though
the use of a proprietary plug.
0 Votes
+ -
I don't see the problem
DanaBlankenhorn 28th Jan 2010
There are already iPhone clients for Windows EMR systems out there. The conversion to the iPad is straightforward. And the iPad includes a USB plug.
0 Votes
+ -
didn't see the USB plug
s_souche 28th Jan 2010
in the spec. The is a proprietary plug to connect
the device to the pc ( to synchronise with itunes
) but not to connect devices to the pad.
0 Votes
+ -
Wrong
DeusExMachina 30th Jan 2010
The 30 pin connector is a proprietary docking connector that includes
many signal lines, including USB. That is how the keyboard docking
station works. It is merely a USB keyboard built in to the dock, which
then connects to the pad via the 30 pin connector.
The thing is a waste. But I can't go 3 clicks on the
internet without finding somebody trying to justify it.
Now yea I knew people would do this regardless but I
expected the thing to be a bit better than this. I didn't
think anyone would go to the point of trying to defend
this one but I guess The Force is strong in Jobs.
0 Votes
+ -
yeah..right
Linux Geek 28th Jan 2010
Can this iHype can be networked and run any meaningfull app?....
Haven't M$ tried this with tablets and failed a few years ago?
0 Votes
+ -
Actually...
RedM3 28th Jan 2010
Most physician offices that have implemented EMR's use Fujitsu tablets running XP. Get a clue before you comment.
0 Votes
+ -
I would like for this to be true, but a) (PC) software is a
problem b) moving toward electronic records in health care
is a problem. Obviously some places have done it, are doing
it, but it's still far from common. And docs are pretty old
school..

My favorite article speculating on the iPad (pre-release)
though, suggested the same thing--but emphasized the
importance of being able to sync records.
http://tinycomb.com/2010/01/09/breaking-apples-tablet-
is-for-the-healthcare-industry/ The article suggests that
Apple had already been talking with hospital administrators,
too.

John Tantillo did a piece on his marketing blog, crediting
Apple with having built a strong brand, thanks to a track
record of consistently producing superior products that
customers want.
http://blog.marketingdoctor.tv/2010/01/05/john-tantillos-
winner-and-loser-of-the-week-apple-again-slate-and-
the-administration--terrorism.aspx
It would be smart of them to be expanding into the health
care market (and to reach out to small businesses--some
analysts have pointed out that the iPad is a reasonable
alternative to netbooks).
0 Votes
+ -
They're already using tablet PCs
swr2408018 28th Jan 2010
One doctor I know has a paperless office built around tablet PCs. Same tablet/pad functionality, but available for several years, and the platform can run any of the industrial strength and HIPPI-compliant medical software applications that are already available for Windows.
0 Votes
+ -
You're right. But
DanaBlankenhorn 28th Jan 2010
Your friend is part of a small minority among physicians. Most haven't gone to EMRs, as many here have noted.

There is an inflection point in every demand curve, where it moves through the mass market quite quickly, after having spent a long time with early adopters and hobbyists.

EMRs are in that sweet spot, and this device is in the EMR makers' wheelhouse.
0 Votes
+ -
RE: Medicine is the Apple iPad sweet spot
eyedocmoore@... 28th Jan 2010
As a practioner, with a private practice that has been using electronic records for nearly 5 years and a tablet PC for nearly 4, I can tell you that the iPad will not be in a medical office and certainly not in a hospital. For one thing, there is a lack of good Mac software for medical offices. Also, Mac hardware is quite a bit more expensive than PC. Therefore, hospitals won't use Mac hardware. Lastly, with the health care thing up in the air, how many people in health care are going to spend a ton of money right now.
0 Votes
+ -
Please read the spec sheets
DanaBlankenhorn 28th Jan 2010
The iPad can be easily interfaced to a Windows PC, just like an iPod can. There are millions of iPods and iPhones linked to Windows boxes right now.

Also, look at the price of this unit. It's a $500 computer. That's not expensive.
0 Votes
+ -
Uh no.
mosborne 28th Jan 2010
Using iTunes on Windows is NOT the same as interfacing IMHO.

The ipad isn't a $500 computer. It's a $500 appliance which Apple controls.

Very disappointed.
0 Votes
+ -
RE: Medicine is the Apple iPad sweet spot
ggibson1 Updated - 28th Jan 2010
I happen to be a software developer that has made software for some doctors for a pretty large hospital system in Indiana. In discussions with the doctors about how they actually work on a day to day basis, they told me that they did not need nor want a tablet PC because they don't have the time to be messing with the data and an assistant does all of that with a PC... the doctor just walks in and talks and looks at the patient etc..

On top of that they already are invested in Microsoft technologies and want a homogeneous system. Not a mishmash of different systems made by different vendors that may or may not work well together...
0 Votes
+ -
System integrators
DanaBlankenhorn 28th Jan 2010
Good system integrators make mishmashes work. We already have lots of doctors on iPhones. This is just a souped-up iPhone.
0 Votes
+ -
Don't stop at doctors.

Imagine your mechanic using one to document your car repair... and then have you sign off the work.

Imagine a building inspector or tradesman using one to document a building site, pulling up blueprints complete with photos of work in progress.

Imagine a cop using one to write tickets... naah that last one's just scary.
0 Votes
+ -
Except...
Qbt 28th Jan 2010
Imagine your mechanic using one to document your car repair... and then have you sign off the work.

Except they can't "sign off" because the iPad is incapable of doing any form of stylus input.

Well, I guess they can sigh with their finger like Bozo the Clown.

And please tell me how you would get this specialized software onto the iPad in the first place? Would you need to go through Apple's process off vetting the software first?

Also, has it occurred to you that everything you mentioned can and has already been done on tablets running Windows? I fail to see how the iPad suddenly opens up some new category of uses when it is only able to do a tiny subset of everything a Windows tablet can do, yet doesn't do anything a Windows tablet can't do today.

So yea, no need to "imagine" anything.
0 Votes
+ -
Yawn...
RedM3 28th Jan 2010
All these tasks were able to be accomplished before yesterday. If you didn't have your head up Steve Jobs butt you'd know that.
0 Votes
+ -
It's the apps that matter
RedM3 28th Jan 2010
Too bad most healthcare apps don't run on MAC. DUH!
We use tablets right now. The doctors prefer keyboards to touch screen. There is alot of entry for patient notes.

Doctors also demand instant fixes for problems, something that appstore would not be able to provide.

Next you have the screen size, we have 12 inch tablets and most of our doctors say the screens are too small, even the techies. We had to provide 19inch screens attached to docking stations to make them happy.

Then there are the software requests the doctors make, trust me, they are not going to want to wait for the iphone app to be released. Usually they prefer we load up the software.

Next you have authentication/security issues. Need to be able to lock that screen with a username and password, not just a password. Also need the ability for it to authenticate with windows servers for our EHR app.

No, this will not fly very far in the medical world in its current state.
0 Votes
+ -
It won't go in in its current state
DanaBlankenhorn 30th Jan 2010
I expect EMR companies to integrate the Apple iPad
as a cost-effective alternative to the $1,500
tablets some practices are now using, and to
expand the market.
0 Votes
+ -
RE: Medicine is the Apple iPad sweet spot
rball@... Updated - 28th Jan 2010
RE: In response to Linux All the Way

That's a pretty dumb comment. I work in Healthcare IT, and have not seen one Linux EMR or Practice Management system. Most of the new ones on the market are either host-based, or run exclusively on Windows (on the server and desktop end).

Like it or not, Windows has matured into a stable, reliable system for business and - yes - healthcare.

Allscripts does have iPhone / iPod Touch apps for its EMR and ePrescribe systems, but that seems to be more the exception than the rule. I do think this could really catch on if more vendors got on board.
0 Votes
+ -
Ditto
RedM3 28th Jan 2010
Just goes to show how much people know or don't know I should say about healthcare and the clinicians needs. Sure, give them a pretty tablet that doesn't do squat; that should go over big.
0 Votes
+ -
Until now tablet format computers were expensive when compared to laptops and netbooks (well over $1000, often $2000).

Now all the PC clone makers will price their tablets below $500 (like netbook pricing). You will be able to get tablets with Windows or Linux well below $400.

The low price is what will make tablets really succeed in medical and other vertical markets.
0 Votes
+ -
Good point
DanaBlankenhorn 28th Jan 2010
I have read a number of notes on this thread charging that "apple is always expensive" but you make a good point. This is cheaper than present Windows tablets.
0 Votes
+ -
Guess you missed the part where this is running the same
OS as the iPhone, and you've missed the news that the
iPhone doesn't support encryption. And you've also
missed all the discussion about HIPAA and HITECH and how
it's already dictating that devices without encryption
capabilities are absolute no-no's for medical
professionals to use when dealing patient information...
0 Votes
+ -
encryption, software, chart notes
duosonic66@... 28th Jan 2010
logmein ignition uses aes 256bit encryption.
I'm sure the Wyse/pocketcloud/vmware view app uses encryption as
well.

I think of the ipad as an interface for users connecting to web based
EMRs and practice management software and remote or virtualized
desktops

For people complaining about doctors inability to take notes: why are
your docs taking notes?
With a correctly configured application (or even paper form) you can
save the writing for all but the most rare and obscure chart notes. And
even those can be entered by techs who's time doesn't have the same
premium as the Doctors.
0 Votes
+ -
Are you serious?
aep528 29th Jan 2010
You don't want your doctor taking notes on what
you say? Really? You don't want your doctor to
write down enough notes to refresh his/her
memory on why a specific treatment was
prescribed? You want all of your health
problems to fall into a neat category on a
checklist? I have stopped doing business with
companies because their customer support used
this methodology, and they refused to write
down anything that could not be accomplished
with a check mark. I would drop my doctor in a
heartbeat if he stopped taking notes.
0 Votes
+ -
HIPAA/HITECH a problem
bjdonato@... 29th Jan 2010
A lost iPad without strong FIPS-140-2 compliant encryption would required the covered entity to disclose a breach. Given the size factor of these devices, many will be lost.

Without serious third party help, the iPad is a non starter when dealing with electronic protected health information.
0 Votes
+ -
Cheaper than Windows tablets? Sure, if you don't
bother doing a feature-by-feature comparison and
adding up costs to make it actually match up with a
tablet.

HP's newest Touchsmart tablet starts at about $950.
For that you get 500GB of storage, an actual keyboard
plus touchscreen, multi-tasking and the ability to run
any application available for Windows, a much larger
library than the AppStore. It supports Flash, has
built in USB, HDMI and VGA ports, a 12.1" widescreen
display, Webcam, Mic, and full encryption support.

For $699, you'll get an iPad with touchscreen input,
9.7" non-widescreen, 64GB of storage, no multi-tasking
and only be able to run apps from the AppStore. No
keyboard, no USB, HDMI, or VGA port, no webcam, no
mic, no encryption support. You'll be able to buy a
keyboard/dock, buy dongles for USB and VGA output, no
HDMI support, and I suppose you'll be able to buy
external cameras, mics and storage devices you could
carry with you. The price tag, once you make the iPad
comparable to a Tablet will be very similar, and you
still won't be able to multi-task.

So, if you hope to be able to leave you iPod at home,
take this with you and listen to music while checking
e-mail, you're out of luck. And if you decide you
need a keyboard to type up a document, hope you spent
the extra money and brought that extra device along.

If you don't want or need all the power and
flexibility of a tablet, it is a less expensive
alternative, but it's not priced to compete with the
tablet. It's priced to be it's own niche that would
be seen as a rip-off if it were priced comparably to a
tablet.
0 Votes
+ -
RE: Medicine is the Apple iPad sweet spot
tristan.whitehorne 28th Jan 2010
Not realistic ... is the device wipeable to comply with infection control measures (eg. IP65 compliant) ... there are built for purpose tablets that do this.

That being said, we already see a proliferation of "personal iPhones" around major acute care facilities and some interesting uses eg. Map of Medicine. I reckon that if apple made a "medical grade" or "industrial grade" version then they could clean up in the enterprise.
0 Votes
+ -
RE: Medicine is the Apple iPad sweet spot
sonicpainter 28th Jan 2010
Audio Production is also where it's going to go over well. Faders that act like faders, hallelujah!
0 Votes
+ -
The iPhone is banned in many medical institutions because Apple has not made it possible to encrypt the disk. If the iPad also fails to support encryption, then it, too, will be banned in medical institutions.
0 Votes
+ -
Stellar US Healthcare
UnCommonCents 28th Jan 2010
With the proliferation of Windows-based Netbooks supporting our
medical practitioners (as others purport here), iPad and other solutions
need not apply.

BTW voice dictation and automatic transcription already available on the
iPhone, and thus the iPad, is quicker and easier for updating patient
charts - no keyboard needed. The iPad is a contender in this and many
other vertical markets.
0 Votes
+ -
No camera
scottmace2002 Updated - 28th Jan 2010
Uh, how about no camera? Distance medicine could use a good Web cam in case the remote practitioner needs to show a specialist something. Wounds can be easily documented into an electronic medical record if the tablet can take a photo on the spot. How will the lack of a camera hurt the iPad in RFP bakeoffs against camera-enabled competitors?
0 Votes
+ -
Which camera, Scott?
DanaBlankenhorn 30th Jan 2010
I'm certain the designers confronted the problem,
and probably decided against it for cost reasons.
Not that a cheap camera would add much to costs,
but a really good camera -- one good enough to do
what you want -- will.

It should not be difficult to have a separate
camera, and then to interface those files,
including their display on the iPad.
0 Votes
+ -
RE: Medicine is the Apple iPad sweet spot
littlepitcher 29th Jan 2010
Still needs an SDHC slot so individual patient medical records, or the day's patient records, can be condensed for efficient storage.

And, yes, that camera would be nice for documentation of physical condition, including domestic abuse and child abuse cases.
0 Votes
+ -
More substance than speculation: Here is a great article:
Prepare Your Enterprise for the iPad
by Rich Mogull
http://db.tidbits.com/article/10972

Join the conversation!

Formatting +
BB Codes - Note: HTML is not supported in forums
  • [b] Bold [/b]
  • [i] Italic [/i]
  • [u] Underline [/u]
  • [s] Strikethrough [/s]
  • [q] "Quote" [/q]
  • [ol][*] 1. Ordered List [/ol]
  • [ul][*] · Unordered List [/ul]
  • [pre] Preformat [/pre]
  • [quote] "Blockquote" [/quote]
ie8 fix

The best of ZDNet, delivered

ZDNet Newsletters

Get the best of ZDNet delivered straight to your inbox

Facebook Activity

White Papers, Webcasts, & Resources
ie8 fix
ie8 fix