9 Reasons the iPad falls short for acute care

By: Brian Dolan | Jan 28, 2010        

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Brian Dolan, Editor, MobiHealthNewsAs expected, Apple unveiled its new tablet device, the iPad, and it dominated the news cycle this week. Apple positioned the device as a new platform positioned at the intersection of the “liberal arts and technology” — a clear indication that the healthcare industry was not its top of mind use case. Despite recent news that Apple has been pursuing a mobile EHR pilot with Epic Systems, the iPad presentation included no mention of the healthcare vertical.

However, just as the iPhone originally had no clear agenda for the medical community, the iPad may very well factor into medical application developers’ plans for the year ahead. To wit: Healthcare providers, analysts, EHR vendors and developers provided MobiHealthNews with their first impressions of the iPad’s healthcare opportunity for the acute care environment, home health care and self-care market. Their first impressions (and these are just at first blush, mind you) are mostly positive, but they did note a number of shortcomings. Here are nine:

  • The iPad has no camera, an important feature for any connected health tablet.
  • Despite the iPad’s rather impressive “up to” 10 hours of battery life, the Center for Connected Health’s Rob Havasy lamented Apple’s continued use of non-swappable batteries. Most tablets targeting the healthcare environment boast swappable batteries so clinicians can continue using them without waiting for a charge.
  • Chilmark Research’s John Moore pointed out that the iPad’s 9.7 inch screen is not quite big enough for use with intensive medical applications.
  • Voalte’s Rob Campbell argued that the iPad was perhaps too big for many clinicians who would prefer a device that fits snugly into their pockets.
  • Belgium-based senior managed care manager and respected mHealth pundit Bart Collet noted that unlike many other healthcare tablets, the iPad is not ruggedized and its screen would likely break if dropped. Many healthcare tablets claim to be drop resistant from about three feet.
  • Quintiles’ Adam Istas believes the iPad’s healthcare opportunity should not be judged until medical apps specifically built for the platform (and not just those ported over from the iPhone/iPod) come to the market.
  • Havasy also believes that the iPad’s inability to multi-task, meaning it can’t run more than one application at once is another big shortcoming that might hamper uptake for healthcare workers.
  • Most healthcare tablets have barcode scanners — the iPad does not.
  • Most healthcare tablets are easily disinfected, water-proof and dust resistant. The iPad does not appear to address any of those issues.
  • What are we missing? Feel free to add others in the comments below.

While the iPad’s imminent launch likely convinced many savvy marketers in the wireless health industry to hold off announcements this week, there were a few notable stories: Ireland launched a text message service for food allergy alerts; Diversinet and AllOne Mobile may be dissolving their five year licensing agreement a few years ahead of schedule; the White House’s Text4Baby service has been delayed to launch next month and MiLife changed its strategy and name to Imperative Health following a $4 million venture capital investment from Unilever Ventures and New Venture Partners.

IN OTHER NEWS: Readers nominated MobiHealthNews to a number of categories in Medgadget’s Best Medical Weblogs Awards. If you have a minute and would like to vote: Here’s the link.

ALSO: Our Everywhere Healthcare event, which is co-located at CTIA Wireless 2010 at the Las Vegas Convention Center March 24, is quickly taking shape. We are happy to announce that AT&T has come on as a platinum sponsor and Diversinet and Jitterbug have joined up as Silver Sponsors of the event. Check out the preliminary agenda here and stay tuned for the speaker lineup soon. We hope to see you there!

  • http://videntity.com Alan Viars

    Its my understanding that programming for the iPad is like programming for iTouch/iPhone. Unlike a regular version of MacOSX, on an iPhone/iTouch, you can’t run applications developed in Java, Python, or other languages.

    So if you want a native iPAd application, then you HAVE to write a special application using only Apples special tools…and you HAVE to sell it through the Apple AppStore/iTunes. Certainly one could get around this to a degree with browser based apps, but in that case the iPad is really not offering anything unique.

    Alan Viars, CEO Videntity

  • http://www.innovationthrives.com blaine warkentine MD

    All true and real reasons for less than unanimous excitement over the platform. But it is still a platform that requires no training and is going to be fun to use. so i would expose some advantages of the platform.

    On the plus side:
    1. it will be an extremely sexy way to show patients your medical information and that will reflect on the sophistication of the HCP
    2. it will be a great tool for surveys, patient sign ins, registrations, concierge service for the patient
    3. it needs no training and therefore is low cost
    4. it is actually low cost
    5. it is ready to read for any age user, especially when you can change the font size so quickly and easily
    6. the platform will be upgraded year after year adding all the features that were mentioned above
    7. will be perfect for physical therapy and informational therapy delivery http://www.pumpone.com/pt.html

    another negative:
    1. still looks like no flash, animations still deficient in that case

    We have a lab coat coming out with a pocket for the iPad that is also antimicrobial and we have a antimicrobial protection solution coming out in three weeks at http://www.RidRx.com

    I will be blogging these opportunities at http://www.iPadHCP.com in the coming weeks.

    Cheers, Blaine Warkentine MD http://www.innovationthrives.com interested in partnering with you for your innovation needs.

  • http://www.innovationthrives.com blaine warkentine MD
  • http://www.voalte.com Rob

    I think it would be a mistake to think of the iPad as a stand-alone healthcare solution but rather think of the iPad / iPhone as as a family of mobile healthcare platforms. Nurses carrying iPhones, patient educators, therapist and hospitalists who need more screen real estate, carrying iPads. Some applications are cross platform and others are unique to the device.

    Clearly Apple has the iPad positioned as a consumer product and it is up to the development community to lead it into healthcare markets as was done with the iPhone

    Also… With Apple’s commitment to this new platform, think about gen2, and gen3 iPads and what the future is likely to look like.

  • http://www.innovationthrives.com blaine warkentine MD
  • Kyle Smith

    Let’s not keep pigeon-holing “the tablet in healthcare” as something used by clinicians at the point of care while they accomplish therapeutic tasks. An enormous amount of information is collected on the fly by people who aren’t wearing scrubs. This is where Intel’s MCA trajectory actually slowed tablet adoption in healthcare, I believe.

    Good points made above and in the comments and, as Blaine says, the current limitations are temporary and are not show-stoppers. The iPad feature set offered coming out of the gate represents a certain amount of new momentum. On the other hand, insisting that the App Store be the only software supply channel really is a problem.

    Kyle Smith, Sutter Health

  • http://www.mhealthupdate.com/?p=762 mHealth Update » Blog Archive » Apple iPad not for medical market after all?

    [...] have produced an interesting piece looking at early reactions from analysts, healthcare professionals and vendors to the Apple iPad. [...]

  • Robbie

    I don’t know if the iPad screen is daylight readable, but this is a must.
    Developers should have open access to the operating system.
    iPad should include cellular telephone access.

    Tablets have generally been a failed technology. They are awkward to use and lack a keyboard.
    A clam shell, convertible design is better because of LCD protection and an integral keyboard.
    Many tablets are already on the market. The iPad does nothing to advance current technology.
    Agree that user changeable batteries and a multitasking operating system are essential.
    Also agree that it would be nice to have an overcoat sized device that is both a good cellular telephone and a general purpose computer.

  • http://Www.umcn.nl Lucien Engelen

    maybe not for Acute Healthcare but : Is Apples iPad a gamechanger for Healthcare ? : http://lucienengelen.posterous.com/will-apples-ipad-change-healthcare

  • Bart de Witte @swisshealth20

    I agree with Kyle, and yes enormous amount of information are still collected. A differentiation should be made with data collection and display and analysis at the point of care. Most research has shown that it is data collection that lowers process efficiency, not displaying it on fancy iPads. As mentioned above the iPad is a consumer product, so most probably patient related data entry processes such as triage and quality surveys would make most sense.

    As I already mentioned in other forums, I don’t understand why the adoption of context aware systems is not being embraced more, and everyone is discussing on a user-interface level. Wouldn’t it make more sense if systems would automatically link with changes in the environment (location, identity, activity, time)?

    Our internal research has shown, that combining business process management and context aware technology could increase productivity of clinical staff in some cases with more than 20%.

    So before investing on fancy user interface technologies such as surfaces and iPads, the industry should focus more on things that really make a difference. But then again, if technology is that pervasive that you can’t “show” it on stage, it probably never will get real momentum.

  • http://bigsprocket.com/ Kyle Davis

    Don’t let the App Store distribution channel be a barrier … for large organizations, it’s a non-issue. Apple has an Enterprise license scheme that allows you to distribute your own software to your own devices without going through the App Store.

    At various times, I’ve looked at the mobile/tablet offerings from Microsoft (I come from a strong Microsoft background), but I was never as excited about a platform as I was seeing the iPad yesterday. With the high mobility, the long battery life (longer than your typical shift), GPS, etc, it’s a fantastic device for home health worker, as well as clinicians in the office/clinic environment.

    I’m looking forward to developing for it.

    Kyle Davis, BigSprocket LLC

  • http://articles.icmcc.org/2010/01/29/9-reasons-the-ipad-falls-short-for-acute-care/ ICMCC News Page » 9 Reasons the iPad falls short for acute care

    [...] Article Brian Dolan, mobihealthnews, 28 January 2010 SHARETHIS.addEntry({ title: "9 Reasons the iPad falls short for acute care", url: "http://articles.icmcc.org/2010/01/29/9-reasons-the-ipad-falls-short-for-acute-care/" }); [...]

  • http://www.digital-doc.com Chris

    Unfortunately, the iPad appears to be a large Ipod. Not that that is a bad thing for couch lounging and using the iPad as an adjunct supplement to watching sports on TV.
    IThe iPad has a weak CPU and little memory. No camera, no biometric reader, no multitasking, no stylus or hand writing recognition, (Newton had recog.) no voice or dictation, battery lasts only 3 hours on wifi and is not hot swapable. Add the above, double the CPU speed with 4 gigs or Ram and dual boot to Windows 7 and you have a machine for Health Care.

  • http://linkedin.com/in/amschler John Amschler

    The iPad does fall short for Acute Medical Care, just as the original mobile (luggable) phone fell short for real people to ever have one.

    The iPad did not focus on the Acute Care Market, but it included the Acute Care Market in the Venn Diagram for the market the iPad just advanced.

    They just opened the sidewalk for a usable tablet to enter into everyday life, akin to how the original cell phone opened the path for the penetration of mobile phones in our lives today.

    This device lowers barriers – it just took away the the main argument I hear from people ‘nothing like it exists so why should I care’.

    It just opened up the opportunity to put it in the hands of the tech-savvy medical sales people who get in front of the health care providers every day; it opened an option to put it in the hands of the children of the health care providers; it just created Tablet PC awareness on a broader scale than before – we didn’t spend a dime for this advertising, but we can leverage it to penetrate the market earlier.

    It also lowered the barrier to entry for the innovator. Anyone with an idea on a medical pad can now just grab a Mac computer and the Software Development Kit, then can prototype their concept without having to build a tablet or even own one.

    I expect to see a Senior project this year to be done by Student Engineers/Graphic Designers/ User Interface Designers/Ethnographers and the next generation of Medical Doctors.

    Anyone who works with emergent technologies continually faces this type of situation. I call it the ‘if it ain’t broke, don’t fix it’ attitude. The Pony Express was never broke, but the telegraph made it better. The telegraph wasn’t broke, but we made the information transfer more efficient – Today my girlfriend telegraphs me every day, but we just label it as text messages.

    With this product Apple lowered barriers which we can capitalize on – it lowered the R&D for me to create a prototype; it lowered the cost to simply demonstrate software to the user; it lowered the difficulty it will take for you to sell a tablet to your users in the future.

    Let’s look into the future, but first let’s just say what we want a tablet to do for Acute Medical Care? It is a data collection and data retrieval system.

    Medical records – data.
    Pictures – data.
    Order scripts – data.
    Everything – data.

    Two to ten years down the road the input device won’t matter as much. Each user will carry a personal information entry and retrieval system, and they’ll have secure access to get into whatever data they need for their life (job, personal, travel, etc).

    The way to win is not by selling a unique HW platform to the healthcare systems; the way to win is to sell the great Information System that is configurable to the input/output devices that users want to use.

    Think about one progression of this:
    1. prototype your back end data security and storage/retrieval method
    2. target the most pervasive technology used at the time of launch – say a laptop
    3. target it on a system which is brand new such as the iPad
    4. when you have a large base of users tied to your input/output system the HW platform people come to you or directly to your users to ask for input on how they can make their platform better to target your market – this base information is where they generate innovation.

    I love answering questions so feel free to ask them or give varied opinions.

    Always have fun!

    John

  • http://scienceroll.com/2010/01/31/apple-ipad-in-healthcare-pros-and-cons/ Apple iPad in Healthcare: Pros and Cons « ScienceRoll

    [...] MobileHealthNews [...]

  • Justin Jackson

    I completely agree with the fact that the iPad has it’s shortcomings as far as the medical field is concerned, but this only affirms the assumption that the medical field is not their number one target audience. For personal use, the iPad is absolutely wonderful. I would almost say flawless, except the problem of having no camera is a shortcoming for normal consumers as well. Other than that I feel that it’s a great tool for my line of work, as well as a great messaging platform. I think the iPad is a great advancement and only serves to foreshadow what Apple has in store for us in the future.