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Topic:  Doctor, Lawyer, Indian Chief
Date:
05/04/2003
 

Clie Connections

Doctor, Lawyer, Indian Chief

In the last three months my wife has been in and out of hospitals and doctors offices more times than I want to count. It seems like every week I am having to make 1-2 trips to the pharmacy to get prescriptions filled and refilled. One thing I have noticed during the course of all this is the prevalence of PDAs in the professional workplace, specifically in the medical community.

I went with my wife to the doctor’s office and the physician’s assistant pulled a Palm Pilot out of his lab coat. Later the same day I was at the pharmacy and one of the pharmacists was showing off her new Clie NX70V to her fellow drug pushers (just kidding…). Recently I even saw a photo on the television of an Army medic pulling out a PDA of some sort to get information off it. That got me exploring the use of PDAs in the medical profession and the impact that it has made on that particular profession in the last several years.

Doctors, just like Lawyers and members of many other professions, have been long viewed as the more intelligent than most of us mere mortals due to the extended schooling and training that they have to go through in order to get their license. They then have to attend even more training each year on new medications and procedures in order to keep it. What if, however, they had all the latest information, say on prescription drugs and their interactions, available in the palm of their hand. One such company, Skyscape, offers just that.

I contacted Skyscape for information regarding their Palm OS software and discovered an entire new world of Palm software. Software developed by or marketed through them includes reference databases for all typed of drugs as well as natural products and over 100 different pieces of software for over 25 different specialties.

I was fortunate enough to interview Kelli Bravo, the Director of Marketing at Skyscape, about her company and the use of PDAs in the medical profession. (Note: I have edited the content of the interview due to the length of the article after I finished. If you would like to read the entire interview, and I would encourage it, you can download it here.) Here are the highlights of the interview:

Tell me a little about yourself. How long have you worked for Skyscape and what do you do there.

I have been at Skyscape since July 2002. I am the Director of Marketing and am responsible for our marketing strategy, corporate communications, PR programs, our customer acquisition programs both direct mail and email, our advertising, our hardware partnerships, our bookstore sales programs and sales support.

How old is Skyscape and how did it get started?

Skyscape began evolving in 1993 and was started by our president and CEO Sandeep Shah. Dr. Neeta Shah, a cardiologist at the Primary Care Group in Webster, needed to find information about heart disease, medication and other cardiology topics in one place and challenged her husband, Sandeep Shah, to solve her problem.

Where did the name Skyscape come from?

The name evolved from Skyscape's ability to provide wireless, handheld pda solutions across any platform. Skyscape provides the handheld solutions for any landscape "Skyscape" for communities of users. And the sky is really the limit on what handhelds can provide mobile workers in all professionals especially with the increase use of wireless.

Tell us some about your products.

Skyscape works with the world's leading medical publishers and authors including FA Davis, McGraw-Hill, Lippincott Williams & Wilkins and uses its patented technology to create handheld versions of the best medical and nursing references. These "Powered by Skyscape" trusted solutions have gained tremendous acceptance amongst the medical community because of the quality of the content provided by the our publishing partners, and the intuitive look and feel of our software on the handheld. We currently have over 100 medical and nursing references covering over 25 specialties including 5 Minute Clinical Consult an internal medicine reference and our most popular resource; Essentials of Diagnosis and Treatment also for internal medicine physicians, students and residents; Davis's Drug Guide for Nurses; Physicians' Desk Reference another drug guide; the Special Forces Operations Medical Handbook an emergency medicine reference designed to help military and civilian medical personnel out in the field, OCM/911 a bioterrorist agent reference; and The Prescriber's Letter Handbook of Adverse Drug Interactions a drug interaction guide. We currently provide clinical references, drug guides, drug interaction guides and medical dictionaries. Skyscape’s solutions are available on multiple platforms including Palm OS®, Windows® CE, and Pocket PC.

Do you develop them yourselves or do you simply market them?

We enhance trusted publisher content for use on handheld devices. The software development is done by us and with Skyscape's patented smARTlink™ technology, doctors, nurses and healthcare practitioners can easily cross-index with other clinical, drug, and drug interaction solutions from Skyscape to provide medical and nursing professionals with a powerful and integrated source of information whenever and wherever they need it.

In your opinion, how prevalent is the use of PDA's in the medical profession?

PDAs have taken a strong foothold in healthcare. We see PDA adoption as bridging the last mile between medical professionals and technology. PC's never really took off in medicine because they are not mobile and put a barrier between the physician and patient. But with over 30,000 patients dying every year due to medical errors, clinicians are rapidly adopting solutions that provide up-to-date clinical, drug and drug interaction information right at the patient’s bedside. A Harris Interactive study estimates that 50% of physicians will be using handhelds (PDAs) by 2004. An ACP-ASIM Survey finds that nearly half its members already use handheld computers. Medical and Nursing references for handhelds powered by Skyscape are used every day by over 160,000 clinicians to help prevent medical errors. And since our high-value solutions support the intuitive thought processes of medical practitioners, we are helping them improve the quality of care and reduce administrative time.

Do you think a patient would lose faith in a doctor if they were seen to be referring to a PDA during an exam?

On the contrary, this increased access to information at the patient's bedside allows the physician to spend more time with patients (less time researching information back in the office), reduces medical errors/call backs etc., and allows the physician to allay fears by being able to point to another source for opinion. See physician feedback:

In one particular case, a patient expressed her skepticism over my diagnosis of panic disorder. Then came the dreaded "but how do you know, doctor?" I calmly replied, "Why don't we just consult the computer". I brought forth my PDA, accessed 5MCC powered by Skyscape, and then Panic disorder and began to read from the list of associated signs and symptoms. After several rounds of my naming and her nodding ascension, the sale was closed with the statement, "I guess you were right doctor."

Dan L. Field, MD, Emergency Medicine, The Permanente Medical Group

What does the future hold for Skyscape?

Currently, Skyscape is the leading provider of interactive, intelligent mobile solutions for healthcare enterprises and individual practitioners. Skyscape’s mobile platform enables the enterprise-wide deployment of the industry’s most extensive portfolio of handheld medical and nursing reference information to improve the quality and efficiency of healthcare This is just the beginning for Skyscape. Skyscape embraces the revolution in the use of mobile devices extending from the individual practitioner to communities of mobile professionals working collaboratively, transacting, and referring, via connections to networked servers whose reach extends to the enterprise and beyond. These high-value professional communities will greatly benefit from information access at their fingertips that will improve both the quality of their professional work as well as their efficiency in handling the administrative overhead that is part of today’s rapidly changing business environment. In addition, these worldwide communities are a growing focal point of the current and future stakeholders in the medical, healthcare and pharmaceutical value chains. Skyscape is the only company positioned to provide a single, unified enterprise-wide technology platform to address the individual interests of these various stakeholders by providing powerful value-added solutions that will create the leaders in this rapidly changing competitive landscape.

Are there any plans on expanding your market to other professions such as the legal profession?

We believe in focusing our efforts to give the best we can to our healthcare clients. However, the future does hold the opportunity for us to branch out into other verticals.

Is there anything else you would like to add?

Our team is proud that our solutions are helping the U.S military medical personnel in their efforts abroad and that our handheld references are seen as the 'Tools for Life' by many of our military users. We all hope for their safe return and a quick end to this conflict. We have always provided our users with free access to OCM/911, a bioterrorist agent reference. Because of global events, we have shifted our short-term priorities to make additional resources from the CDC regarding biological and chemical agents available.

The powerful and moving feedback we have received recently from our military users has spurred us on even harder. See what I mean when you hear what Randy Wobser says:

"Skyscape has been a Godsend to me when I was deployed. As you may know, when deployed, one frequently practices beyond the scope of one's specialty. The Skyscape titles I had access to allowed me to correctly treat a wide spectrum of patients (including ICU, which is not something we see much of in OB/GYN). It made me realize that my Palm is the single most important tool to have when I deploy--absolutely invaluable."

Randy W Wobser, MD, Dept. of OB/GYN 374th Medical Group, Tokyo, Japan

Be sure to read next week’s Clie Connections article entitled, "Skyscape: A Doctor in Your Pocket" in which I give mini-reviews on several of Skyscape’s products.

 
Category: Clie Connections