The goal of the two-year research project, titled Palm Risk-Outcomes Manager & Patient Tracker (PROMPT), was to determine how the use of personal digital assistants (PDAs) by their physicians benefits cardiology patients. This unique customised solution for the hospital enabled the integration between PDAs and other enterprise systems used by medical practitioners.
The PROMPT Programme at the Mount Sinai Hospital, which ran from September 2000 to September 2002, included approximately 14.500 patients as well as 125 cardiologists, divided into three study groups, including one control group. The programme requirements included meeting the specific needs of studying cardiovascular risk factors, such as cholesterol levels and blood pressure, and monitoring physician behaviour.
The solution used by the cardiologists allowed patient data to be collected on Palm 5x PDAs at the time of a clinical encounter relating to cardiovascular risk, displayed previously captured data, prompted physicians to counsel lifestyle changes, and calculated risk scores and target clinical parameters.
The Skyscape solution enabled physicians to collect data and transmit it to a central server utilising an automated, bi-directional synchronisation process that uploaded the user-collected data from a physician's PDA and appended records in the network database, and downloaded demographics and appointments from the network database to the PDA.
Additionally, the Skyscape solution enabled the network database to receive data from hospital enterprise systems and create queries built to answer research questions, support project surveillance and administration, quarterly reports or chart extraction. This is the first time cardiologists have had access to dynamic content systems for their handheld computers, which is based on an evolution of Skyscape's patented smARTlink technology.
"Working with Skyscape for this study helped us to address our patients' concerns about their cardiovascular risk. This collaboration was particularly gratifying as we, as care-givers, want to do everything we can to not only assess that risk, but reduce it", stated Dr. Tom Karson, M.D., cardiologist, Mount Sinai Hospital. "We believe the ability to capture, access and evaluate real time data in something that fits in your pocket will have a significant impact on our patients, and that this point-of-care technology will become part of our standard-of-care."
"This unique project between Skyscape and Mount Sinai extended the boundary in the use of handhelds at the point-of-care by providing highly specialised information to facilitate acute care delivery within the health care enterprise", stated R.J. Mathew, vice president marketing and business development for Skyscape. "The PROMPT Programme is evaluating and quantifying the impact PDAs and technology can have on patient health."
Skyscape is a provider of interactive, intelligent mobile solutions for health care 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 health care decision making at the point-of-care.
Skyscape utilises its patented Advanced Reference and Transaction (ART) infrastructure technology to create compelling high-value solutions for handheld devices that reflect and support the intuitive thought processes of the medical practitioner.
Skyscape has the largest installed base of paying customers in the industry, including individual and communities of medical practitioners at Harvard Medical School, Massachusetts General Hospital, Brigham and Women's Hospital, Stanford Medical School, Partners Health System, Duke University, Mayo Clinic, and Kaiser Permanente. Skyscape's solutions are available on multiple platforms, including Palm OS, Windows CE and Pocket PC. More information on the company can be found in the VMW April 2003 article McGraw-Hill and Skyscape partner to increase mobile access to medical information.