ATTENTION: PLEASE TAKE OUT AND TURN ON ALL CELL PHONES AND ELECTRONIC DEVICES PRIOR TO PRESENTATION

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1 ATTENTION: PLEASE TAKE OUT AND TURN ON ALL CELL PHONES AND ELECTRONIC DEVICES PRIOR TO PRESENTATION YOU ARE ENCOURAGED TO TALK EXCESSIVELY WITH YOUR NEIGHBOR AND THE PRESENTER DURING THE ENTIRE TOPIC

2 DRUG INFORMATION APPLICATIONS CPFI National Meeting Saturday June 14, 2014 Springmaid, Myrtle Beach Shelley Hoppe Schliesser, PharmD

3 DISCLOSURE I or my spouse/family have no actual or potential conflict of interest in relation to this activity.

4 OBJECTIVES Identify the good and bad points of apps Know how to evaluate a medical application Clarify what regulations the government is making regarding medical applications Identify helpful apps used in the practice of pharmaceutical care List the steps for adding a website to your smart phone/pad

5 Identify the good and bad points of apps Know how to evaluate a medical application Clarify what regulations the government is making regarding medical applications Identify helpful apps used in the practice of pharmaceutical care List the steps for adding a website to your smart phone/pad OBJECTIVES - List one good and one bad point about your favorite medical application - Medical apps are evaluated by the HONcode (true/false) - The FDA oversees all medical apps (true/false) - Identify the medical app which can assist in drug shortages. - Favorite websites can t be added to your smart phone/pad (true/false)

6 CHANGE IN EXCHANGE INFORMATION/ COMMUNICATION Before written word (arguments when that actually started) (cave drawings, pictographs, smoke signals, storytelling, tradition, law) Written word to telegraph 1830 s (scrolls, Bible, world becomes smaller and round via sailing, pony express mail, trains) Telegraph to television 1940s (telephone, radio) Television to personal computer 1970s (perfection of radio, telephone, computer and television) Personal computer to now (Internet, Cellphone, PC/iPhone /Android, Twitter, instant message, )

7 WHY IS IT SO HARD TO WAIT OR WORSE YET ASKED TO SEARCH AND SHARE? Consider the Index Medicus > Grateful Med/PubMed > Internet > Apps difference between knowledge Acts 1: 5-11 (NIV) and wisdom On one occasion, while He was eating with them, He gave them this command: Do not leave Jerusalem, but wait for the gift My Father promised, which you have heard Me speak about. For John baptized with water, but in a few days you will be baptized with the Holy Spirit. Then they gathered around Him and asked Him, Lord, are You at this time going to restore the kingdom to Israel? He said to them: It is not for You to know the times or dates the Father has set by His own authority. But you will receive power when the Holy Spirit comes on you; and you will be my witnesses in Jerusalem, and in all Judea and Samaria, and to the ends of the earth. After He said this, He was taken up before their very eyes, and a cloud hid Him from their sight. They were looking intently up into the sky as He was going, when suddenly two men dressed in white stood beside them. Men of Galilee, they said, why do you stand here looking into the sky? This same Jesus, who has been taken from you into heaven, will come back in the same way you have seen him go into heaven.

8 WHICH INFORMATION AGE ARE YOU IN? The current age of pharmacists graduating are using multiples of media to answer drug information questions. Sometimes how they answer drug information is considered offensive by other clinicians of a different information age Communicate/ gain approval before using PCs Both clinicians are looking at their notes to gather and give you medical information. Which is most preferable to you?

9 EVALUATION OF INTERNET SITES The following is a reminder on how to evaluate online references - Check the URL (domain, who published, valid) - Author has appropriate credentials with intent clearly defined -Timely - Links to other reputable sites -Check for HONcode (Health on the Net Foundation) Example ISMP (Institute for Safe Medication Practices) - Evaluating web pages: techniques to apply & questions to ask [tutorial on internet]. UC Berkeley Library; 5/8/2012 [cited 2014 April 1]. Available from: (http;// - Health on the Net Foundation (HONcode) [homepage on the internet] Chene-Bourg SW; c2013 [ updated 2013, June 1, cited 2014, April 1] Available from ( - Institute for Safe Medication Practices (ISMP) [homepage on the internet] Horsham, PA; c2014 [updated 2014, cited 2014 April 1] Available from: (

10 EVALUATION OF MEDICAL APPLICATIONS - Availability is it available on iphone, ipad, Droid - Know who designed the App Is that person(s) reliable and knowledgeable - How often is it updated automated list is best - Easy to use AND understand able to fully use with little instruction, no misunderstanding due to inaccurate or shortened information - Cost effective free is good but often you get what you pay for

11 KNOW WHAT YOU RELY ON If you don t have time to review an app yourself you may need assistance. But know the source and the pitfalls of those you rely on to give you such information and what their criteria are. Medical App Journal a Peer review for Medical Apps - Medical App Journal [homepage on the internet] c2012 [updated 2012, cited 2014, April 1] Available from (

12 WHAT S THE GOVERNMENT DOING ABOUT IT? The FDA is focusing its oversight on mobile medical apps that: are intended to be used as an accessory to a regulated medical device for example, an application that allows a health care professional to make a specific diagnosis by viewing a medical image from a picture archiving and communication system (PACS) on a smartphone or a mobile tablet; or transform a mobile platform into a regulated medical device for example, an application that turns a smartphone into an electrocardiography (ECG) machine to detect abnormal heart rhythms or determine if a patient is experiencing a heart attack tm - Mobile Medical Applications [ on the internet] Silver Spring, MD [updated 2013 Oct 22; cited 2014 April 1] Available from ( MedicalProcedures/ucm htm)

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19 ADDING A WEBSITE TO YOUR PHONE OR IPAD So what do you do if You don t like any of the current apps There are no current apps for what you like BUT there is a website for which you do find such information How do you turn a website into a quick link or what some would say an App on a PC? Bring out your ipad or iphone or Android. If you have a friend next to you who is not as PC savvy please assist them.

20 OBJECTIVES - List one good and one bad point about your favorite medical application - Medical apps are evaluated by the HONcode (true/false) - The FDA oversees all medical apps (true/false) - Identify the medical app which can assist in drug shortages. - Favorite websites can t be added to your smart phone/pad (true/false) Pro: fast, easy Con: expensive, updates False, this applies to websites False, only specific ones RX Shortages False, you can add them as an icon

21 QUESTIONS