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The XY Files in an MT World

Lessons from an iPhone

Published May 19, 2009 8:33 AM by Jay Vance
I admit it, I was suffering from iPhone envy.  As an unabashed technophile (i.e., hard-core geek), I couldn't help but be intrigued by all the cool things the iPhone was supposedly capable of doing.  When one of your colleagues says something to the effect that she needs to have her iPhone surgically removed from her hand, how can you NOT want one? 

But coolness costs money, dang it, so I had to wait until the time was right.  Then my cell phone contract came up for renewal, meaning I was eligible for a phone upgrade, and the AT&T store offered me a deal I couldn't refuse.  I am proud to say I have now joined the ranks of the iPhoniacs.

Truth be told, this is my first exposure to an Apple product.  I've owned a couple of mp3 players, but never an iPod.  As someone who knows his way around a DOS prompt, the thought of purchasing an Apple computer has never even entered my mind.  But this iPhone has given me a little insight into the whole Apple mindset, and the "one thing" (think Jack Palance in "City Slickers") that is the secret to the company's success:

Their stuff simply works.

It's not just that Apple products such as the iPhone work -- they simply work.  Having used Windows PCs and Windows Mobile-based smartphones for decades, believe me, I know the difference.  Something as basic as turning the phone ringer off takes me four or five steps with my WM BlackJack; with the iPhone, there's an honest-to-goodness switch on the side of the phone.  A switch, for crying out loud! 

And rather than Apple trying to envision and create an application for every possible use of the iPhone, they made the radical decision to build a basic operating system and give third-party developers the ability to build applications to run on it.  Now, over 40,000 applications later, the result is a piece of technology that is very simple to operate and at the same capable of accomplishing extremely complex tasks. 

But the purpose of this blog post isn't to shill for Apple, or even to brag about having an iPhone (well, okay, maybe just a little on the bragging part).  In fact, the whole experience has got me to thinking about what a game-changer simple could be as we move toward a nationwide electronic health record infrastructure.

Let's just cut to the chase: the biggest obstacle to widespread adoption of EMRs and PHRs is going to be the unwillingness of the users - doctors and their patients - to learn how to use bewilderingly complicated new technologies.  New technology isn't going to solve problems that are rooted in not-new people.  Solve the people problem, like Apple has done with the iPhone, and the whole process becomes infinitely more doable. 

Now that that's settled, time to update Twitter and Facebook using my iPhone Vlingo speech recognition app...does it get any better than this?

5 comments

Back in May of 2009 I wrote a highly enthusiastic blog post entitled " Lessons From An iPhone ." It's

November 12, 2009 8:51 AM

Jay: Welcome to the iPhoniacs!!!  I too need to have mine surgically removed.  Who would ever think that one who spends so much time at a keyboard would love playing with this adorable little machine, keeping fingers busy practically 24/7???  Best money I ever spent was on my iPhone.  And don't even get me started on my addiction to the App Store!

Cathy Magness May 20, 2009 4:56 PM
Kettering OH

Jay,

Personally, I'm of the view that if a doctor can learn driving a car, he can mouse click the prefill options on a tablet PC, as simple as that.  Where there is a will, there is a way, and the will has to come here as a legal compulsion from the government.

It's my longtime dream to own an iPhone, dunno when I can be a proud owner of that (waiting for the prices to come down here at my place, hehehe).

Raj , Healthcare Documentation - MT May 20, 2009 2:53 AM
India

Yes, Jay, as you and I have been harping for YEARS, proprietary software is worthless.  Let's hear it for open technology.  The sooner the software vendors learn this, the sooner the EHR will be adopted.  So to all you software vendors out there trying to earn a buck, I'm afraid that you really won't take over the world with your software, no matter how good YOU think it is.  I am not an Apple user or fan, but you certainly can't argue with their success.  Are you listening Microsoft?

Tina Whitecotton May 19, 2009 1:33 PM

I like the way you are thinking, Jay!  KISS is always a good policy!  So, we need to brainstorm about just HOW to keep things simple for the healthcare consumers and their healthcare providers.  Need to keep the individual patient stories intact as well as convey all essential information at every patient encounter, accurately and updated.  I vote for getting healthcare consumers to be the keepers of their own medical information so as to facilitate continuity of medical care in any scenario--in their hometown or while on vacation, or during an emergency, or at various facilities, etc.  Wouldn't that be a great app for a handheld consumer device?  iHealth?  

Kathy Khajeh-Noori May 19, 2009 12:43 PM
Palm Bay FL

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About this Blog


    Jay Vance, CMT
    Occupation: Medical Transcription Industry Consultant
    Setting: Yuma, AZ
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