Appl Clin Inform 2020; 11(01): 122-129
DOI: 10.1055/s-0040-1701254
Research Article
Georg Thieme Verlag KG Stuttgart · New York

Experiences of Health Care Providers Using a Mobile Medical Photography Application

Kirk D. Wyatt
1  Division of Pediatric Hematology/Oncology, Mayo Clinic, Rochester, Minnesota, United States
,
Brian N. Willaert
2  Information Technology, Mayo Clinic, Rochester, Minnesota, United States
,
Christine M. Lohse
3  Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, United States
,
Peter J. Pallagi
4  Media Support Services, Mayo Clinic, Scottsdale, Arizona, United States
,
James A. Yiannias
5  Center for Connected Care, Mayo Clinic, Rochester, Minnesota, United States
6  Department of Dermatology, Mayo Clinic, Scottsdale, Arizona, United States
,
Thomas R. Hellmich
7  Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, United States
8  Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota, United States
› Author Affiliations
Funding REDCap was supported by an institutional grant (UL1TR002377).
Further Information

Publication History

06 September 2019

19 December 2019

Publication Date:
12 February 2020 (online)

Abstract

Objective To understand the ways in which providers use a mobile photography application integrated with the electronic health record (EHR) to facilitate clinical care, and the process outcomes that result from the application's use.

Methods An e-mail survey was sent on November 13, 2017, to 1,463 health care providers at Mayo Clinic who had used an internally developed, EHR-integrated medical photography application.

Results The survey was completed by 712 (49%) providers. Providers reported using the application on approximately 1 in 7 days spent in clinical practice. Median provider satisfaction with the use of the application (0–100 scale; higher numbers indicate favorable response) was 94 (interquartile range [IQR]: 74–100). Although the use for store-and-forward telemedicine was reported (22% often or frequently used the application to send photographs to a specialist for advice), the most common use was for clinical documentation (65% often or frequently used the application to supplement text-based notes with photographs, and 71% often or frequently used the application to take photographs for reference by a colleague who may see the patient in the future). Of the health care providers, 36% indicated that the application's use often or frequently expedited treatment.

Discussion Health care providers reported using a mobile point-of-care medical photography application regularly in clinical practice and were generally satisfied with the application.

Conclusion Point-of-care medical photography using a secure mobile, EHR-integrated application has potential to become a new standard of care for clinical documentation and may facilitate continuity across the continuum of care with multiple providers who see a patient.

Protection of Human and Animal Subjects

The survey was reviewed by the Mayo Clinic Institutional Review Board, but it was deemed “not research,” as it was a quality improvement initiative that aimed to gather data on local processes, with the goal of assessing and improving the application's use and clinical impact within our practice.


Supplementary Material