Microsoft Windows XP Tablet PC Edition
Customer Solution Case Study
Process improvements
Improvements to
to work
Work
Putting process
enhancing
Enhancing patient
Patient care.
Care
Overview
Country or Region: United States
Industry: Collaborative Healthcare
Customer Profile
Baylor Health Care System is a network of
hospitals, health centers, and a research
institute. One of the largest private-sector
employers in Dallas/Fort Worth, Texas,
Baylor employs more than 15,000,
including 3,300 physicians.
Business Situation
Baylor wanted to give physicians a single
access point for patient information, and at
the same time, provide patients with a
better experience during check-in.
Solution
Physicians can use the Tablet PC with the
My Baylor EMR portal solution to share vital
data throughout the hospital environment.
Patients use the Tablet PC as part of
Galvanon’s MediKiosk product to easily
enter their medical information.
Benefits
 Wireless access to medical records
 Improved collaboration
 A more efficient and comfortable checkin
 Cost savings and error reduction
 Easy integration with existing technology
“After implementing the technology, the staff were
able to regain time to focus more on patient care
instead of pushing paper around the office.”
Randy Fusco, Vice President of Strategic Solutions Development, Baylor Health Care System
For a world-class healthcare organization like Baylor, creating an
environment of superior care delivery means meeting the needs of
many customers: physicians, nurses, administrative staff, and the
patients they serve. With the Tablet PC running Microsoft®
Windows® XP Tablet PC Edition, Baylor Health Care System has
enabled new levels of mobility and collaboration for care providers,
streamlined intake and record-keeping processes, and taken
another step closer to providing the ideal patient experience.
Situation
A large non-profit organization in the North
Texas region, Baylor Health Care System has
more than 15,000 employees and over
3,300 affiliated physicians. With 14 hospitals
and numerous clinics and specialty centers,
Baylor is one of the largest private-sector
employers in the Dallas/Fort Worth
metropolitan area, and its flagship facility,
Baylor University Medical Center at Dallas,
has been recognized by U.S. News & World
Report as one of “America’s Best Hospitals”
for 12 consecutive years.
“Our number-one
patient complaint was
the check-in process.
Patients routinely fill out
dozens of pages every
time they present at a
facility—whether they
were here a week ago or
a year ago, they have to
fill out all that paper.”
Jason Whiteside, Corporate Director of
Solution Management, Baylor Health Care
System
As they seek to provide exemplary care to
patients, Baylor Health Care System—like
many organizations in the healthcare
industry—has faced significant challenges
around aggregating patient information into a
single view for physicians and nurses. The
traditional, paper-based methods of
collecting, updating, and disseminating
medical records often resulted in delays
getting this vital data to care providers.
Physicians were spending time locating and
searching through files—which often took up
nearly half of their office space—instead of
practicing medicine in exam rooms and
laboratories. As Dr. Peter Dysert, Chief
Medical Information Officer at Baylor Health
Care System, notes, “The sedentary, desktopaccounting metaphor is not what a physician
does. Inherently, physicians and nurses are
mobile.”
Paper-based records management also
affected patients seeking care from Baylor,
especially during the intake process. “Our
number-one patient complaint was the checkin process. Patients routinely fill out dozens
of pages every time they present at a facility—
whether they were here a week ago or a year
ago, they have to fill out all that paper,” says
Jason Whiteside, Corporate Director of
Solution Management. In looking to mitigate
this situation and improve patient
satisfaction, Baylor also hoped to streamline
the workflow and costs associated with
clinical staff, who often spent up to 90
percent of their time pushing paper from one
place to another.
Solution
As part of Baylor Health Care System’s
commitment to providing care to their
communities, the organization has embarked
on an initiative called “clinical
transformation”—using technology such as
the Tablet PC with the Microsoft® Windows®
XP Tablet PC Edition, along with other
products from Microsoft and its partners, to
improve workflow and processes for job roles
across the hospital environment.
A key part of clinical transformation was
Baylor’s response to the need for a single,
centralized access point for patient
information. The result is My Baylor EMR, a
portal solution that uses electronic medical
records (EMR) instead of traditional, paperbased medical files to provide this access
point. My Baylor EMR is based on Microsoft
Windows Server System™ integrated server
software and the Microsoft .NET Framework,
which helps Baylor create tight integration
with their entire technology solutions portfolio
as they provide on-demand services to
thousands of physicians and support staff.
And because My Baylor EMR is easily
accessed by Tablet PCs like the LE1600 slate
from Motion Computing, physicians and
clinicians can retrieve, update, and
collaborate with vital, real-time patient data,
even when they are away from their offices.
Says Randy Fusco, Vice President of Strategic
Solutions Development for Baylor, “The ability
for physicians to use a Tablet PC extends
them to a mobile environment, where
typically they would have to go to a nurse’s
station or to their desks to get the same
information.”
The Tablet PC also plays a crucial role in
Baylor’s choice of a patient intake solution:
MediKiosk, a self-service kiosk system
developed by Microsoft partner Galvanon that
incorporates the LE1600 Tablet PCs and
ViewSonic hardware. MediKiosk allows
patients to use the Tablet PC’s pen-and-ink
capabilities to provide all their demographic
and insurance information, answer health
history questionnaires, and sign forms the
first time they check in. Subsequent checkins are reduced to a matter of minutes, as
patients are only required to make any
necessary updates. Beyond the savings in
time for both patients and staff, the Tablet PC
has helped improve the patient experience at
Baylor with its combination of mobility and
versatility. “One of the things that the
patients have really responded well to is the
form factor. It’s a very familiar process to
take the device, sit down in a chair, and fill
out forms using a stylus on a screen; it’s very
similar to pen on paper,” according to
Whiteside.
Patients young and old can enter
their personal information in a
more natural way with the penenabled Tablet PC.
Electronic Medical Records (EMR)
Sometimes referred to as electronic
healthcare records (EHR), this critical
information can be easily accessed, viewed,
and annotated, then securely shared among
clinicians with My Baylor EMR’s single access
point and the versatility of the Tablet PC. For
Baylor, electronic storage of this vital data
creates the potential to reduce the extensive
footprint and high costs associated with
traditional, paper-based records.
Caregiver Collaboration
With support for note-taking and annotation,
plus wireless connectivity, the Tablet PC
enables new levels of collaboration and
productivity among care providers at Baylor.
Further, physicians and their support staff
can annotate directly on clinical images and
share them for review by other professionals.
Deep Integration
Because the Tablet PC runs the Windows
operating system and familiar PC
applications, it will be easy to integrate with
Baylor’s technology investments around the
My Baylor EMR portal solution and other
backend systems, including Windows Server
System and the .NET Framework.
Improved Patient Experience
For Baylor’s patients, who range in age from
the very young to the very old, the pen-andink capabilities of the Tablet PC and the
MediKiosk solution help the intake process
feel familiar and natural, without requiring
extensive prior computer experience. In
addition, the reduction in repeat paperwork
enabled by the solution also helps improve
the experience for patients. “The MediKiosk
system has received a 95 percent approval
rating in our patient satisfaction survey,” says
Whiteside.
Mobile Access to Patient Data
From the office to the emergency room to the
lab, with the Tablet PC, Baylor’s clinicians and
administrators will be able to stay wirelessly
connected to patient information when and
where it’s needed, a vital step in efforts to
improve patient care and reduce costs. And
because this new level of productivity is so
mobile, Baylor has seen a surprisingly rapid
adoption of the technology by physicians and
nurses.
Streamlined Administration
Administrative spending accounts for 25
percent of the cost of healthcare, one of the
highest rates for any industry. The Tablet PC’s
pen-and-ink applications help automate the
burdensome, high-cost process of completing
and managing clinical and administrative
forms. With the MediKiosk system, Baylor has
been able to eliminate 13 pieces of paper for
every patient—a $20,000-a-year budget
expense. Baylor has also seen a 50 percent
Benefits
For More Information
For more information about Microsoft
products and services, call the Microsoft
Sales Information Center at (800) 4269400. In Canada, call the Microsoft
Canada Information Centre at (877) 5682495. Customers who are deaf or hard-ofhearing can reach Microsoft text telephone
(TTY/TDD) services at (800) 892-5234 in
the United States or (905) 568-9641 in
Canada. Outside the 50 United States and
Canada, please contact your local
Microsoft subsidiary.
For more information about Galvanon
products and services, call (877) DR KIOSK
or visit the Web site at:
www.galvanon.com
For more information about Baylor
University Medical Center, call
(800) 4BAYLOR or visit the Web site at:
www.baylorhealth.com
decrease in the amount of time spent by staff
on paperwork, time they are now able to
devote to the organization’s ultimate goal—
improving patient satisfaction. Fusco adds,
“After implementing the technology, the staff
were able to regain time to focus more on
patient care instead of pushing paper around
the office.”
Error Reduction
Beyond administrative inefficiencies, a
dependence on paper and handwritten data
can be responsible for an unacceptable level
of medication errors for a healthcare
organization. The forms-automation
capabilities of the Tablet PC can help mitigate
these risks and enable improvements in
patient safety. Baylor’s Mike Williams puts it
this way: “We are able to register our patients
in real time, and because the data is
electronic, we’re able to transfer it from one
system to another in a very clean fashion. It
has reduced errors and increased the
accuracy of patient-provided information.”
Microsoft Windows XP
Tablet PC Edition
Microsoft Windows Tablet PC Edition provides
a more versatile computing experience,
enabling you to use your PC in more places
and more ways.
For more information about Microsoft
Windows XP Tablet PC Edition, go to:
www.microsoft.com/windowsxp/tabletpc
Baylor Health Care System has seen the
immediate benefits—and the incredible
potential—of the Tablet PC at all levels of their
deployment. From patients to physicians,
investments in the Tablet PC and technology
from Microsoft and its partners have helped
the team at Baylor deliver to all their
customers, improve processes, and see
significant progress in their continuing efforts
toward achieving clinical transformation.
Software and Services
Hardware
Microsoft Windows XP Tablet PC Edition
 Microsoft Windows Server System
 Microsoft Visual Studio® .NET
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© 2006 Microsoft Corporation. All rights reserved.
This case study is for informational purposes only.
MICROSOFT MAKES NO WARRANTIES, EXPRESS OR
IMPLIED, IN THIS DOCUMENT. Microsoft, Visual
Studio, Windows, the Windows logo and Windows
Server System are either registered trademarks or
trademarks of Microsoft Corporation in the United
States and/or other countries. All other trademarks
are property of their respective owners.
Document published: January 2006
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LE1600 Tablet PC
View Sonic hardware
Partners
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Galvanon