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iMusic Therapy: Utilizing the iPad in a Medical Setting

www.ImAMusicTherapist.com
by

Brea Murakami

on 13 December 2015

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Transcript of iMusic Therapy: Utilizing the iPad in a Medical Setting

Brea Murakami, MT-BC
iMusic Therapy: Utilizing the iPad
in a Medical Setting
Questions to Answer
Healthcare Legislation
HITECH Act (2009)
-Gave hospitals financial incentives to move to electronic health records (EHR)

Affordable Care Act (2010)
-Oct. 2012, Medicare begins Value-Based Purchasing
-30% based on patient experience
-Will only credit for 9 or 10/10 patient satisfaction
Music Therapy and Technology
Overview of iPad
Engagement
Patient Loyalty
Compassionate Care
Personalized Care
Patient Satisfaction
HCAHPS
Patients get better connection to care
Hospitals get better reputation, extra revenue
The Experience
Apps
Reference
Recorded Music
-More positive attitude, but not enough education

-61% of music therapists teach themselves technology

-Most used for songwriting interventions and providing clients with choices
-Soundhound (free)
-Garageband ($4.99)
-ForScore ($4.99)
-Web-to-PDF ($3.99)
-Medscape (free)
-iTunes (free)
-YouTube (free)
-Safari (free)
Bookmark websites, create apps
-Amazing Slow Downer ($14.99)

-SingFit ($12.99/month)
-SignEasy ($9.99)
-Electronic Medical Records
iCardSort ($5.99)
iPad Shortcuts
-Screenshots:
Home + Power Buttons

-Music Control:
Four fingers +

-App Groups:
Tap + Hold App, then drag it over another

Accessibility
Voiceover
Zoom
Assistive Touch
-National, standardized survey of
patient perceptions

-Transparency and accountability

-Reported online on rolling basis
If Disney Ran Your Hospital (Lee, 2004)
(Streeter, 2007)
(Hahna, Hadley, Miller, & Bonaventura, 2012)
(Cevasco and Hong, 2011)
Hospitals and Technology
(Patel et al., 2012)
Over 140,000 Apps
Cameras (front/back)
Shoot photos and video
Speaker
Internet: Wi-fi on all
Extra for 3G/4G
Tablet PC for audio-visual media and individualized software
Other Features:
-16, 32, or 64 GB of storage
-Multi-touch display
-5 GB of iCloud storage
But sometimes, you just want to turn gestures off
Self-Efficacy
Patient
Medical Staff
Collaboration
Unsolicited positive feedback most recognized compassion...
...but only 53% of patients feel this is provided
(Lown, Rosen & Marttila, 2011)
(Lee, 2004)
Patient-centered communication
helps find common ground
Self-efficacy is a coping skill and motivates changes in health behavior
-iPads for medical education and to improve
efficiency and face time with patients
-Adopting wireless internet in patient rooms
(Stewart et.al, 2000)
iPad: A HIPAA Risk?
Solutions
-Take as many physical precautions as possible

-Keep records of patient release forms

-Delete patient information as soon as possible
(HealthCare.gov, 2012)
-Say Hi! (free)
-Evernote (free)
Documentation
Recording and Songwriting
-Electronic health records:
-95% of hospitals intend to integrate EHR

-But, increases time of indirect care
How can the iPad enhance patient experience?
-Interactive and accessible
-Frees up therapist's attention
-Customized sessions with large
activity repertoire
Security Threats
-Unlike EMR, iPads hold
copy of data on device

-Device easily stolen or lost

-Operate on unencrypted internet networks
-Google Translate (free)
Communication
Miscellaneous
-Competitive markets due to healthcare legislation
-Experiencing stress and lack of control
Music Therapists
Hospitals
Patients
-Wide scope
of practice
-Need a flexible
and creative tool
-Want to earn
patient loyalty
-Looking for
compassionate care
-How are hospitals responding to healthcare industry changes?

-How can the iPad help music therapists provide a
memorable, personalized experience?

-What are the creative and adaptive features of an iPad?
A Closer Look
In Conclusion
-Hospitals are providing more patient-centered care to encourage patient loyalty

-Technology can enhance the patient experience to be more personalized and productive

-The iPad provides tools for MT's to be responsive, creative, and efficient in many areas of practice

Thank you for
your time!

Questions?

Brea Murakami, MT-BC

www.ThriveMusicTherapy.com

Garage Band ($4.99)
Bubble Harp ($1.99)
Pro-Tuner (99cents)
BeatWave (free)
Instruments
Other Considerations
-Cost
-Patient comfort level with technology
-Replacing the therapist?

Conner and Norman, 2005
Why does music therapy matter?
(U.S. Department of Health and Human Services, 2012)
(American Hospital Association Survey, 2011)
(Rau, 2011)
Responding to context, patient's values, and providing action-oriented goals
(Zubialde, Eubank & Fink, 2007)
(HCAHPS, 2012)
The Experience Economy (Pine & Gilmore, 1999)
(Barrett, 2011)
(Bhakti, Chapman, Luo, Woodruff &Arora, 2012)
References
Administration Implements New Health Reform Provision to Improve Care Quality, Lower Costs | HealthCare.gov. (n.d.). Home | HealthCare.gov. Retrieved September 22, 2012, from http://www.healthcare.gov/news/factsheets/

Barrett, C. (2011, October 1). Healthcare Providers May Violate HIPAA by Using Mobile Devices to Communicate with Patients. American Bar Association. Retrieved October 5, 2012, from http://www.americanbar.org/newsletter/publications/aba_health_esource_home/aba_health_law_esource_1110_barrett.html

Cevasco, A. M., & Hong, A. (2011). Utilizing technology in clinical practice: A comparison of board-certified music therapists and music therapy students.Music Therapy Perspectives, 29(1), 65-73.

Hahna, N. D., Hadley, S., Miller, V. H., & Bonaventura, M. (2012). Music technology usage in music therapy: A survey of practice. The Arts in Psychotherapy, 5(39), 456-464.

HCAHPS - Facts Page. (n.d.). HCAHPS - Hospital Survey. Retrieved October 5, 2012, from http://www.hcahpsonline.org/facts.aspx

Kim, S. S., Kaplowitz, S., & Johnston, M. V. (2004). The effects of physician empathy on patient satisfaction and compliance. Evaluation & The Health Professions, 27(3), 237-251.

Lee, F. (2004). If Disney ran your hospital: 9 1/2 things you would do differently. Bozeman, MT: Second River Healthcare Press.

Lowen, B. A., Rosen, J., & Marttila, J. (2011). An agenda for improving compassionate care: A survey shows about half of patients say such care is missing. Health Affairs, 30(9), 1772-1778.

Patel, B. K., Chapman, C. G., Luo, N., Woodruff, J. N., & Arora, V. M. (2012). Impact of Mobile Tablet Computers on Internal Medicine Resident Efficiency.Archives of Internal Medicine, 2(5), 436-438.

Pine, J. and Gilmore, J. (1999) The Experience Economy, Harvard Business School Press, Boston, 1999.

Rau, J. (2011, November 7). Patient's Grades to Affect Hospital’s Medicare Reimbursements - NYTimes.com. The New York Times. Retrieved October 5, 2012, from http://www.nytimes.com/2011/11/08/health/patients-grades-to-affect-hospitals-medicare-reimbursements.html?pagewanted=all&_r=1&

Recovery Act-Funded Programs. (n.d.).United States Department of Health and Human Services. Retrieved September 12, 2012, from

Stewart, M., Brown, J. B., Donner, A., McWhinney, I. R., Oates, J., Weston, W. W., et al. (2000). The impact of patient-centered care on outcomes. The Journal of Family Practice, 49(9), 1-12.

Streeter, E. (2007) Reactions and responses from the music therapy community to the growth of computers and technology—some preliminary thoughts. Voices: A World Forum for Music Therapy. 7(1). Retrieved from https://voices.no/index.php/voices/article/viewArticle/467/376

Zubialde, J. P., Eubank, D., & Fink, L. D. (2007). Cultivating engaged patients: A lesson from adult learning. Families, Systems, and Health, 25(4), 355-366.
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