47. medtake part 1

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“H.I.S.- tory by Vince Ciotti © 2011 H.I.S. Professionals, LLC Episode # 47: MedTake Part 1

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Page 1: 47. MedTake Part 1

“H.I.S.-tory” by Vince Ciotti

© 2011 H.I.S. Professionals, LLC

Episode # 47:

MedTake Part 1

Page 2: 47. MedTake Part 1

Bedside Matters• The past two series of HIS-tory episodes covered two of the earliest

micro systems that first placed HIS devices at the patient’s bedside:– NCR’s “PNUT” (Portable Nursing Unit Terminal), circa 1982– CliniCom’s “CliniCare,” launched by Peter Gombrich in 1984

• Although a little out of sequence, this week we are covering the granddaddy of all bedside micro devices, that debuted in the 70s!- This product is so old, even I (whose wife is forever moaning about the boxes in our garage!) don’t have any pictures of it!- The story begins with a start-up from Hauppauge, Long Island, named Patient Technology, Inc, who developed & patented a portable, electronic thermometer called per their patent application:

Page 3: 47. MedTake Part 1

According to the later prospectus from PTI’s 1983 Public Offering:

- “The SURVALENT thermometry system was originally developed by PTI prior to 1974. In June 1974, PTI sold its rights… to a subsidiary of J&J.

- “The thermometer weighs 10 ounces and is hand carried by the nurse or technician taking the patient’s temperature.”

- I remember seeing a picture of the SURVALENT, which was carried in a small crate (like a 6-pack) that included a battery and about 20 disposable, sanitary probe covers.

- Again from the the prospectus: “Interchangeable color-coded probes (rectal and oral) are provided” (yuk!)

Page 4: 47. MedTake Part 1

Bedside Product Evolution• Like many Blood Bank vendors can attest, PTI was challenged by

the FDA regulations that governed any device that contacted a patient, so it started development of a radically different bedside device with a far greater resemblance to PNUT and CliniCare:

• This time, instead of “probing” a patient’s body directly for TPR, PTI invented a microcomputer terminal through which RNs would enter data on a keyboard.

• Their real genius was in the keyboard itself – few RNs touch-typed back then (the reason why most MDs shun CPOE today!), so they got a big barrel and threw away all of the “QWERTY” keys!

Page 5: 47. MedTake Part 1

So Simple, Even I Could Use It!• In place of the usual single-letter keys, PTI had replacements

manufactured with the simple terms that even patient care imbeciles like me could recognize, as can be seen in the enlargement below.

• This simple, almost child-like trick transformed the keys from intimidating, clerical devices to ones that “spoke” words nurses understood!

• (I can still picture that big barrel full of QWERTY keys)

• I remember giving demos of MedTake to DONs (no CNOs back then) at an AONE con-ference, and letting them just peck away to enter TPRs!

Page 6: 47. MedTake Part 1

And So, MedTake Was Born!• What else to call a device that let’s nurses enter medical data taken

from a patient than MedTake, which PTI began to sell aggressively.• The small bedside units were connected to an IBM PC-XT (“server”

in 2012 parlance), and paper printouts provided by an HP Laser-Jet: • So why would a

hospital spend over $2K per bed for the MedTake system?

• Same reason as the IOM started pushing CPOE back in their (in)famous “To Err is Human” report:Legibility!

• Check out the next page for an e.g.:

Page 7: 47. MedTake Part 1

Which Would Want In Your Chart?

Page 8: 47. MedTake Part 1

So Whatever Happened to PTI?• You may remember my oft-quoted maxim from Ed Hamilton, VP of

Sales & Marketing at McAuto in 1980-1982:• “Nothing ever happens until somebody sells something!”

• Well, PTI learned the hard way that hospitals are a tough sell thanks to the ever-challenging financial miasma CFOs must wade through…

• So despite coming up with one of the greatest ideas since sliced bread, PTI struggled to get DONs and CFOs willing to cough up the dough…

• Eventually giving up and selling MedTake to another start-up from across the Hudson…