PRESCRIBE MODERN MOBILE PCS FOR MODERN HEALTHCARE Devices running Windows® 10 and powered by 7th generation Intel® Core™ processors enhance productivity and usability for healthcare workers. Over the next several years, most healthcare organizations will migrate to the Windows® 10 operating system. Upgrading to a new Windows operating system is a common time for organizations to adopt new device standards and refresh current devices to take advantage of the updated operating system’s full capabilities. Organizations evaluating today’s device landscape will be pleased to find that there are many suitable new devices across a range of form factors and performance levels. These modern devices—powered by 7th generation Intel® Core™ processors—promise performance gains that can improve productivity for health workers when compared to older devices. This comes at a perfect time for healthcare, because organizations transitioning to electronic medical records (EMRs) and other digital clinical applications are looking for ways to provide anytime, anywhere access to mission-critical applications and data. At Prowess Consulting, we wanted to determine how much impact modern devices could have in improving productivity for a healthcare organization. To do this, we compared the time to complete several common tasks across four devices: a 2-in-1 and a laptop with 7th generation Intel Core processors, and two 2-in-1 devices with 5th and 4th generation Intel Core processors. We selected these devices because they offer the functionality and portability needed by modern, mobile healthcare workers. IMPROVING THE USER EXPERIENCE FOR HEALTHCARE WORKERS Modern, lightweight devices, powered by Windows® 10, are increasingly popular in healthcare because they offer an enhanced touch experience for users, along with a boost in performance. Convertibles and 2-in-1 devices can be used as a laptops or as tablets. And modern features, such as fingerprint readers, strengthen security. HP® EliteBook Revolve® 810 G3 Microsoft ® Surface® Pro 3 • 5th gen Intel Core i5-5300U processor • 4th gen Intel Core i5-4300U processor • 2.82 lbs. • 7th gen Intel Core i5-7Y57 processor (ultra-mobile device) • 3.08 lbs. • 1.76 lbs. • Convertible 2-in-1 (360-degree hinge) • 2.7 lbs. • Laptop • Convertible 2-in-1 (360-degree hinge) • 2-in-1 (detachable keyboard) HP® EliteBook® x360 1030 G2 Flip • 7th gen Intel Core i5-7300U processor ® ™ Dell XPS 13 ™ ™ Our test results showed that the HP® EliteBook® x360, powered by a 7th generation Intel Core processor, performed better than older devices for several critical areas, including: Medical transcriptions Microsoft® PowerPoint® presentations Video transcoding 12% faster than the 5th gen Intel® Core™ device 51% faster than the 5th gen Intel Core device 26% faster than the 5th gen Intel Core device 50% faster than the 4th gen Intel Core device 158% faster than the 4th gen Intel Core device 79% faster than the 4th gen Intel Core device Figure 1. 7th gen Intel® Core™ devices performed faster than previous-generation devices for all tested healthcare scenarios. Our testing also showed that the super-light, power-efficient Dell™ XPS™ 13, powered by the 7th gen Intel Core processor–based ultra-mobile platform, performed better than the older devices for several key tasks, including video conferencing and creating Microsoft® PowerPoint® presentations. Putting Mobile PCs to the Test Older mobile PCs struggle to keep up with the needs of today’s healthcare workers. Increasingly, common tasks like transcription and video conferencing, along with everyday tasks like data entry, press the limits of older devices. This can negatively impact productivity and user satisfaction. Comparatively, modern PCs, with newer 7th gen Intel Core processors, are built to handle demanding needs today and into the future. To verify this, we put the following devices to the test: •HP EliteBook x360 1030 G2 Flip, powered by a 7th gen Intel Core i5-7300U processor (2.5 GHz) •Dell XPS 13, powered by a 7th gen Intel Core i5-7Y57 processor (1.20 GHz) •HP® EliteBook Revolve® 810 G3, powered by a 5th gen Intel Core i5-5300U processor (2.2 GHz) •Microsoft® Surface® Pro 3, powered by a 4th gen Intel Core i5-4300U processor (1.90 GHz) We simulated tasks using applications that are important to the workday of healthcare workers and healthcare office staff. In almost every scenario we tested, the HP EliteBook x360, powered by a 7th gen Intel Core processor, performed better than the older devices. And, in several scenarios, the Dell XPS 13, powered by a 7th gen Intel Core processor, also performed better than the older devices. 2| Healthcare Workers Spend Less Time on Tasks and More Time on Patient Care with Newer Mobile PCs On any given day, an aid, nurse, technician, or doctor is likely to transcribe recorded notes into the facility’s EMR solution. Medical professionals often communicate and collaborate with other providers using Skype® for Business or a similar tool. They also research drug interactions using applications like Epocrates® by athenahealth, and they regularly access picture archiving and communication systems (PACS) to review and even make comments or notes on diagnostic images, such as X-rays. Our testing found that the 7th gen devices performed better than the 4th and 5th gen devices. 50% faster 19% faster 15% faster 16% faster to transcribe recorded patient notes using Dragon® Medical on the 7th gen Intel® Core™ device compared to the 4th gen Intel Core device to use Epocrates® to look up drug interactions over the VDI using the 7th gen Intel Core device compared to the 5th gen Intel Core device to do a video conference and send an image file using Skype® for Business across the hospital’s virtual desktop infrastructure (VDI) using the 7th gen Intel Core ultra-mobile device compared to the 4th gen Intel Core device to comment on an X-ray using ObjectiveView® on the 7th gen Intel Core device compared to the 5th gen Intel Core device Even small-percentage increases in performance can have a significant impact on overall productivity. For example, the time to look up a drug interaction on the HP EliteBook x360, powered by a 7th generation Intel Core processor, was 10 seconds faster than on the 5th gen device. If a team of 50 healthcare workers performs just five lookups per day per person, those 10 seconds saved per lookup add up to more than 181 hours per year. That’s more than 22 work days—essentially a full work month—saved by using a device powered by a 7th generation Intel Core processor and running Windows 10. 3| Healthcare Office Staff Can Be More Productive with Mobile PCs Powered by Newer Processors Our tests show that healthcare office workers also benefit from increased productivity using mobile PCs powered by newer, 7th generation processors. Not only do they experience significant performance gains when using Skype for Business to collaborate with colleagues, they can also complete daily tasks faster with Windows 10 operating system–based PCs powered by 7th generation Intel Core processors. 158% faster to create a presentation in Microsoft® PowerPoint® on the 7th gen Intel® Core™ ultra-mobile device compared to the 4th gen Intel Core device 79% faster to transcode an employee training video using the 7th gen Intel Core device compared to the 4th gen Intel Core device Longer Battery Life Simplifies the Work Day Newer mobile PCs have more efficient, longer-lasting batteries and improved power-management capabilities. That means healthcare workers are more likely to get through a full shift without having to scramble to find and attach a power cord in the middle of a patient exam or while rushing to complete a presentation. 94% longer 8% longer 91% longer 7% longer battery life with the 7th gen Intel® Core™ device, compared to the 4th gen Intel Core device battery life with the 7th gen Intel Core ultra-mobile device, compared to the 4th gen Intel Core device battery life with the 7th gen Intel Core device, compared to the 5th gen Intel Core device battery life with the 7th gen Intel Core ultra-mobile device, compared to the 5th gen Intel Core device Our testing revealed significantly longer battery life for both of the newer, 7th gen devices, compared to the 4th gen device. 4| Newer Processors Offer Enhanced Security, Manageability, and Stability In addition to performance gains, all users can benefit from support for new authentication methods that are easier to use, enable faster logons, and add deeper l evels of security, including: • Windows Hello® technology, which allows users to log on to their devices three times faster than with a password by using facial recognition • Intel® Authenticate, which allows for hardware-based multi-factor authentication • Intel® Stable Image Platform Program (Intel® SIPP), which guarantees platform stability, so that operating system images can installed for a period of 15 months without the need for driver updates Both of the 7th generation Intel Core processor–based devices we tested also support Intel® Core™ vPro™ technology. Intel Core vPro processors provide additional manageability and stability benefits for healthcare IT managers and staff, including: • Intel® Active Management Technology (Intel® AMT), which enables IT to remotely update or repair even out-of-band PCs Improve Productivity and the User Experience with Modern Mobile PCs As healthcare organizations move to Windows 10, they should consider how new devices can improve worker productivity and user experience. Our research showed that PCs powered by 7th generation Intel Core processors performed significantly better for key healthcare tasks, compared to devices powered by older-generation processors. To keep healthcare medical and office workers productive and focused on care, not computers, we recommend a prescription for newer mobile devices running Windows 10 with 7th generation Intel Core processors. 5| Appendix A: Hardware and Test Environment Devices HP® EliteBook® Dell™ XPS™ 13 x360 1030 G2 HP® EliteBook Microsoft ® Revolve 810 G3 Surface® Pro 3 ® Processor Intel® Core™ i5-7300U processor Intel® Core™ i5-7Y57 processor Intel® Core™ i5-5300U processor Intel® Core™ i5-4300U processor Model 1BS97UT 9365 P0C07UT QG2-00001 Processor Speed 2.5 GHz 1.2 GHz 2.2 GHz 1.9 GHz Storage 256 GB 256 GB 180 GB 256 GB Memory 8 GB 8 GB 8 GB 8 GB Graphics Intel® HD Graphics 620 Intel HD Graphics 615 Intel HD Graphics 5500 Intel HD Graphics 4400 Ports 1 USB Type-C with Thunderbolt™, 2 USB® 3.1 (1 charging), 1 HDMI 1.4, microSD card reader, microSDHC reader, microSDXC reader 1 USB 3.0, 1 USB 3.0 charging, USB 3.0, ® ® 1 external micro SIM, 1 AC power connector, 1 headphone/microphone combo (base) 1 DisplayPort™ 1.2, 1 headphone/ microphone combo, 1 side docking connector, microSD card reader, headphone jack, Mini DisplayPort (mDP) 1 RJ-45, 1 AC power Audio Audio by Bang & Olufsen®; integrated dual-microphone array; 4 integrated stereo speakers MaxxAudio® Pro Stereo speakers, two microphones Dolby® audio stereo speakers Networking Intel® Dual Band WirelessAC 8265 802.11 a/b/g/n/ac (2x2) Wi-Fi® and Bluetooth® 4.2 Combo (Intel® vPro™ technology and near-field communication [NFC]) Bluetooth 4.0, Intel® Dual Band Wireless-AC 7265 802.11a/b/g/n/ac WiDi (2x2), Wi-Fi, and Bluetooth 4.0 Combo Bluetooth 4.0, IEEE 802.11a, IEEE 802.11ac, IEEE 802.11b, IEEE 802.11g, IEEE 802.11n IEEE 802.11ac ® System Weight 2.82 lbs. 2.7 lbs. 3.08 lbs. 1.76 lbs. Operating System Windows® 10 Enterprise Windows 10 Enterprise Windows 10 Enterprise Windows 10 Enterprise Microsoft ® Office Professional Plus 2016 16.0.4266.1001 16.0.4266.1001 16.0.4266.1001 16.0.4266.1001 Skype® for Business 2016 16.0.4266.1001 16.0.4266.1001 16.0.4266.1001 16.0.4266.1001 Dragon® Medical Practice Edition 12.50.350 12.50.350 12.50.350 12.50.350 ObjectiveView™ Digital Pathology Image Viewer 1.46 1.46 1.46 1.46 Cyberlink® 7.5.8617 7.5.8617 7.5.8617 7.5.8617 Adobe® Acrobat ® Reader ® 2017.012.20093 2017.012.20093 2017.012.20093 2017.012.20093 Google™ Chrome™ 61.0.3163.100 61.0.3163.100 61.0.3163.100 61.0.3163.100 Microsoft Edge® 40.15063.674.0 40.15063.674.0 40.15063.674.0 40.15063.674.0 Internet Explorer ® 11.0.15063.608 11.0.15063.608 11.0.15063.608 11.0.15063.608 MediaEspresso® 6| File Sizes Used in Prowess Consulting Use Cases Image files: • cspine40f4.jpg 0.512 MB • Ankle_Right_x-ray_0002_-_no_info.jpg 1.001 MB • Bound_feet_(X-ray).jpg 4.112 MB • Lower_Leg_Tib_Fib_Right_x-ray_0000.jpg 1.063 MB • ankle.tif 12.305 MB Microsoft ® PowerPoint ® file (.ppt) 55.5 MB Audio recording (.mp3) 6.0 MB Microsoft ® Word file (.docx) 12.3 KB 4K video (4K Iceland.mp4) 247.799 MB For this report, Prowess Consulting tested the performance differences between devices in two different functional tests. We recorded the times for completing each task. Appendix B: Test Steps Tests Remotely Accessing Apps via Citrix® XenApp® Log On to Citrix® StoreFront™ 1. Start the timer. 2. From the taskbar, run mstc. 3. In the Remote Desktop Computer dialog box, enter server name/IP address. 4. In the Username and Password fields, enter username and password, press Enter, and then wait for the application to fully load. 5. Stop the timer. Use Skype® for Business through XenApp 1. Start the timer. 2. Double-click a contact’s name in Skype for Business. 3. Click the Video Call icon. 4. Click Start My Video. 5. Click the Present icon. 6. Select Present Desktop. 7. At the warning message, click OK. 8. Click Stop Presenting. 9. Click the chat bubble icon. 10. Click the paper clip icon. 11. Select Documents. 12. Select CSpine4of4.jpg. 13. Click Open, and then wait for the image to share to the recipient device. 14. Stop the timer. Access athenahealth® Epocrates® through XenApp 1. Start the timer. 2. From the desktop, double-click the Google Chrome icon. 3. Stop the timer. 4. Start the timer. 5. Click the Athenahealth Epocrates Online bookmark. (Note you will need to have created this bookmark before testing.) 6. Stop the timer. 7. Start the timer. 8. From the top menu, click the Interaction Check tab. 9. Click oxycodone/fentanyl/propofol, and then wait for the information to load. 10. Stop the timer. 7| Tests Accessing Applications Locally Installed on the Device Convert a Video from 4K to 1080p H.264 using CyberLink® MediaEspresso® 1. Start the timer. 2. From the taskbar, open Media Espresso. 3. Click Import Media. 4. Navigate to the Videos folder. 5. Click Okay. 6. Wait for the video files in the folder to finish importing. 7. Stop the timer. 8. Start the timer. 9. Select the Iceland video. 10. Click Convert. 11. Stop the timer. 12. Start the timer. 13. Select all videos in the folder. 14. Click Convert. 15. Stop the timer. Dictate Patient-Examination Notes in Dragon® Medical Transcribe from a Recording 1. Start the timer. 2. From the desktop, double-click the Dragon Medical icon. 3. Stop the timer. 4. Start the timer. 5. Double-click a recorded audio file. 6. Click Transcribe, and then wait for the transcription to complete. 7. Stop the timer. 8. Start the timer. 9. Click Save, and then wait for the file to finish saving. 10. Stop the timer. Review and Annotate an X-ray Image in ObjectiveView™ Digital Pathology Viewer 1. Start the timer. 2. From the Start menu, double-click the ObjectiveView icon. 3. Navigate to folder where X-ray images are located. 4. Hold Control and click five X-ray images. 5. Click Open. 6. Click Annotation Tool. 7. Click the ruler icon. 8. Click and drag from the base of the skull in the image to the top of the fifth vertebra to draw a line. 9. Select the Circle Tool. 10. Draw a circle around part of the image. 11. Select the Rectangle Tool. 12. Draw a rectangle around part of the image. 13. Select the Rotate Tool. 14. Rotate the rectangle 180 degrees. 15. Select the Arrow Tool. 16. Draw an arrow pointing to an object on the image. 17. Edit the arrow’s notation. 18. Export Flat TIFF-LZW. 19. Click Quit. 20. Stop the timer. 8| Edit a Presentation in Microsoft ® PowerPoint ® 1. Start the timer. 2. From the taskbar, click the PowerPoint icon. 3. Stop the timer. 4. Start the timer. 5. From the ribbon, click Open Other Presentations > Browse > Documents. 6. Double-click the presentation file to open. 7. In the left-hand pane, click the number of the slide on which to add an image. 8. From the ribbon, click Insert. 9. Click Picture. 10. Double-click the image to add. 11. From the ribbon, click File > Save As > Documents, type a file name, and then press Enter. 12. Stop the timer. Battery Usage 1. Verify the device’s battery charge is 100 percent. 2. Start the timer. 3. Disconnect the power. 4. Loop a 4K video repeatedly until the battery is drained. 5. Stop the timer Appendix C: Test Results Devices HP® EliteBook® Dell™ XPS™ 13 x360 1030 G2 HP® EliteBook Microsoft ® Revolve® 810 G3 Surface® Pro 3 12:48 17:48 16:09 22:52 31:11 48:25 34:48 46:54 00:22 00:22 00:26 00:26 Using Skype® for Business via XenApp 01:06 01:03 01:16 01:15 Accessing Epocrates® via XenApp 01:02 01:00 01:07 01:06 Reviewing and annotating an X-ray in ObjectiveView™ 00:57 01:01 01:06 00:59 Creating a presentation with Microsoft ® PowerPoint ® 00:22 00:27 00:40 01:09 Opening apps 03:28 05:36 05:14 05:34 Converting video Dictating audio Accessing apps via Citrix XenApp® ® Times shown are the mean of three test runs. All times in mm:ss format (smaller is better). Devices HP® EliteBook® Dell™ XPS™ 13 x360 1030 G2 Battery life 8:34:24 HP® EliteBook Microsoft ® Revolve 810 G3 Surface® Pro 3 7:57:02 4:25:41 ® 8:28:38 Times shown are the mean of three test runs. All times in h:mm:ss format (larger is better). 9| 1 Based on the U.S. Office of Personnel Management’s work days of 261 in 2017: www.opm.gov/policy-data-oversight/pay-leave/pay-administration/fact-sheets/computing-hourly-rates-of-pay-using-the-2087-hour-divisor/. 2 Microsoft. “Windows Hello: They can guess your password – not your face.” www.microsoft.com/en-us/windows/windows-hello. The analysis in this document was done by Prowess Consulting and commissioned by Intel. Results have been simulated and are provided for informational purposes only. Any difference in system hardware or software design or configuration may affect actual performance. Prowess and the Prowess logo are trademarks of Prowess Consulting, LLC. Other trademarks are the property of their respective owners. Copyright © 2017 Prowess Consulting, LLC. All rights reserved.