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Open mHealth: Engaging Patients and Clinicians in

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Funding for this project was provided by the Robert Wood Johnson Foundation and the California Health Care Foundation. …

Funding for this project was provided by the Robert Wood Johnson Foundation and the California Health Care Foundation.
Learn more about Ida Sim’s research at UCSF Profiles http://profiles.ucsf.edu/ProfileDetails.aspx?From=SE&Person=5380156

Published in: Health & Medicine, Education

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  • 1. Engaging Patients and Clinicians inmHealth through the OpenmHealth Platform Ida  Sim,  MD,  PhD Co-­‐Founder,  OpenmHealth Director,  Center  for  Clinical  and  Translational  Informatics University  of  California  San  Francisco September  20,  2011
  • 2. mHealth:  “Full  of  sound  and fury,  signifying  nothing”? Hype Cycle, Gartner Group
  • 3. Plateau  of  Productivity• “A  Learning  Healthcare  System  that  is designed  to  generate  and  apply  the  best evidence  for  the  collaborative  health  care choices  of  each  patient  and  provider;  to drive  the  process  of  discovery  as  a  natural outgrowth  of  patient  care” U.S.  Institute  of  Medicine,  Roundtable  Charter
  • 4. Global  Impact  of  Chronic  Disease WHO | Facts related to Chronic Disease http://www.who.int/dietphysicalactivity/publications/facts/chronic/en/
  • 5. Global  Cost  of  Chronic  Disease $47  trillion by  2030 $14.7  trillion US  2010  GDP World Economic Forum, 2011
  • 6. • Almost  1/2  of American  adults  have at  least  1  chronic disease – obesity  (~1/3) – heart  disease  and stroke – cancer – diabetes – arthritis CDC Chronic Disease Overview http://www.cdc.gov/chronicdisease/overview/index.htm#ref2
  • 7. Stovepiped mHealth• Health  apps  built independently – little  data  sharing and interoperability• Resulting  user experience  is…
  • 8. Siloed  mHealth Plateau of Diminished Promise
  • 9. Why  open  architecture?
  • 10. Stovepiped mHealth• Limits  the  emergent power  and  potential of  mHealth
  • 11. Internet  Hourglass  Model• Standardize  and make  open  the “narrow  waist”• Reduces  duplication, spurs  community innovation,  supports commercial  and  non-­‐ profit  uses
  • 12. OpenmHealth.org Estrin DE, Sim I. Science; 330: 759-60. 2010.
  • 13. Open  Architecture  for User  Engagement• Define,  build,  and  share  modules  of  the  basic data-­‐related  functions  common  to  engaging patients  and  clinicians – data  trending  (e.g.,  is  weight  really  down?) – signal  detection  (e.g,  asthma  exacerbation?) – inferencing  (e.g,  activity  =  walk,run,bike,car…?) – data  visualization  (e.g.,  stock  infographics)• Exploring  user  interaction,  incentives,  gaming
  • 14. Tipping  towards  Open• First  openmHealth  collaborative  pilot – PTSD  Coach,  with  VA  National  PTSD  Center• Looking  for  other  pilots  to  drive  key  components of  shared  architecture,  e.g., – gaming – incentives• Supporting  best  practices  and  generation  of  best evidence• Sensitive  to  needs  of  all  communities
  • 15. Goal  for  mHealth  Ecosystem• Becomes  a  learning  community  enabled  by  an  open architecture,  to  more  effectively  innovate,  share, and  deploy  best  technology  and  best  practices  for improving  individual  and  population  health
  • 16. • Ida  Sim  ida.sim@ucsf.edu• Deborah  Estrin  destrin@cs.ucla.edu• http://openmhealth.org/ – a  project  of  the  Tides  Center  (www.tides.org)• Funding – Robert  Wood  Johnson  Foundation – California  Health  Care  Foundation• Collaborators – MIT,  Columbia,  CMU,  Northwestern,  Google, Microsoft  HealthVault,  Curious,  …