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Keys to Building a Successful Mobile Health Strategy
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Keys to Building a Successful Mobile Health Strategy






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  • 16% report using health-related apps “regularly”

Keys to Building a Successful Mobile Health Strategy Keys to Building a Successful Mobile Health Strategy Presentation Transcript

  • Keys to Building a Successful Mobile Health Strategy David Lee Scher, MD DLS Healthcare Consulting, LLC digitalhealthconsultants.com blog: davidleescher.com
  • “The most valuable commodity that I know of is information”. –Gordon Gekko, “Wall Street”
  • What is mHealth? Diverse application of wireless and mobile technologies designed to improve health research, health care services and health outcomes .
  • Pew Internet/CHCG Surveys
  • Developments Supporting mHealth Adoption • Implementation of electronic health records • Release of FDA Guidance on Mobile Medical Apps • Growth of Patient advocacy (Health 2.0, Quantified Self movement), Social Media • Wearable sensor and remote monitoring technology development
  • Why is mHealth Good for Patients? • SOMETHING MUST BE DONE to IMPROVE HEALTHCARE • Promotes patient engagement (self-management) • Provides educational resources and content development • Improves doctor-patient relationship • Creates personalization of healthcare -> ?better outcome • Convergence of many technologies -> simplification, convenience • Supports caregivers’ mission
  • Which Mobile Apps Patients Want Their Doctor to Have • 42%: An app to see their test results. • 33%: App connected to remote monitoring devices. • 30%: Access to patient health records via mobile device. • 13%: Didn’t think apps would help improve care at all. Source: 2012 Ruder Finn mHealth Report
  • • GENERAL HEALTHCARE AND FITNESS – Fitness & nutrition – Health tracking tools – Managing medical conditions – Medical compliance – Wellness (traditional and corporate) • MEDICAL INFORMATION – Reference – Diagnostic Tools – Continuing Medical Education (CME) – Alerts and Awareness • REMOTE MONITORING, COLLABORATION, AND CONSULTATION – Remote monitoring (safety) – Remote Consultation – Remote Collaboration • HEALTHCARE MANAGEMENT – Logistical & payment support – Patient health records
  • Facts About Health Apps* • 97,000 mHealth applications are listed on 62 full catalog app stores. • 15% are designed for healthcare professionals (CME, RPM, healthcare management). • 42% of apps: Paid business model. • Top 10 mHealth apps generate 4 million free and 300,000 paid downloads per day *Research2guidance, 3/13
  • Barriers to Adoption of mHealth • Incomplete regulatory guidance • Lack of reliability, security/privacy • Lack of mobile strategy by providers (BYOD, M2M integration), payers • Lack of smart phones by older, chronically ill pts • Lack of business models • Lack of proven reimbursement, return on investment • Physicians’ fear of high volume useless data
  • >90,000 medical apps/programs Clinicians: “Not medically sound” Consumers: <1/10 of apps used more than once Business: “Doesn’t make me money” From Megan Ranney, MD
  • Remote Patient Monitoring
  • Attributes of Ideal RPM • Provide continuous surveillance with only actionable, trending data • Unobtrusive • Interoperable with other devices and EHR/portals • Have associated robust analytics with clinical decision support
  • Mobile Cardiac Monitoring
  • Diabetes
  • Transdermal Patch w/Continuous Glucose Monitoring
  • Blood Pressure Monitoring
  • Pulmonary Monitoring
  • Complete Vital Sign/GPS Monitoring
  • Sensors: MEMS • Implantable Sensors • Wearable Sensors • Biochemical sensors: glucose, pulse ox • Positioning sensors
  • Wearable Physiologic Monitoring
  • Footwear Sensors
  • mHealth: Smart Phone Capabilities
  • Medication Adherence Apps • MyMedSchedule • Mymeds • RxMindMe • GloCaps
  • Proteus Digital: The Ultimate Adherence App
  • Role of Social Media in mHealth • SoMe is mobile • Patients use smartphones for health information • Patient-centered companies emerging • New market/business model for Pharma and med device companies
  • Social Media: Critical Role inmHealth Strategy
  • 4/6 Most Used Mobile Apps are SoMe-Based* *GlobalWebIndex, 2013
  • SoMe and Healthcare Online patient support groups – Clinical trial recruitment – Peer and caregiver support – Disease specific education – Healthcare navigation – Convenience – Anonymity
  • mHealth and Clinical Trials
  • Advantages of Mobile Clinical Trials • Recruitment of patients via social media • Real-time adverse event reporting • Bidirectional patient-provider interactions eliminate visits • Easier communications among all trial stakeholders (regulators, sponsors, investigators) • Facilitates medication adherence (reminders, pill sensors) • More efficient data collection, reporting, auditing • NO MORE FAXES!
  • Healthcare is still working in silos in many European countries Hospital Care Physician Care Emergency Care Outpatient Care No cross-border workflows, processes, no data exchange and access Absence of legal and regulatory frameworks, e.g. for liability Missing health-economic validation and bench-marks No incentives for providers, payers and patients to use mHealth Rainer Herzog, HealthActiveConsulting©
  • Regulatory agencies and policy makers • National / international standard protocols for e-/m-Health • Security and privacy of data • Data integrity, availabilty and auditability • Risk management Food & Drug Administration (FDA) USA Medical Device Directive (MDD) EU Office of the National Coordinator (ONC) USA CE Quality Mark EU
  • A Strategic Framework for Hospitals and Health Systems Present and Future State of mHealth New Care Models Technology ROI and Payments Policy Privacy and Security Standards and Interoperability www.himss.org/mobilehealthit/roadmap
  • New Care Models: Healthcare in Transition • Acute care  Chronic Disease Management • Aging at Home • Hospital Readmission Prevention • Caregiver Involvement
  • mHIMSS Roadmap • ROI/Payment: Addresses financial aspects of mobile tech adoption • Legal & Policy: FDA mobile medical app Guidance • Standards & Interoperability: Types of networks, communication patterns, standards above and below the network layers, network/storage tradeoffs, syntax and data, app standards, Blue Button Interface • Technology: Factors to consider in app development • Privacy & Safety: Current state and future considerations
  • What is the Best Measure of the State of Adoption? The HIMSS Mobile Technology Member Survey, 2013 Released February 26, 2014
  • HIMSS Survey: Respondent Profile • 62%: IT professionals • 27%: Responsible for developing the organization’s mobile tech policy • 38%: Member of committee responsible for developing the organization’s policy on mobile tech • 22%: Responsible for implementation and operation of mobile tech
  • Highlights of 2013 HIMSS Mobile Tech Survey • Prioritization of Mobile Technology: Average score: 5.25 (range=0-7) • Maturity of Mobile Technology Environment: Characterized at 3.95, increased from 3.33 in 2012 • Impact of Mobile Technology on Patient Care: 33%: will substantially or dramatically impact patient care, decreased from 2/3 in 2012
  • Takeaways From HIMSS Survey Mobile Technology Policy: 59% have mobile tech policy, 29% in development. App Development: Apps within their organization likely to be developed by third party. ½ plan to expand app usage. Barriers to Mobile Technology Use: #1= Funding
  • Significance of the Survey • Identifies the decision-makers • Identifies market penetration more accurately than industry analysts • Identifies pain points of mobile tech adoption • Useful for developers, analysts, healthcare enterprises, IT vendors
  • Challenges • Increase awareness and mobile tech by older consumer/patients • Need filtered actionable data/alerts • Full connectivity with EHRs • Clinical efficacy studies • Interoperability among apps and platforms • Complete, reasonable and appropriate regulatory requirements • Funding for mobile strategies (private, public)
  • Questions?