Day 2_Mobile Phones_Kirkwood

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Day 2_Mobile Phones_Kirkwood

  1. 1. Mashing Meaningful Use with Insanely Great<br />
  2. 2. Agenda<br /><ul><li>Some dots to connect (20 minutes)
  3. 3. Meaningful Use
  4. 4. Care Receipt for every clinical visit
  5. 5. After Visit Summary for each transaction
  6. 6. Quantified Self
  7. 7. Personal apps can share
  8. 8. Devices share their observations
  9. 9. iPhone development brief (20 minutes)
  10. 10. Design session (20 minutes)</li></li></ul><li>Real Lives are Meaningful Use<br />Panel 1:  Meaningful Use of HIT in the Real Lives of Patients & Families<br />a. What are consumers’ health information needs in the context of their real lives?b. How do results of ethnographic studies of individuals with chronic health conditions inform our understanding of how HIT can improve their use of health information and connectivity with their providers to improve their health?c. What is the evidence base for patient benefit from their direct use of PHRs and other HIT that interacts with EHRs?<br />d. What is the role of mobile applications in improving health of individuals?  Is there a specific role for underserved populations?<br />e. How can we use HIT to make information and knowledge actionable for patients?f. How does HIT enhance collaboration between patients and their providers and change how the patient’s health is managed?<br />
  11. 11. Personal: Key Part of Meaningful Use<br />Panel 2:  Incorporating Patient-Generated Data in Meaningful Use of HIT<br />a. What is the role of patient-generated data in improving health of individuals?  What is the evidence?b. How can patient-reported data be integrated into EHRs and the clinicians’ workflow to improve care management?c. How can future conceptions of personal health information platforms and information tools facilitate patient-centered care, including transparency, coordinated care, patient activation, while protecting patient privacy?<br />d. What is the role of the patient in ensuring data in EHRs is accurate?e. What are your recommendations for meaningful use criteria for 2013 and 2015 that are achievable by a broad spectrum of providers?<br />
  12. 12. Time: Key Measure of Meaningful Use<br />Panel 3:  Policy Challenges & Infrastructure Requirements to Facilitate Patient/Consumers’ Meaningful Use of HIT<br />a. What is required for vendors to be able to export data from EHRs in such a way that consumers and patients can use the data in meaningfully?b. What is the role of providers in making data available to patients in a meaningful way?c. What are the meaningful uses of that data once exported?  What evidence of measureable benefits exist?d. What are the privacy and trust issues that might affect this from happening?<br />
  13. 13. Managing Disease is a Dance<br />Engagement pre-care<br />    Pre-sign up<br />    Facility Registration<br />    ED Care Signup<br />Care Disposition<br />POS Payment<br />Post Care Continuity<br />Engagement post-care<br />Post POS Payment<br />
  14. 14. Diagnose Codes are a trigger<br />Asthma Report<br />Conditions<br />PDF<br />Accept new entry from LPCH?<br />Your doctor has published a summary of your last visit. Set new reminders?<br />OK<br />Cancel<br /><ul><li>Care Receipt for Diagnosis:
  15. 15. Asthma exacerbation (493.92 Asthma unspecified with exacerbation)
  16. 16. Upper Respiratory Infection (465.9 Acute URI unspecified)
  17. 17. Medications and measurements (Inhaler, Peak Flow, Exercise)</li></ul>Recent severity scores<br />Daily medication use<br />Current chief complaint<br />Most current score and trigger for ED Visit<br />
  18. 18. Reminding Self<br />Meaningful Use: Asthma<br />Assignments<br />Reminders<br />Logs<br />Reports<br />Microsyntax<br />
  19. 19. Quantifying Self<br />Engagement goes deeper into lifestyle<br />Memories<br />Mindfulness<br />Friends and Family<br />
  20. 20. QuantifiedSelf.org<br />
  21. 21. iPhone development brief<br />Building an iPhone app is as easy as posting on a blog<br />
  22. 22. Cloud Computing: Ripple in Time<br />Public Cloud (Amazon)<br />Claims processing<br />Scientific modeling<br />Private Cloud<br />Consolidating stack<br />Removing OPEX<br />Legacy<br />Citrix Receiver #1 iPad App<br />Data Center<br />Amazon<br />
  23. 23. Cloud Computing: Personal<br />Public Cloud<br />Amazon, Apple, FaceBook, Twitter<br />Private Cloud<br />Personal matters<br />Security enabled<br />Compliance driven<br />Provider Cloud<br />Me<br />Me<br />Me<br />
  24. 24. XCode<br />The tool for building apps on the iPhone<br />Comes with the iPhone Developer contract<br />Bunches of code starters and samples from Apple and others<br />
  25. 25. iPhone IB<br />An optional helper application to manage user interface elements into x-code<br />Drag and drop library controls into iPhone screens<br />
  26. 26. MockApp<br />An tweet-licensed open tool for helping quickly prototype information rich app<br />Icons, controls, action sheets, …<br />
  27. 27. GameSalad<br />For fun 2D games<br />Interactive scripting<br />Allergies: Who are the enemies of quality breath<br />
  28. 28. Unity<br /><ul><li>For realistic 3D games
  29. 29. Intense and real
  30. 30. Cameras and point of view
  31. 31. Physics engine
  32. 32. Allergies: Overlay air quality on community</li></li></ul><li>Is there an app for your…<br />Job, Workflow, Diagnoses, Friend, Blood Cells, Medications, Community<br />
  33. 33. Scenario Time<br />Let’s assume<br />Exchange is real-time<br />Smart phone for all<br />Push notifications<br />5 minute sketch<br />15 minute share<br />NHIN: HIE<br />Us<br />

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