Enterprise mHealth Strategy
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Enterprise mHealth Strategy

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  • Note: our interest is in consulting only; we don’t sell mHealth products and have no financial interest in mHealth companies
  • http://healthgoeselectric.com/
  • http://healthgoeselectric.com/
  • http://healthgoeselectric.com/
  • http://healthgoeselectric.com/

Enterprise mHealth Strategy Enterprise mHealth Strategy Presentation Transcript

  • Enterprise mHealth Strategy David Shiple, Practice Leader, Advisory ServicesNovember 15, 2012 1 © 2012 Divurgent. All rights reserved.
  • Executive Summary• The explosion of mHealth products is reminiscent of the dot.com phenomena – Almost deafening hype, and only a small percentage of the 1000’s of mHealth products being introduced will make it• But like the internet, we know mHealth is a game-changer – So, how do we pick the mHealth winners? – More importantly, how do we plug the winners into an architecture that is sound from both a technology and business model perspective?• DIVURGENT has developed a framework which: – Outlines various definitions and components of mHealth – Shows current state of the industry solutions and considerations – Provides a methodology organizations can use when developing an enterprise mHealth strategy. 2 © 2012 DIVURGENT. All rights reserved.
  • Innovation West Health Institute’s Sense4Baby Google – integrated computer & captures the heart rate of the fetus and eyeglasses; unlimited possibilities: MD mother, and monitors uterus contraction sees patient chart while talking to a patient; surgeon sees radiology images during surgery, etc. GE Healthcare’s Vscan is a pocket-sized ultrasound scanner that allows physiciansAliveCor ‘s mobile ECG heart monitor fits onto the to scan any part of the body by placing theiPhone and allows patients to monitor their heart attached wand on it. The wand sends andhealth anywhere and anytime receives sound wave data upon contact 3 © 2012 DIVURGENT. All rights reserved.
  • … and More Innovation GlucoDock by Medisana tracksEyeNetra’s NETRA-G is part of a portable glucose/insulin levels and charts themsolution to make eye exams affordable and into easy-to-analyze monthly reportsaccessible for all - interactively alignspatterns displayed in the lens and thesoftware calculates the refractive error Proteus Digital Health’s Event Marker, is swallowed and activated by stomach fluids - transmits the time, identity, and characteristics of the medication taken (and heart rate, temperature, activity, The Zeo Sleep Manager Mobile and rest patterns) to a skin tracks sleeping patterns by recording patch brainwaves as a user sleeps
  • Smartphone Apps 100’s of iPhone applications are available… some downloaded once and used once, others going viral
  • Power of Social MediaPatientlikeme – Find people with similar symptoms/conditions; learn from the real-world treatment andsymptoms reports, forum discussions, healthprofiles, one-on-one conversations, and more
  • Everyone Wants InQualcomm hasannounced it will form anew subsidiary, calledQualcomm Life, tomanage thedevelopment of thecompanys mobilehealth platforms. Thenew company will focuson connecting mobiledevices throughmachine-to-machine(M2M) technology.M2M connects remote-monitoring devicesthrough wirelessconnections. Many large companies have entered the mHealth market including Qualcomm, Samsung, AT&T, Verizon, and Cisco, focusing on not just “cool apps”, but on the interconnectivity requirements of mHealth. © 2012 DIVURGENT. All rights reserved.
  • mHealth SWOT AnalysisStrengths Weaknesses• Huge momentum • Interoperability/ Infrastructure• Money flowing in from investors • Quality of data• Technical talent coming in from other • Many patients not engaged industries • Reluctance of health system to• Growing acceptance of online living embrace wholesale change• Smartphones becoming ubiquitous • Reimbursement for e-visits• Not contending w. large legacy base • MD’s slow to recommend mHealth• A game-changer toward the 3 Aims products to patientsOpportunities Threats• Risk-sharing payment models should • May take a while for market to “shake- give home devices a positive ROI out” and stabilize• The “high engagement patients”, esp. • Intent of large EHR vendors is unclear for social media • mHealth may not “move the needle”• Fast innovation cycles on population health as predicted• Aligns with aging population • Regulation preferences • Political environment• Possibilities are almost limitless• Developing countries may see most dramatic increase in mHealth use 8 © 2011 DIVURGENT. All rights reserved.
  • Breaking it Down • Primary drivers are over- coming distance barriers and lowering costs of remote care • Primarily creates a rich care Telehealth giver experience from a distant locale • Video, high-bandwidth, and Mobile remote nurses/ facilities/ Caregiver vehicles are primary enablers Devices • Home electronic devices: wellness, chronic disease, real• Within “the four walls” time monitoring – 100’s in the• Often smaller, wireless Home Health & marketplace form factors for EHRs Wellness • PHRs and Social Networks• Also mobile imaging, EKG, • Smartphone and capitation etc. likely to be major drivers and• Depends heavily on enablers wireless Divurgent has focused its mHealth efforts on telehealth, home © 2011 DIVURGENT. All rights reserved. health, and wellness © 2012 DIVURGENT. All rights reserved.
  • mHealth Strategy Methodology Level-Setting Requirements Strategy / Implementation Business Business Telemedicine Drivers Market Surveys / Receptivity / Model Stakeholder AssessmentMarket Scan / Education Consensus Workshops (various constituents) Healthcare Remote Monitoring Consistent Themes Drivers Standards Workshop(s) Technology Technical Implement Health and Wellness Drivers Architecture Plan Vision Vendor Personal Health Records Statement List mHealth EHR / Clinical Decision mHealth Environment Support Operations 10 © 2012 DIVURGENT. All rights reserved.
  • HIE Strategy Methodology Start-Up Design Strategy / Implementation Provisional Governance Data Types Governance Imple Critical Mass Participation Matching menta Privacy/ Security Data SourcesVision / Mission Funding tio Who’s In? Plan Constituents Technology Workflows Build/ Signup Letters of h Financial Model Commitment Launc Sustainability Adoption Plan Model 11 © 2012 DIVURGENT. All rights reserved.
  • mHealth Strategy Methodology • Healthcare Reform • Accountable Care Organizations • Patient Centered Medical Homes Level-Setting Requirements Strategy / Implementation • Value Based Purchasing • Meaningful Use Business Business Telemedicine Drivers Market Surveys / Receptivity / Model Stakeholder AssessmentMarket Scan / Education Consensus Workshops (various constituents) Healthcare • If possible, keep patient “out of the system” Consistent Themes Remote Monitoring Standards Drivers • Capitation means higher ROI on home health Workshop(s) • Continued, relentless drive for cost reduction Technology • Technical Geographical barriers to care (need for telemedicine) Implement Health and Wellness Drivers • Aging population (more “home-bound”) Architecture Plan • Huge market momentum for mHealth products & Vision innovation Health Records Vendor Personal Statement List mHealth EHR / Clinical Decision mHealth • Environment is the mHealth state-of-the-art? What Support Operations • Who is doing mHealth well? What are they doing? • Where is it the mHealth trajectory heading? • Can we separate the “hype” from the “real”? • What do our stakeholders need to know before going into this strategic process? 12 © 2012 DIVURGENT. All rights reserved.
  • mHealth Strategy Methodology • Smaller, better, faster, cheaper technologies • Smart phones, Touchpads • Level-Setting Expanding wireless / mobile networksRequirements Strategy / Implementation • Low barrier to entry – stand-alone personal health applications and devices • Easy dissemination via Apple, Google, and other markets Business Business Telemedicine Market Surveys / Receptivity / • Affordability Drivers Model Stakeholder AssessmentMarket Scan / Education Consensus Workshops (various constituents) Healthcare Consistent Themes Drivers Can we Remote Monitoring craft an overall vision statement Standards Workshop(s) that provides: Technology • An encapsulation of what your Technical Implement Health and Wellness mHealth position stands for and Drivers Architecture Plan what it will mean to physicians and Vision our patient community? Vendor Personal Health Records • A tagline that sums it all up? Statement List mHealth EHR / Clinical Decision mHealth Environment Support Operations • How is the market framing “mHealth”? • What do we mean when we say mHealth? • What’s in / what’s out? 13 © 2012 DIVURGENT. All rights reserved.
  • mHealth Strategy Methodology • What is the health system currently doing in the telemedicine realm? • What disease-types / conditions lend Level-Setting themselves to Telemedicine? Requirements Strategy / Implementation • What are the health system’s plans for future telemedicine investment? Business  Within the health system? Business Telemedicine Drivers Market Surveys / Receptivity /  Within the health system ’s Model Stakeholder AssessmentMarket Scan / Education Consensus Workshops affiliated providers/ (various constituents) Healthcare Consistent Themes partnerships? Remote Monitoring Standards • Drivers How receptive is the medical staff Workshop(s) and associated caregivers? Technology Technical Implement Health and Wellness Drivers Architecture Plan Vision • Who are our mHealth stakeholders? Vendor Personal Health Records Statement • What do our stakeholders want? List • Where do they see the value? mHealth • EHR / Clinical Decision What will the patient / physicians pay for? mHealth Environment • Support Operations What technologies/products do they use/ are interested in today ?  Patient  Clinician  ACOs  Investors • What is there receptivity for future products/ services? • What are their safety/ security/ privacy expectations? • Do the parties trust the health system ? 14 © 2012 DIVURGENT. All rights reserved.
  • mHealth Strategy Methodology • Much growth in the mHealth market including smart pills, sleep studies, vital Level-Setting signs, EKGs, etc. Requirements Strategy / Implementation  Who reads the data?  Who responds to the data? Business  What is captured by the EHR Business Telemedicine Drivers and PHR? Market Surveys / Receptivity / Model Stakeholder Assessment •Market Scan / Education What is the Interoperability with Consensus Workshops (various constituents) EHRs Healthcare Consistent Themes and PHRs? Remote Monitoring Standards • Drivers Which modalities are being called Workshop(s) for by patients/ physicians? Technology Technical Implement Health and Wellness Drivers Architecture Plan • Vision Is health and wellness a targeted Vendor Personal Health Records Statement program? List • Is there an existing business model? mHealth EHR / Clinical Decision mHealth • Are patient incentives in place? • Environment To what extent is the health Support Operations system’s primary care function utilizing electronics? Can it be integrated? 15 © 2012 DIVURGENT. All rights reserved.
  • mHealth Strategy Methodology• Is a PHR and associated strategy for PHR’s in place? What is it? Level-Setting Requirements Strategy / Implementation• What is the alignment with MU stage 2 • The dimensions of mHealth• What type of PHR is in place - stand- will invariably overlap, e.g. alone or interactive with EHR?  Remote• Business Business monitoring may What is the current patient adoption Telemedicine automatically upload to Drivers Market Surveys / Receptivity / of the PHR? How is the adoption ModelPHR/ EHR and CDS the Stakeholder AssessmentMarket Scan / Education Consensus Workshops (various constituents) trending? Healthcare rules and alert may Consistent Themes• What role will the PHR play in the Remote Monitoring Standards ensue Drivers Workshop(s) mHealth strategy?  Common infrastructure• What role will social networking and Technology the interne t play? Health and Wellness Technical shared between can be Implement Drivers telemedicine, home Plan• Can internet search and social Architecture health, etc. networking, and be linked to the PHR? Vision Personal Health Records Vendor Statement List • What is the current state-of-art use mHealth of mHealth and your enterprise EHR / Clinical Decision mHealth • Presentation of evolving vendor? Environment Support Operations mHealth model • Does your vendor have an mHealth • Is there a “there there”? partnership list? • Which constituents are in/ • What is the mHealth connectivity out? record with your vendor? • What are alternatives? • How can data fed from mHealth • Can consensus on general devices being integrated into the business model be achieved? EHR CDS? 16 © 2012 DIVURGENT. All rights reserved.
  • mHealth Strategy Methodology • Value proposition • Target market • Go to market strategy Requirements Strategy / Implementation Level-Setting • Consumer relationship • Activities, resources, personnel Business • Required core competencies Business • Telemedicine Network/affiliation SWOT analysis Drivers Market Surveys / Receptivity / • Sustainability model Model Stakeholder AssessmentMarket Scan / Education Consensus Workshops • (various constituents) Healthcare 2012-2013 pro forma Consistent Themes Drivers • Service offered Monitoring Remote Standards Workshop(s) • High level implementation plan Technology • Governance model Implement Health and Wellness Technical Drivers • Commercialization opportunities Plan Architecture Vision Vendor Personal Health Records • RMA Platform Statement • Java ME List • .Net CF • High-level technical mHealth EHR / Clinical Decision • Android SDK mHealth requirements Environment • Support SDK IOS • Operations Technical schematic • Mobile O/S • Role of middleware • IOS X • Android • Role of the HIE • Blackberry OS • Hardware/ software players • Network Standard • Mobile platforms supported • GSM • Security/ Privacy • CDMS 2000 • W-CDMA • EDGE 17 © 2012 DIVURGENT. All rights reserved.
  • mHealth Strategy Methodology • Charter • Scope Level-Setting Requirements • Strategy / Implementation Funding/ budget • Program management Stratify vendors • Timeline Business • Those “that matter” • ResourcesBusiness • Strategic vs.Telemedicine Market Surveys / Receptivity / Drivers tactical • Risk mitigation Model • Standards embraced • Stakeholder Assessment Change managementMarket Scan / Education Consensus Workshops (various constituents) Healthcare • Remote monitoring vs. health & • Consistent Themes Communications Drivers wellnessRemote Monitoring Standards Workshop(s) • Recommended by the health system Technology • Vendor track record Technical Implement Health and Wellness • Connectivity options Drivers Architecture Plan Vision Vendor Personal Health Records Statement List mHealth • EHR / Clinical Decision driven by Roles and responsibilities mHealth Environment Support the defined business model Operations • Operational plan • Org chart • Customer support • SLA’s • Vendor management • Contract management 18 © 2012 DIVURGENT. All rights reserved.
  • Contact InformationDavid Shipledavid.shiple@divurgent.com617.947.1925Divurgent4445 Corporation Lane, Suite 228Virginia Beach, VA 23462877.254.9794 19 © 2012 Divurgent. All rights reserved.
  • Appendix Scanadu Scout (pictured), which reads vital signs from a persons temples; Project ScanaFlo that can analyze urine; and Project ScanaFlu, which can test a persons saliva for cold or flu symptoms. All three devices are still pending FDA approval before then can be sold to the public, but the Scout appears to be the furthest along in development. Scanadu claims that the device will cost less than $150, and can record and analyze vital information like blood pressure, pulse, heart rate, blood oxygenation, and temperature. 20 © 2012 Divurgent. All rights reserved.