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A mobile health idea exchange and collaboration hub
   facilitating all healthcare stakeholders (e.g. providers,
    payers, physicians, therapist, caregivers) to develop
applications and systems to care for their patients no matter
   where in the world they are when they need the care.
According to recent analysis by
PricewaterhouseCoopers for the GSM Association,
 mobile-enabled services will become integral to
     healthcare delivery by 2017, creating a
      global market worth ~$23 billion.
An App A Day Keeps
        THE DOCTOR AWAY
Whether it’s to:
                • quit smoking,
                   • lose weight,
                      • reduce stress, or
                         • manage a chronic illness,
consumers around the world are using their smartphones as
their own personal health & wellness coach.

According to the latest Pew Research, 60% of smartphone users
are downloading apps to track or manage their health.
An App A Day Keeps
        THE DOCTOR AWAY
PwC’s 2012 Emerging mHealth Industry Report found
2013: The Year of Scale for mHealth
 TOP MOBILE HEALTH APP CATEGORIES ON IPHONE AND ANDROID BY DOWNLOADS

 Weight Loss      Women’s      Sleep and        Pregnancy/        Tools and     Reference/    Emergency/
 and Exercise      Health      Meditation        Prenatal        Instruments    Knowledge      disaster


                                      BENEFITS TO PATIENTS
    Easy access to      Self motivating      Better personal           Fewer               Lower
  health information     and diagnosis      health and quality       doctor visits    treatment costs
                                                  of life



                            BENEFITS TO HEALTHCARE PROVIDERS
 Optimum resource      Improved service     Coverage to a larger     Better patient      Lower costs
     utilization         and efficiency         population            monitoring         per patient
2013: The Year of Scale for mHealth
mHealth is the channel of today to stimulate patient engagement and enhance the patient's ability
to communicate with his or her provider without having to come into the office for a face-to-face,
thus lowering the cost of care and maximizing preventive discussions. No longer is “point of care” a
particular location but due to mobile health, the “point of care” increasingly means wherever the
patient is currently located in the world.


Meaningful Use Stage 2 roles out with a major guideline for hospital's EHRs protection of PHI where the
HHS Office of Civil Rights (OCR) will be auditing for HIPAA-compliance targeting mHealth issues like
BYOD security.


Accountable Care Organizations (ACO) and risk taking is going to require taking advantage of and
developing a strong mobile health strategy as a part of the over all ACO business plan.


Mom’s Are Even Doing It – a Cincinnati-area mother is on a mission to help children and families
break through some of the daily challenges faced by those with autism and Asperger's Syndrome.
She launched “Training Faces,” an application for iPads, iPhones and Android phones designed to
help people like her son, Jack, with emotion recognition.
The Payer Perspective
Payers have the greatest potential for changing paradigms in
healthcare by instituting mHealth and they represent the fastest
path towards adoption of the best that this mHealth has to offer.
• Payers hold the purse strings; they will pay for the use of mHealth in chronic disease
  management because they have a vested interest in keeping the costs of medical care
  down, especially within the 20%ers – the segment of patients most responsible for 80
  percent of healthcare dollars spent;
• Payers change physician behavior through reimbursement policies;
• Payers will use mHealth to expand their patient portals and incentives to encourage
  members to engage in healthier behaviors.
• Payer sponsored patient engagement decreases costs by having data come directly to the
  payer and the provider improving patient outcomes.
The Payer Perspective
• Payers are the largest users of patient portals. Patients entering and correcting their own
  data serve the patient as well as the payer. Patient-derived health data from mHealth
  tools may be tracked directly by the payer and the data may be used to assess patient
  adherence, treatment effectiveness and adherence to practice guidelines by the provider.
• One of the biggest opportunities that payers can afford to sponsor is mHealth clinical
  research. Implementation of mHealth in ACOs or vertical organizations in which the
  payer is also the provider (Kaiser Permanente, Geisinger) is ideal for such evaluation of
  mHealth technologies, and indeed some have already illustrated positive outcomes.

One of the biggest challenges lies in the lack of connectivity
among provider medical apps, insurer portals, and EHRs;
this is where the mHealth Hub can take a lead!
mHealth                                                       Ecosystem
Measurement                                                                                          Treatment
• Sensor sampling in real-time                                                   Chronic disease management ●
• Integration with health data                                                    Disaster response & support ●
                                                     Consumer
                                                                                          Remote clinical trials ●




                                                                 Physicians
                                         Providers
                                         Ancillary
                                                                                                Global Services
Diagnostic                                                                             Clinical service access ●
• Clinical decision support                                                                Remote treatment ●
                                                     Wellness
• Point-of-Care Diagnostics      IT & mHealth                    mHealth        Dissemination of health info ●
                                                     Providers
• Portable imaging                                                                      Disease surveillance ●
• Biomarker sensing                 Systems                      Strategy
                                                                                Medication tracking & safety ●
                                                     Patient              Prevention & wellness intervention ●
                                                      Data &
         Research &                                  Security                 Development
mHealth Hub Innovation Process
               Keeps Idea Owner                   Business & Stakeholder
                                                                                If a Go then on to Stage 1
                   Informed                         Driven Innovation

     Employees
         Clients                                 Idea Screen Gate 1
    Competitors
                   IDEAS                               Idea Vault &
    Consultants               Focal
                                                        Think Tank
     Dissenters    Gateway   Person                     Go to Stage 1
 Trouble Makers
                                                          On Hold
Peer Community                                             No Go
Other Industries
                             Focal Person              Group Dynamics          Innovation Brokers
                        •    Online                •     Expertise         •   Oversees Staging Process
                             Submission                  Needed            •   Keeps ideas alive
                        •    Oversees Idea         •     Size of Tenure    •   Imagines new uses of old
                             Vault                       Group                 ideas
                        •    Chairs Think Tank     •     Training Time     •   Captures Ideas
                        •    Manages               •     Standing          —   ImagEngineering
                             Company                     Meetings          —   Mind Mapping
                          wide and Global          •     Location &        —   Brain Storming/Writing
                          Knowledge Assets               Space             —   Morphological Analysis
                                                                           —   Story Boarding
                                                     Others                —   Excursions
                                                                           —   Market Gap Analysis
                                                  in Company               —   Tinkering
                                                   Divergent Talents
                                                     White Spaces
mHealth Hub Research & Development
                       Idea      Business    Market                External   Launch
       Continuous   Research &    Case      Analysis &   Project
                                                                   Internal
                                                                   Promotion
           Time Managed
                 &                                       Development
              Gated
                                              Validation


                                 Modeling

                    Discovery
    Exploration
Long Tail of Digital Product Life Cycle
   Launch                           Takeoff                          Saturation



                                                  34%     34%
                              13.5%

                                                                        16%
                 2.5%

                Chasm
                                                                                   Long Tail
   Innovators    Early           Early          Early      Late         Laggards
                Adopters       Followers       Majority   Majority

         Source: Geoffrey Moore, Inside the Tornado
mHealth Hub Initial Product Portfolio
•Physician-to-Patient secure communication application:
    HIPAA and HITECH compliant application connecting physicians with their register patients through
     secured text messaging, appointment scheduling, payment processing, medical history form,
     assessment videos, order compliance reminders, and two way secure mobile video consultations.

•Patient tracking and triage connecting EMS-to-ED
    HIPAA and HITECH compliant mobile application capturing vitals, medical complaints, injury details,
     and medical history through point-n-click, voice recognition, pictures and video, and/or text data
     entry for continuous feed to destination emergency department and trauma centers.

•m911 application connecting Citizen-to-First Responder
    a cloud based mobile platform that opens a direct line of communication between the citizen and
     emergency first responders (augmenting the initial call to 911) including safety guides educating
     and preparing citizens to report emergencies and crimes saving lives in 911 situations.
• Others in the queue – teletherapeutics, feeding disorder therapy, oral motor therapy,
  speech, occupational & physical therapy…
A Proposal to Stakeholders
mHealth Hub is a multi-stake holder effort involving consumers,
employers, investors, universities, startup companies and the
health care community to create a mHealth innovation
ecosystem from research and development to deployment.

We are inviting all stakeholders interested in participating in
creating the best mHealth applications and services to join the
mHealth Hub collaboration center.

Please contact Dr. Gordon Jones at gordon@mhealthhub.com to
initiate the discussion.

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mHealth Hub

  • 1. A mobile health idea exchange and collaboration hub facilitating all healthcare stakeholders (e.g. providers, payers, physicians, therapist, caregivers) to develop applications and systems to care for their patients no matter where in the world they are when they need the care.
  • 2. According to recent analysis by PricewaterhouseCoopers for the GSM Association, mobile-enabled services will become integral to healthcare delivery by 2017, creating a global market worth ~$23 billion.
  • 3. An App A Day Keeps THE DOCTOR AWAY Whether it’s to: • quit smoking, • lose weight, • reduce stress, or • manage a chronic illness, consumers around the world are using their smartphones as their own personal health & wellness coach. According to the latest Pew Research, 60% of smartphone users are downloading apps to track or manage their health.
  • 4. An App A Day Keeps THE DOCTOR AWAY PwC’s 2012 Emerging mHealth Industry Report found
  • 5. 2013: The Year of Scale for mHealth TOP MOBILE HEALTH APP CATEGORIES ON IPHONE AND ANDROID BY DOWNLOADS Weight Loss Women’s Sleep and Pregnancy/ Tools and Reference/ Emergency/ and Exercise Health Meditation Prenatal Instruments Knowledge disaster BENEFITS TO PATIENTS Easy access to Self motivating Better personal Fewer Lower health information and diagnosis health and quality doctor visits treatment costs of life BENEFITS TO HEALTHCARE PROVIDERS Optimum resource Improved service Coverage to a larger Better patient Lower costs utilization and efficiency population monitoring per patient
  • 6.
  • 7. 2013: The Year of Scale for mHealth mHealth is the channel of today to stimulate patient engagement and enhance the patient's ability to communicate with his or her provider without having to come into the office for a face-to-face, thus lowering the cost of care and maximizing preventive discussions. No longer is “point of care” a particular location but due to mobile health, the “point of care” increasingly means wherever the patient is currently located in the world. Meaningful Use Stage 2 roles out with a major guideline for hospital's EHRs protection of PHI where the HHS Office of Civil Rights (OCR) will be auditing for HIPAA-compliance targeting mHealth issues like BYOD security. Accountable Care Organizations (ACO) and risk taking is going to require taking advantage of and developing a strong mobile health strategy as a part of the over all ACO business plan. Mom’s Are Even Doing It – a Cincinnati-area mother is on a mission to help children and families break through some of the daily challenges faced by those with autism and Asperger's Syndrome. She launched “Training Faces,” an application for iPads, iPhones and Android phones designed to help people like her son, Jack, with emotion recognition.
  • 8. The Payer Perspective Payers have the greatest potential for changing paradigms in healthcare by instituting mHealth and they represent the fastest path towards adoption of the best that this mHealth has to offer. • Payers hold the purse strings; they will pay for the use of mHealth in chronic disease management because they have a vested interest in keeping the costs of medical care down, especially within the 20%ers – the segment of patients most responsible for 80 percent of healthcare dollars spent; • Payers change physician behavior through reimbursement policies; • Payers will use mHealth to expand their patient portals and incentives to encourage members to engage in healthier behaviors. • Payer sponsored patient engagement decreases costs by having data come directly to the payer and the provider improving patient outcomes.
  • 9. The Payer Perspective • Payers are the largest users of patient portals. Patients entering and correcting their own data serve the patient as well as the payer. Patient-derived health data from mHealth tools may be tracked directly by the payer and the data may be used to assess patient adherence, treatment effectiveness and adherence to practice guidelines by the provider. • One of the biggest opportunities that payers can afford to sponsor is mHealth clinical research. Implementation of mHealth in ACOs or vertical organizations in which the payer is also the provider (Kaiser Permanente, Geisinger) is ideal for such evaluation of mHealth technologies, and indeed some have already illustrated positive outcomes. One of the biggest challenges lies in the lack of connectivity among provider medical apps, insurer portals, and EHRs; this is where the mHealth Hub can take a lead!
  • 10. mHealth Ecosystem Measurement Treatment • Sensor sampling in real-time Chronic disease management ● • Integration with health data Disaster response & support ● Consumer Remote clinical trials ● Physicians Providers Ancillary Global Services Diagnostic Clinical service access ● • Clinical decision support Remote treatment ● Wellness • Point-of-Care Diagnostics IT & mHealth mHealth Dissemination of health info ● Providers • Portable imaging Disease surveillance ● • Biomarker sensing Systems Strategy Medication tracking & safety ● Patient Prevention & wellness intervention ● Data & Research & Security Development
  • 11. mHealth Hub Innovation Process Keeps Idea Owner Business & Stakeholder If a Go then on to Stage 1 Informed Driven Innovation Employees Clients Idea Screen Gate 1 Competitors IDEAS Idea Vault & Consultants Focal Think Tank Dissenters Gateway Person Go to Stage 1 Trouble Makers On Hold Peer Community No Go Other Industries Focal Person Group Dynamics Innovation Brokers • Online • Expertise • Oversees Staging Process Submission Needed • Keeps ideas alive • Oversees Idea • Size of Tenure • Imagines new uses of old Vault Group ideas • Chairs Think Tank • Training Time • Captures Ideas • Manages • Standing — ImagEngineering Company Meetings — Mind Mapping wide and Global • Location & — Brain Storming/Writing Knowledge Assets Space — Morphological Analysis — Story Boarding Others — Excursions — Market Gap Analysis in Company — Tinkering Divergent Talents White Spaces
  • 12. mHealth Hub Research & Development Idea Business Market External Launch Continuous Research & Case Analysis & Project Internal Promotion Time Managed & Development Gated Validation Modeling Discovery Exploration
  • 13. Long Tail of Digital Product Life Cycle Launch Takeoff Saturation 34% 34% 13.5% 16% 2.5% Chasm Long Tail Innovators Early Early Early Late Laggards Adopters Followers Majority Majority Source: Geoffrey Moore, Inside the Tornado
  • 14. mHealth Hub Initial Product Portfolio •Physician-to-Patient secure communication application:  HIPAA and HITECH compliant application connecting physicians with their register patients through secured text messaging, appointment scheduling, payment processing, medical history form, assessment videos, order compliance reminders, and two way secure mobile video consultations. •Patient tracking and triage connecting EMS-to-ED  HIPAA and HITECH compliant mobile application capturing vitals, medical complaints, injury details, and medical history through point-n-click, voice recognition, pictures and video, and/or text data entry for continuous feed to destination emergency department and trauma centers. •m911 application connecting Citizen-to-First Responder  a cloud based mobile platform that opens a direct line of communication between the citizen and emergency first responders (augmenting the initial call to 911) including safety guides educating and preparing citizens to report emergencies and crimes saving lives in 911 situations. • Others in the queue – teletherapeutics, feeding disorder therapy, oral motor therapy, speech, occupational & physical therapy…
  • 15. A Proposal to Stakeholders mHealth Hub is a multi-stake holder effort involving consumers, employers, investors, universities, startup companies and the health care community to create a mHealth innovation ecosystem from research and development to deployment. We are inviting all stakeholders interested in participating in creating the best mHealth applications and services to join the mHealth Hub collaboration center. Please contact Dr. Gordon Jones at gordon@mhealthhub.com to initiate the discussion.