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mHealth 101:
A Hopkins Clinical Perspective
Larry William Chang, MD, MPH
Assistant Professor, Division of Infectious Diseases
Johns Hopkins School of Medicine
Disclosures
• I am a consultant for, minority equity holder in, and am entitled to
royalties from emocha Mobile Health Inc., a company licensing an
invention (emocha) from Johns Hopkins University which I helped
invent and is described in this presentation.
• I have received grant support from the National Institutes of
Health and Bill and Melinda Gates Foundation.
Education
Training
Logistics
Patient Interactions
Diagnosis
Treatment
Research
Billing
Medicolegal
Will I still have a pager?
Feature Text Messaging 1-Way Pager 2-Way Pager PING Inbox
HIPAA compliant No Yes Yes Yes
Supports multiple
transmission protocols
No No No Yes
Cost Free $11/month $21/month $7/month
Source: Ping
JHU Plastic Surgery Residency App
The Wired Patient
sen· sor noun-
a device that detects or
measures a physical property
and records, indicates, or
otherwise responds to it.
Sources: WisePill, AliveCore, iBGStar, iHealth, Fitbit
The New Patient Social History
• N=105
• Compared to traditional media
• Younger (mean age 31 vs. 42,
p<0.0001)
• More sex partners in the
previous 14 days (1.88 vs. 1.1)
Source: Grindr.com
Take two apps and call me in the morning.
Source: www.bluestardiabetes.com
Apps for Patients
• Pain Diary Feasibility Study (n=37)
• Target Audience: Patients and Providers
J Med Internet Res 2013;15(12):e287
Apps for Patients
• Personal medical record tracker and alerting system
• Target Audience: Patients
Peter Schmidt and POZ
Text Messaging for Patients
Text2quit, George Washington University, Voxiva
Text Messaging for Patients
Log on Location Symptoms Record Submit
New paradigms for patients & clinicians
JHU-GmI Seminar - Dr. Larry W. Chang
The Epically ____ EPIC
Technology Innovation Center
• Interactive graphical dashboard
designed to analyze over-night workflow
productivity
• Mechanism for Clinicians and
Radiologists to engage in a tele-
consultation session on iPads
• EMR aggregation tool designed to
display a patient’s relevant clinical data
while minimizing clicks
The Technology Innovation Center is pulls
together clinicians, enterprise Health IT systems,
and Johns Hopkins University researchers to create
patient-centered medical solutions.
@JHMTIC TIC@JHMI.EDU
Source: Google Play Storerch 7, 2014, Search for Cancer Medical
Apps apps everywhere…
What is Out There?
• 295 smartphone apps
– Breast cancer (46.8%, 138/295)
– Cancer in general (28.5%, 84/295)
– Raise awareness about cancer (32.2%, 95/295)
– Provide educational information about cancer (26.4%, 78/295)
– Fundraising efforts (12.9%, 38/295)
– Assist in early detection (11.5%, 34/295)
– Promote a charitable organization (10.2%, 30/295),
– Support disease management (3.7%, 11/295)
– Cancer prevention (2.0%, 6/295)
– Social support (1.0%, 3/295).
– The majority of the apps did not describe their organizational affiliation (64.1%, 189/295).
• Article Search n=594 articles.
– 0 reported an evaluation of a cancer-focused smartphone application
J Med Internet Res 2013;15(12):e287
Brave new world.
caveat emptor or
“do no harm”.
Thank You!

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JHU-GmI Seminar - Dr. Larry W. Chang

  • 1. mHealth 101: A Hopkins Clinical Perspective Larry William Chang, MD, MPH Assistant Professor, Division of Infectious Diseases Johns Hopkins School of Medicine
  • 2. Disclosures • I am a consultant for, minority equity holder in, and am entitled to royalties from emocha Mobile Health Inc., a company licensing an invention (emocha) from Johns Hopkins University which I helped invent and is described in this presentation. • I have received grant support from the National Institutes of Health and Bill and Melinda Gates Foundation.
  • 4. Will I still have a pager? Feature Text Messaging 1-Way Pager 2-Way Pager PING Inbox HIPAA compliant No Yes Yes Yes Supports multiple transmission protocols No No No Yes Cost Free $11/month $21/month $7/month Source: Ping
  • 5. JHU Plastic Surgery Residency App
  • 6. The Wired Patient sen· sor noun- a device that detects or measures a physical property and records, indicates, or otherwise responds to it. Sources: WisePill, AliveCore, iBGStar, iHealth, Fitbit
  • 7. The New Patient Social History • N=105 • Compared to traditional media • Younger (mean age 31 vs. 42, p<0.0001) • More sex partners in the previous 14 days (1.88 vs. 1.1) Source: Grindr.com
  • 8. Take two apps and call me in the morning. Source: www.bluestardiabetes.com
  • 9. Apps for Patients • Pain Diary Feasibility Study (n=37) • Target Audience: Patients and Providers J Med Internet Res 2013;15(12):e287
  • 10. Apps for Patients • Personal medical record tracker and alerting system • Target Audience: Patients Peter Schmidt and POZ
  • 11. Text Messaging for Patients Text2quit, George Washington University, Voxiva
  • 12. Text Messaging for Patients
  • 13. Log on Location Symptoms Record Submit New paradigms for patients & clinicians
  • 16. Technology Innovation Center • Interactive graphical dashboard designed to analyze over-night workflow productivity • Mechanism for Clinicians and Radiologists to engage in a tele- consultation session on iPads • EMR aggregation tool designed to display a patient’s relevant clinical data while minimizing clicks The Technology Innovation Center is pulls together clinicians, enterprise Health IT systems, and Johns Hopkins University researchers to create patient-centered medical solutions. @JHMTIC TIC@JHMI.EDU
  • 17. Source: Google Play Storerch 7, 2014, Search for Cancer Medical Apps apps everywhere…
  • 18. What is Out There? • 295 smartphone apps – Breast cancer (46.8%, 138/295) – Cancer in general (28.5%, 84/295) – Raise awareness about cancer (32.2%, 95/295) – Provide educational information about cancer (26.4%, 78/295) – Fundraising efforts (12.9%, 38/295) – Assist in early detection (11.5%, 34/295) – Promote a charitable organization (10.2%, 30/295), – Support disease management (3.7%, 11/295) – Cancer prevention (2.0%, 6/295) – Social support (1.0%, 3/295). – The majority of the apps did not describe their organizational affiliation (64.1%, 189/295). • Article Search n=594 articles. – 0 reported an evaluation of a cancer-focused smartphone application J Med Internet Res 2013;15(12):e287
  • 19. Brave new world. caveat emptor or “do no harm”.