Connecting the Streams

Connecting the Streams mHealth 2010 Polka [email_address]

Agenda
Personal information platform
- Synchronized health records
- Emergency application
- Observation engine
- Reminders for medication (and more)
- Clinical applications in personal bubble
Crossing the stream into clinical setting
- Populating information in Polka
- Generating a wisdom report for doctor
- Real-time use of devices in the clinical setting

Personal Information Platform Selectively sharing information about me when I benefit

Synchronized health platform
Aggregation of important health records in one place, anywhere, anytime (CCR +)
Add things only we know , such personal observations of health activities from many sources (devices, applications, streams)
Things we are committed to doing in the future, moving beyond the point of intention

Key Scenario: Emergency
Phone to assist user in emergency situation
Quick access to location information
Distress signal to trigger alert and help find person
Set an emergency wallpaper message for emergency contact and short message (even if your phone is locked)
700,000 downloads to date

Reminders
One click reminders are the most important innovation
Focus on tasks that are must have, vs. nice to have
Medication adherence, persistence value to all parties (person, family, applications, pharma, payer, nurse, doctor)
Increases value of all other streams by helping user help themselves

Reminders: One click ease
Reminders are more valuable when they are responded to
Response
Add text
Change time
Related activities
Generates a trail of personal actions

Observe health activities
Observations are records of things a person does, recorded over time
Well being
Diet
Exercise
Weight
Sleep
Pain
Medications
Blood pressure
Glucose
Add your own

Trends
Record visual trends to learn about health patterns
Graphs are first step in visualizing key trends
Low points
High points
Relationships

Clinical tools
Offer tools that use clinical measures to users to help them generate worthy data
Pain scale and body map
Log accurately pain in body
Switch views and body types
Will get richer and personalized over time

Personal timeline
Visualizing what you have done, need to do, and will do

Wisdom reports: doctor centric roll-up Health Vault Health Info Exchange Google Health Cerner PDF Secure Transport

Crossing the streams

There's something I forgot to tell you
Spangler: What's that Egon?

Egon : Don't cross the streams. [Pause] It would be bad
Spangler : What do you mean, Bad?
Egon : Try to imagine all life as you know it stopping instantaneously and every molecule in your body exploding at the speed of light.

Ray : Total plutonic reversal.
Spangler : OK. That's an important safety tip.

Polka information platform
Polka is a platform for inputing and outputing data to partners

HealthVault - Demonstration of bringing medications in
Twitter - Demonstration of sharing observations out
Pharmasurveyor - Sharing medications out

Pulling medications from HealthVault
Is a HealthVault partner
User triggers pull from Polka putting in HV password
Pulls medication list
Compares and brings in new medications
Triggers new medication reminder

Partner integration architecture - HealthVault Data Medication list Medication activity Medication report Medication partners Consumer partners Provider partners Token Cookie Pharma surveyor Health Vault API SDK Partner history Medication list Polka

Partner integration architecture - Consumers Data Medication list Medication activity Medication report Medication partners Consumer partners Provider partners Token Cookie Pharma surveyor Health Vault API SDK Partner history Medication list Polka

Even with EMRs, patients will be mobile first Oncoming Nurse Outgoing Nurse EMR

Real time participation is future of healthcare Health Record Peer to Peer Nurse App Reminders Care Algorithm Secure Transport Notification Alert nurse on duty about new pain level? [ Yes ] [No]

After visit care summaries populate Polka After visit summary file Care Provider Shared patient repository Care Provider Care Provider Care Provider Care Provider EMR Diagnoses Medications Industry care provider repository Patient rules engine Patient applications Patient Health Records Patient reminders Patient preferences Patient insurance Coverage Patient pharmacy referral Common data dictionary layer (or transformation) Common after visit data format (or transformation)

Populating Polka with receipt of care
Element groups
Receipt
Demographics
Charge
Charge Types
Discount
Payment Adjustment
Payment Types
Card Types
Provider
Medications

Some key fields
CPT code
CPT description
Medical record #
Insurance company
Provider name
Provider support #
Medication

The stream becomes the marketplace history present to do Receipt Repository Card on File Update insurance info? Update provider contact? Add diagnoses / treatment? Add provider as primary? Payment Reminder Medication Reminder Follow-up Reminder

Populating with devices, sms, twitter, & apps
Microsyntax standard for sharing personal activities
Devices
Social networks
Observations
Transactions
First implementations
Blood pressure
Weight
Steps per day
Health card

Populating with devices, sms, twitter, & apps
Polka generates standard microsyntax
Weight
Exercise
Mood
…
And consumes microsyntax
Application partners
Health devices (e.g. exercise)
Clinical devices (scale, blood pressure)

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Connecting the Streams

by mikekirkwood on Feb 08, 2010

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Connecting the Streams — Presentation Transcript