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University of California Center for Health Leadership Mobile workshop

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Workshop building baseline mobile health landscape, scenario description, and development workshop given by Mike Kirkwood in Oakland California on 11/17/2010.

Workshop building baseline mobile health landscape, scenario description, and development workshop given by Mike Kirkwood in Oakland California on 11/17/2010.

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  • http://www.readwriteweb.com/mobile/2010/10/mobile-usage-in-japan-us-and-europe-compared.php
  • http://www.readwriteweb.com/mobile/2010/10/mobile-usage-in-japan-us-and-europe-compared.php
  • http://www.readwriteweb.com/mobile/2010/10/mobile-usage-in-japan-us-and-europe-compared.php

University of California Center for Health Leadership Mobile workshop Presentation Transcript

  • 1. Center for Health LeadershipNew Media Training SeriesUC Berkeley SPH
    Mobile workshop
    11/17/2010
    Mike Kirkwood
    mike@eek.com
  • 2. Introduction – Mike Kirkwood
    • Mobile
    • 3. An early innovator in mobile apps (day one Apple apps, over 1 million apps downloaded)
    • 4. Developed core technology for text reminders with AHA (American Heart Association) and HealthVault
    • 5. Health
    • 6. Serial speaker at Health 2.0 (tools panel), mHealth conference, and Quantified Self
    • 7. Health claims management (large and small payers)
    • 8. Developer of first iPhone emergency app & PHR (using CCR)
    • 9. Technology
    • 10. Analyst / Author, cloud computing for ReadWriteWeb
    • 11. Large enterprise technology leader (Sony, Cisco, Intuit) specializing in real-time agile enterprise (6 patents in enterprise content, data, and metadata)
  • Workshop objective
    Today, we will survey the mobile health technology landscape, review a real app development project, and kick off the design of our own personal mobile health project
    Participants will:
    Understand mobile health landscape
    Be able to take a mobile project idea to peers or technology advisors
  • 12. Agenda
    • Introductions
    • 13. Landscape of M-Health
    • 14. Examples of mobile phone tools in public health and healthcare
    • 15. overview with open Q & A
    LUNCH
    • How mobile phones can be used for health applications
    • 16. sharing and group discussion
    BREAK
    • Workshop
    • 17. mobile tool and app design
    • 18. Design statement
    • 19. Wireframes
    • 20. Brainstorm
    • 21. Feasibility analysis
    • 22. Closing and evaluation
  • Introductions
    Name
    Your role in your organization
    What you are doing with
    M-Health
    One reason you are here today
  • 23. The Survey
    What are some ways to kick-start a project?
    Is HIPAA important?
    How is the web connect to mobile strategy?
    What if I have a smart phone, but I don’t use apps?
  • 24. Activity
    Set a reminder message to your phone
  • 25. Landscape
  • 26. Why use mobile platform instead of web?
    Graphics engine support (games)
    Maps using location services
    Sales through app store (1 click to buy)
    Push notification to deliver free notifications that can pull open apps
  • 27. Examples of projects in mHealth
    Text4Baby – Over 100,000 members. First “free send and receive”
    Apps and mHealth challenge, Todd Park @ #mHealth
    Heart 360 releases text reminders for Heart health patients
    Norwegian Government Announces $1 Million for Initiative Using Mobile Technology to Support Maternal Health...Supports Use of Wireless Networks and Devices to Reduce Maternal and Newborn Mortality
  • 28. Tsunami of activity
    • Neilsen Report: Teens Text 3,339 Times Per Month! Voice Calling on Phones Going Extinct?
    • 29. Mobile phone health apps could improve care in developing countries
    • 30. Why your phone is now the doctor in your pocket
    • 31. Mobile Health Apps See Weak Adoption Rates
    • 32. Innovative strategies and high-tech solutions for sexual health education and STD/HIV prevention
    • 33. IT chief sees mHealth moving faster than expected
    • 34. Bill Gates keynotes mHealth Summit, focuses on saving children
    • 35. Text messages used to reach expectant, new moms
    • 36. The Power of Mobile by Susannah Fox | Pew Research Center's Internet ...
    • 37. New app zaps auto texting, tracks teens
  • Tsunami of activity
    • For Many, Health Apps Are Just Not Part Of The Routine
    • 38. Dear Google: please make a medical category for apps in the Android Marketplace
    • 39. Emotional Automation: Bonding with Technology to Improve Health
    • 40. Chip-in-a-pill may be approved in 2012
    • 41. Busting the paradigm about mobile for health: it’s not just phones and browsers. (Morgan Stanley, April 2010)
    • 42. Cleveland Clinic calls wireless telemonitoring of heart disease #6 most important medical innovation of today
    • 43. Formation of mHealth Regulatory Coalition: Singular purpose is to create & submit a guidance document to FDA clarifying mHealth hardware...
    • 44. Healthcare sector among top adopters of iPad
    • 45. Health Insurer Humana's mHealth Program for 60,000 w/Chronic Disease
    • 46. Mobile Phone Apps Being Created To Test For STDs
  • What do you think?
  • 47. A few videos
    http://www.youtube.com/watch?v=OextYih4Z28
    mHealth - Infectious Disease in a Mobile Age (MWV34)
    http://www.youtube.com/watch?v=PEza09P7bDo
    Med Apps: It's the Future- Just Right Now
  • 48. Some key #mhealth terms
    • Smart phone
    • 49. Phone with OS that includes full keyboard, applications, and other core services (email, maps, apps)
    • 50. SMS
    • 51. short messaging service, a commonly supported standard for sending and receiving messages on mobile networks
    • 52. Web services
    • 53. protocols for delivering data services over the web
    • 54. Cloud computing
    • 55. infrastructure and computing resources via the Internet
    • 56. HIPAA
    • 57. U.S. law governing health insurance portability & accounting
    • 58. EHR
    • 59. electronic health record
    • 60. Meaningful use
    • 61. standard for determining health stimulus incentive qualification over stages of time
  • Landscape: Longevity planning
  • 62. Landscape: Self admin tools
  • 63. Landscape: Wellness
  • 64. Landscape: Augmenting reality
  • 65. Landscape: Some challenges
    • Fragmentation
    • 66. Touch-screen apps, no apps, some apps
    • 67. SMS / MMS
    • 68. Push notification
    • 69. Infrastructure assumptions
    • 70. Web and services support
    • 71. Network quality and reliability
    • 72. SMS fire and forget
    • 73. Information management
    • 74. HIPAA
    • 75. Tokens, credentials
  • Landscape: Development
    • Building a goal
    • 76. Developers are closest to canvas
    • 77. Template for app scope
    • 78. Scripting a story with tools
    • 79. “not pretending” rapid wire-frames – Balsamiq
    • 80. “reality” wireframe templates - Mockapp
    • 81. Development technologies
    • 82. Web (HTML 5)
    • 83. SDK (Apple, Android)
    • 84. Libraries & languages (Unity, Flash)
    • 85. SMS / Voice (Twilio)
  • Landscape
    Topics
    Mobile trajectory
    Health reform
    Location is social
    Apps in the market
    Connecting the dots
  • 86. Landscape - Mobile
    Mobile
    Messaging is network
    Texting is the medium
    iPhone offers baseline
    SMS
    Email
  • 87. Landscape - Social
    Social
    Games
    Our story is in memory
    Location has a story to tell
    People
    Places
    Things
  • 88. Landscape - Health
    Health
    EHR stimulus = outcomes
    Measure
    Mobile enterprise
    Sensors drive workflow
  • 89. Landscape: Connecting the dots
    • Health cloud
    • 90. SMS, Email, sharing connect
    • 91. Apps with sensors log behavior
    • 92. Measuring outcomes becomes baseline
  • Scenario
    Review of a recent real-world mobile health app construction
  • 93. Scenario – Mobile reminder log
    • Scenario overview
    • 94. Connecting patients who need to take action to achieve good heart health, working with doctors that observe and react to patient outcomes
    • 95. Goal
    • 96. Wireframe example
    • 97. Application example
    • 98. Scenario brainstorm
    • 99. What could we do next?
    • 100. For patient, family, friends
    • 101. For doctor, nurse
    • 102. With location, web, games, content, social, AI, …
  • Scenario: What is the goal?
    • Allow people with heart conditions to easily keep track of their risk factors when working with their doctor to monitor their progress
    • 103. Conversation guideposts to help modify behaviors
  • Scenario: How does it work?
    • Embedded into web applications, e.g. provider portals
    • 104. Joins web account with mobile reminder system
  • Scenario: Provider workflow
    Trigger new dialog or knowledge sharing
    Brings mobile and web view together
  • 105. Scenario: Questions or reminders?
  • 106. Scenario: Medications are tricky
  • 107. Scenario: Simplify medications
  • 108. Scenario: Daily expectations
  • 109. Scenario: Simple user thread
  • 110. Scenario: Complex user thread
  • 111. Scenario: Missed reminder action
  • 112. Scenario: Ask, Log, Confirm
    Proactive SMS reminder
    Smart listener
    Share through web services
  • 113. Scenario: Anticipated outcomes
    • Simple reminders become baseline (like an alarm clock)
    • 114. Story telling increases length of use and commitment to action
    • 115. Noisy and random is good (frequency dialog vs. numbers and form fields)
  • Scenario: Community design
    • Some steps
    • 116. Convert achievable actions into shared currency
    • 117. Organize delivery systems
    • 118. geography
    • 119. closeness
    • 120. situational
    • 121. Silence is golden
  • Scenario: Embedded app
  • 122. Scenario: Question!
  • 123. Scenario: Conversation threading
  • 124. Scenario: Confirm dialog
  • 125. App elaboration: What else?
    Should it do?
    Should it not do?
  • 126. Workshop
  • 127. Workshop: Agenda
    Activities
    App definition
    What will your mobile service do?
    Wire-frame workshop
    Feasibility review
    Work in teams, or alone
    Ask questions, review similar, invent new
    App review
    Peer review (time permitting)
  • 128. What does your app do?
    ___________ (name) enables
    ____________ (group of people)
    to accomplish _____________
    ______________________
    (a specific task), while…
    ______________________ (optional: specific conditions)
    [ ] app [ ] sms [ ] service [ ] device
  • 129. Sample (simple) use case
    Actors
    • Doctor
    • 130. Person
    • 131. Mobile #
    • 132. HealthVault
    • 133. AHA 360 application
    • 134. Log web service
    • 135. SMS gateway
    • 136. Reminder engine
    • 137. Conversation engine
    • 138. Actions
    • 139. Message
    Use case steps
    • Person accepts invitation from Provider to join HealthVault AHA 360 application
    • 140. Person signs up for reminder engine by validating mobile #
    • 141. Reminder engine sends reminder message to person
    • 142. Person responds to message
    • 143. Conversation manager inspects action in message
    • 144. If understood, log action
    • 145. If not understood, exit
    • 146. Provider requests action log from conversation engine web service
    • 147. Provider confirms review and updates person web service
  • Use case
    Actors
    Use case steps
    -
    -
    -
    -
    -
    -
    -
  • 148. Application name:
    On this screen, the user if able to…
  • 149. Application workflow:
    The user…
  • 150. Application name:
  • 151. Application name:
  • 152. Application name:
  • 153. Application name
  • 154. Application name:
  • 155. Application name:
  • 156. Application name:
  • 157. Application name:
  • 158. Application name:
  • 159. Application name:
  • 160. Application name:
  • 161. Closing and Evaluation
    One thing you are taking away from today that will be useful for you
    One thing you are going to do to move forward with your M-health project