Healthcare Access Through Mobile Technology

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  • Numbers based on Pew Research Center’s Internet & American Life Project Survey 70% of all cell phone owners/86% of smartphone owners/62% of adults have used their phones in the previous 30 days to perform at least one of the following activities:
  • There are more Mobile Phones than Toilets in India according to UNThere are more Mobile Phones than Toilets in India according to UN
  • The “ Haves ” and “ Have Nots ” of communication technology
  • Healthcare Access Through Mobile Technology

    1. 1. Healthcare Access ThroughMobile Technology:How does mHealth Improve PatientAccess to Better Care?Brought to you by
    2. 2. How to Participate• Submit your questions in the GoToWebinar presentation window• Follow along and share your thoughts on Twitter at #HWClive• This webinar will be recorded and available for download a few days after the webinar
    3. 3. About the ModeratorBrian S. McGowan, PhDBrian S. McGowan, PhD, is a research scientist who has worked as a medical educator, mentor, commercial grantor, consultant, and author. r. McGowan’s first book comes out this summer: #SOCIALQI: Simple Solutions for Improving Your Healthcare. ou can follow him on twitter ( @BrianSMcGowan ) or on his blog www.socialQI.com
    4. 4. About The PanelHerb Rogove, DO, FCCM, FACP, President & CEO of C3O TelemedicineDr. Rogove is President/CEO of C3O Telemedicine, which is a multispecialty virtual practicethat solves the problem of quick and affordable access to specialists in Tele-ICU, Tele-Neurology/Neurocritical Care and Tele-Psychiatry. With over thirty years of experience both inclinical and hospital administrative functions he has started and directed three onsite criticalcare programs as well as Emergency Medicine and Hospitalist programs. He has had clinicalappointments at the University of Southern California, University of Pittsburgh, and the OhioState University.Alex Blau, MD, Medical Director at DoximityAlex Blau, MD, Medical Director at Doximity, is a graduate of the University of California SanFrancisco School of Medicine and trained in emergency medicine at Stanford Hospital andClinics. He has been working in the emerging mobile health space since he was a seniormedical student, when he founded MediBabble, an iPhone-based medical languageinterpretation tool now in use by over 15,000 health care professionals.Marc Mitchell, MD, MS, Founder & President of D-tree InternationalDr. Marc Mitchell, MD, MS founder and president of D-tree International, is a pediatrician andmanagement specialist who has worked in over 40 countries in Africa, Asia, and Latin Americaon the design and delivery of health care services. He is a Lecturer on Global Health at HarvardSchool of Public Health. Dr. Mitchell is a world leader in the use of mobile technology toimprove the quality of and access to health care and has written widely on these topics. D-treeInternational was founded in 2004 in order to demonstrate the impact that mobile technologycan have on improving health outcomes for the world’s poor.
    5. 5. Facts About Mobile Technology - US Coordinated a meeting or get-together Solved an unexpected problem Found a business to visit (restaurant) Found information to settle an argument Looked up sports scores Gotten directions or public transit information Gotten help in an emergency situation Done one or more of the above
    6. 6. Facts About Mobile Technology - GlobalIn many developing countries there is greater access to mobile phones than clean water or functional toilets
    7. 7. mHealth:The Hospital Based Model Herb Rogove, DO, FCCM, FACP Founder and President
    8. 8. Philips e-ICU system
    9. 9. InTouch Health
    10. 10. Vidyo
    11. 11. Mobile MIM
    12. 12. AirStrip Cardiology
    13. 13. AliveCor
    14. 14. GE Vscan
    15. 15. UCLA RDT
    16. 16. herb.rogove@c3otelemedicine.com
    17. 17. m H e alth fo r th eH e alth c are P ro fe s s io n al
    18. 18. B u s y m H e althM ark e tp lac e • 5 0 + c iclp s ,0 0 l aa p in • 8 0 + p tn a p ,0 0 a t p s ie • M l la ps rs uip p t e te o • 8 % o M s ae 1 f D hv s ath n s mr oe p
    19. 19. C o m m u n ic atio nH ave s an d H ave -N o tsMedicine Rest of the world
    20. 20. C o m m u n ic atio n H ave s an d H ave -N o ts• Average PCP interacts with • 15 billion faxes / year • HIPAA compliance rules out 270 specialists/year in US healthcare traditional email and social • PCP spends 40 min / day networks• Only 1/3 of patient visits have info sent in advance phoning other MDs
    21. 21. H e alth c are C o llab o ratio nin th e C lo u d • I poe cr m rvd ae c od a n o rin tio • T ec s eic n y im /ot f ie c f • P tn sf y a ta t ie e poetn rt io s c • C nin in m d a o tu g e icl e ua n d ct io
    22. 22. Using MobileTechnology to Improve HealthMarc Mitchell, MDD-tree International &Harvard School of Public Health
    23. 23. The Problem “[There is] an estimated shortage of almost 4.3 million doctors, midwives, nurses and support workers worldwide. The shortage is most severe in the poorest countries, especially in sub-Saharan Africa, where health workers are most needed. “
    24. 24. Our Mission . . .. . . is to develop and support electronic clinical protocols that that enable health workers worldwide to deliver high quality care
    25. 25. What we do1. We promote standards of care;2. We put these protocols on a phone;3. We help implement;4. We make sure these tools are safe and effective;5. We promote scale up.
    26. 26. Develop clinical protocols that enable better quality
    27. 27. Design software to support correct use ofprotocols
    28. 28. Develop clinical protocols that improve qualitychronic disease reproductive health child health preventive care  HIV/AIDS  antenatal  Diabetes  pneumonia  post natal  Hypertension  diarrhea  family plan.  TB  malaria  safer  newborn deliveries  nutrition  antenatal  immunizations  care and support
    29. 29. Child HealthCorrect Diagnosis (compared to expert) Correct Diagnosis paper eIMCI pneumonia 90.6 % 93.3 % diarrhea 98.5 % 99.8 % dehydration 98.8 % 100 % severe pneumonia 22 % 64 % severe diarrhea 67 % 91 % severe dehydration 50 % 100 % Performance Avg. Time paper 8.98 min eIMCI 9.06 min = + 5 seconds Improvement in Integrated Management of Childhood Illness (IMCI) Implementation through use of Mobile Technology: Evidence from a Pilot Study in Tanzania Authors: Marc Mitchell, Bethany Hedt, Daniel Msellemu, Oscar Mukasa, Melania Mkaka, Neal Lesh
    30. 30. Maternal Health• Screening pregnant mothers for danger signs• Establishing community- based referral systems to transport women Coordinating payment of transport to health facilities and hospitals using mobile banking Following up with the family within 2-5 days after delivery to ensure a continuum of care, including post-partum and post-natal care
    31. 31. Results: Facility Deliveries
    32. 32. ResultsOne mother gavebirth to twins viacaesarean section atthe hospital. She toldD-Tree that withoutthe project she wouldhave delivered athome and she andher babies might notbe alive today.
    33. 33. How to Participate• Submit your questions in the GoToWebinar presentation window• Follow along and share your thoughts on Twitter at #HWClive• This webinar will be recorded and available for download a few days after the webinar
    34. 34. About The PanelHerb Rogove, DO, FCCM, FACP, President & CEO of C3O TelemedicineDr. Rogove is President/CEO of C3O Telemedicine, which is a multispecialty virtual practicethat solves the problem of quick and affordable access to specialists in Tele-ICU, Tele-Neurology/Neurocritical Care and Tele-Psychiatry. With over thirty years of experience both inclinical and hospital administrative functions he has started and directed three onsite criticalcare programs as well as Emergency Medicine and Hospitalist programs. He has had clinicalappointments at the University of Southern California, University of Pittsburgh, and the OhioState University.Alex Blau, MD, Medical Director at DoximityAlex Blau, MD, Medical Director at Doximity, is a graduate of the University of California SanFrancisco School of Medicine and trained in emergency medicine at Stanford Hospital andClinics. He has been working in the emerging mobile health space since he was a seniormedical student, when he founded MediBabble, an iPhone-based medical languageinterpretation tool now in use by over 15,000 health care professionals.Marc Mitchell, MD, MS, Founder & President of D-tree InternationalDr. Marc Mitchell, MD, MS founder and president of D-tree International, is a pediatrician andmanagement specialist who has worked in over 40 countries in Africa, Asia, and Latin Americaon the design and delivery of health care services. He is a Lecturer on Global Health at HarvardSchool of Public Health. Dr. Mitchell is a world leader in the use of mobile technology toimprove the quality of and access to health care and has written widely on these topics. D-treeInternational was founded in 2004 in order to demonstrate the impact that mobile technologycan have on improving health outcomes for the world’s poor.
    35. 35. Thanks for Joining Us• This webinar will be available on-demand at www.HealthWorksCollective.com. Stop by to learn more and share your comments.• Connect with our panelists on HealthWorks Collective using the search function:

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