ISLI Mobile Health Presentation (5 23 11) C Wv2


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Presentation on mobile health- patient managemment, clinical decision support, marketing, patient education

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ISLI Mobile Health Presentation (5 23 11) C Wv2

  1. 1. Mobile Health Engagement:Information, Learning, andCare CoordinationSteven Peskin, MD, MBA, FACPEVP and Chief Medical Officer, MediMediaAssociate Clinical Professor of Medicine,UMDNJMay 23, 2011
  2. 2. "Every generation needs a new revolution."-Thomas Jefferson• Mobile technology has become ubiquitous in our consumer lives…and it’s bridging to other areas• Today, we are at the leading edge of it, revolutionizing the way we manage our individual health• Three major areas of mobile health that will drive this change: – Health Care Professional: Knowledge building, increased interaction, and improved clinical actions – Consumer: Creating excitement and ease to drive engagement and behavior change with relevant and actionable information and topics – Connected Care: Integrating all key stakeholders (HCPs, life sciences companies, payers, consumers) to efficiently achieve desired health care outcomes 2
  3. 3. Mobile Health and the Health Care Professional – Part 1 3
  4. 4. Part 1: Mobile Health and the Health CareProfessional 4
  5. 5. (Mobile) Social Community Benefits for Health Care Professionals• (Mobile) social communities facilitate sharing of clinical insights and solutions to practical clinical problems in a way that promises to hone “best practices”• Allows physicians to: – Access dialogue on best practices – Source and disseminate immediate research – Solicit useful feedback about preferred treatments, protocols, and practice tools that yield best health and patient satisfaction – Build business arrangements 5
  6. 6. Mobile Health Care Professional Communities• QuantiaMD: – Founded in 2005, has 140,000+ members – Education and collaboration platform for physicians and other clinicians accessible on computers, tablets, and smartphones• Sermo: – Founded in 2006, has 220,000 members – Bills itself as “the world’s largest online community of physicians, where you can exchange medical insights with colleagues spanning more than 30 specialties across all 50 states”• Medscape Mobile Physician Connect: – Founded in 2008, has 250,000 members – Invites clinical and nonclinical exchanges through video blogs and user polls 6
  7. 7. Integrated HCP/Patient Engagement HCPs visit Web/WAP disease state or brand portals driven by QuantiaMD promotion from peer-to-peer educational initiativesQuantiaMD• Link to/from portal• Access to >300,000 HCPs• Engagement & promotion• Educational & resource materials 7
  8. 8. Clinical Decision Support• Epocrates – Founded in 1998, over 400,000 members – Not strictly a social professional network – Features immediate formulary checks and drug information, point-of- care references, discussion topics, and an electronic game on Facebook called “Diagnose the Disease.” 8
  9. 9. Point-of-Care Mobile Technology• 87% of physicians who use a Most Influential on PDA/smartphone said the PDA Prescribing channel provides clinical PDA/Smartphone Direct Mail information that is most Journal Ad influential in their prescribing Rep Visit e-Detail and treatment decisions Pharma brand web site• 92% of physicians agree that 6% 3% 2% 1% “clinical information on my 2% PDA/S, smartphone improves my knowledge and capabilities” 87% “Effect of PDA-based information on treatment decisions.” Mix of 594 primary care and specialty physicians. Marlborough, MA: Skyscape; March 2008. 9
  10. 10. The App Revolution: iPhone, BlackBerry, andGoogle Android 10
  11. 11. “There’s an App for That”• Apps for electronic medical records • The software developer, Epic, just released a new suite of apps that feature PHR access for a PDA• Apps for patient information delivery • AirStrip Technologies: offers a suite of HIPAA-compliant apps that collect all relevant patient information and sends it to your PDA (including lab results, cardiology, temperature, etc) • From QuantiaCare: EatSmart, with content from Hope Warshaw, RD, MMSc, CDE, BC-ADM 11
  12. 12. More Apps for Health Care Professionals• Apps for medical education and reference • Krames Patient Education: iPatientED is a quick reference tool for physicians with 118 animations spanning 22 medical specialty areas, many with narrations in English and Spanish • Modality: this company features 120 apps, 55 of which are focused on medical education • MedCalc: a medical calculator with a wide array of medical formulas and scores. Includes information and bibliographic references for each formula • ICD-9 Lite: contains all 13,677 ICD-9-CM diagnosis codes for quick retrieval by disease classification in a drilldown format with no typing. Code to the highest level of specificity every time 12
  13. 13. Mobile Health and the Consumer – Part 2 13
  14. 14. Mobile Technology & Apps Will Redefine the WayConsumers Manage Their Health…• 4.7 billion mobile subscribers worldwide1• Mobile health apps have grown by 78% in the United States• Currently, there are 17,000mHealth apps ̶ 74% adhere to the paid business model• 76% of mHealth market revenue will come from related services and products such as sensors 14
  15. 15. …And Address Many of the Challenges TraditionallyAssociated with Poor Outcomes Pre-diabetes Lack of Engagement Obesity At-risk Patients Poor CompliancePoor Prenatal Care Boredom Disconnection 15
  16. 16. Convergence – The Mobile Answer… • Fitness games are very popular • 70% of mobile app downloads are games • Wearable sensors are used by athletes and nonathletes alike Nike + GPS 16
  17. 17. Market Landscape: Wearable Devices andBiosensors• By 2014, more than 400 million wearable wireless sensors are expected to be in existence• 90% of the market is in sports and fitness but demand is increasing in professional and home health care markets• Accelerometer/gyroscope market forecast to exceed $1B by 2014• Wearable and at-home biosensors were a $7B market in 2004, growing 10% a year.1 17
  18. 18. Opportunity: Health eGames Bigger thanDisease Management Consumers: Industry: Health Health & eGames Health eGames Productivity $6.6 Billion1 + $2.3B2 Social Media + Exergaming Mobile Condition + Management Analytics & Outcomes Nutrition = Brain Fitness …Superior Health & Performance Professional 18
  19. 19. Optimizing the Consumer Experience Before & After Web Mobilization Mobilization allows your product to be accessed by more than 6,000 mobile devices in more than 600 countries. Accessed via SMS keyword, 2-D codes, mobile browser – all with SEO available, our WAPsite solutions drive visitation, registration, and segmentation of visitor information for continued engagement to your mobile patient community. 19
  20. 20. Secure Mobile Community Apps Join Comply InteractBind to a community Security = HIPAA Compliance Secure Mobile “Community” Subscribe Server/Client Security Secure Mobile Community 1. Encryption 1. Admin Controls 2. Authorization 2. Access Mgt 3. Validation 3. Community Outreach Download 4. Verification 4. Patient Diary Cards 5. Authentication 5. Collaborate 6. Upload Data Service Management 7. Update 1. Availability 8. Confirm (activity) 2. Monitoring 9. Remind 3. Alerts 10.Educate 4. Tracking Interact 11. Alert 5. Audit 6. Reporting 20
  21. 21. Interactive Mobile In-Office Materials 21
  22. 22. Connected Care – Part 3 22
  23. 23. Patient-centric Healthy Lifestyle Engagement Associations PatientNet™ Portal • Diabetes • Opt-in • AHA Physicians • Outreach • Others • Education mProCare™ Pharmaceutical Pharmacies Companies Lifestyle RegimensPCP Functions Sponsor Programs• Reminders/Alerts• Education • Opt-in   • Patient Diary Cards Analytics • Surveys   • Patient Data to EMR/EHR Database • Education  • Mobile Regimens • De-identified  Analytics• Health Coaching 23
  24. 24. Example: POC Patient Engagement Workflow Sam, remember to take your morning meds on an empty stomach. Dr Other delivery options: Katz Reply “Yes” to confirm.eRx/EMR point-of-care – E-mail HCP interface – Call Center – IVR To: 232-141-2567 To: 232-132-2076 From: 53016 To: 232-132-2076 From: 53016 03/25/11 8:00am From: 53016 03/25/11 8:05am 03/25/11 8:00am Sam, remember to take your morning Sam has replied Sam, remember to “Yes” to confirm meds on an empty take your morning his morning stomach. Dr Katz meds on an empty Reply “Yes” to regimen. stomach. Dr Katz confirm. SMS or audio dosage reminder with caregiver monitor Caregiver alert options 24
  25. 25. Mobile Pain Care 25
  26. 26. Key Takeaways• Mobile health and social media will be a part of everyday health care• Health care professionals will embrace digital tools/communities for clinical performance improvement, time, and $$$ savings/revenue• Increased availability, accuracy, “searchability,” and dissemination of Image from the January 2010 Information Consumer Electronics Show in Las Vegas. Note “digitalHealth” in the center. 26