0
Intelligent Health Lab
Kenneth D. Mandl, MD, MPH
Director, Intelligent Health Laboratory
Children’s Hospital Informatics P...
Intelligent Health Lab
US Spending per capita vs. Life Expectancy
Intelligent Health Lab
Learning Health System: Evidence Generated
from a Well-Instrumented Health System
Intelligent Health Lab
? How do we learn from
“All the Patients . . .
All the Time?”
(Instead of Some of the
Patients All ...
Intelligent Health Lab
Intelligent Health Lab
Dr. Collins discussing the
Rapid Learning Network
Intelligent Health Lab
WITHOUT ACCESS TO THE
POINT OF CARE,
EVERYTHING IS A ONE-OFF
Intelligent Health Lab
Intelligent Health Laboratory | Children‘s Hospital Informatics
Program
Intelligent Health Lab
Returning Genomic Medicine Results
Intelligent Health Lab
Intelligent Health Lab
The App Store for Health
ONC Funded Research $15M Project under the
“SHARP” program
Intelligent Health Lab
Can EMRs behave
like iPhones or
Androids in that
innovators
readily create and
widely distribute
ap...
Intelligent Health Lab
Our vocabulary
 Data Sources
Managed by containers
 Containers
Present data from data sources to ...
Intelligent Health Lab
18.12 Issue
Intelligent Health Lab
State-of-the-Art ???
Intelligent Health Lab
Intelligent Health Lab
1 Design + 1 Developer + 1 Week
Intelligent Health Lab
1 SMART App in 3 SMART Systems
Intelligent Health Lab
Well-publicized
Intelligent Health Lab
Intelligent Health Lab
SMART
BP Centiles App
Running on Cerner
Intelligent Health Lab
Intelligent Health Lab
Medication adherence
JAMIA 2011
Intelligent Health Lab
Intelligent Health Lab
Intelligent Health Lab
26
Intelligent Health Lab
Intelligent Health Lab
Decision Support Integration
e.g., Immunization Forecasting
Intelligent Health Lab
Monograph app
e.g., Diabetes
Intelligent Health Lab
Mashups:
e.g., Genomic Medicine: There’s an App for that
 Linkage to external
decision support
ser...
Intelligent Health Lab
Collaborators and Implementers
 EMR Vendors
 Payors
 Pharma
 Major tech companies complementing...
Intelligent Health Lab
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Mandl app store for health

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Transcript of "Mandl app store for health"

  1. 1. Intelligent Health Lab Kenneth D. Mandl, MD, MPH Director, Intelligent Health Laboratory Children’s Hospital Informatics Program Center for Biomedical Informatics, Harvard The App Store for Health: Co-opting the Point of Care in the Era of the Affordable Care Act
  2. 2. Intelligent Health Lab US Spending per capita vs. Life Expectancy
  3. 3. Intelligent Health Lab Learning Health System: Evidence Generated from a Well-Instrumented Health System
  4. 4. Intelligent Health Lab ? How do we learn from “All the Patients . . . All the Time?” (Instead of Some of the Patients All of the Time . . . ) . . . or really, just a couple of the patients, not that often.
  5. 5. Intelligent Health Lab
  6. 6. Intelligent Health Lab Dr. Collins discussing the Rapid Learning Network
  7. 7. Intelligent Health Lab WITHOUT ACCESS TO THE POINT OF CARE, EVERYTHING IS A ONE-OFF
  8. 8. Intelligent Health Lab Intelligent Health Laboratory | Children‘s Hospital Informatics Program
  9. 9. Intelligent Health Lab Returning Genomic Medicine Results
  10. 10. Intelligent Health Lab
  11. 11. Intelligent Health Lab The App Store for Health ONC Funded Research $15M Project under the “SHARP” program
  12. 12. Intelligent Health Lab Can EMRs behave like iPhones or Androids in that innovators readily create and widely distribute apps across thousands of installs?
  13. 13. Intelligent Health Lab Our vocabulary  Data Sources Managed by containers  Containers Present data from data sources to apps in a uniform  fashion  Apps Completely substitutable
  14. 14. Intelligent Health Lab 18.12 Issue
  15. 15. Intelligent Health Lab State-of-the-Art ???
  16. 16. Intelligent Health Lab
  17. 17. Intelligent Health Lab 1 Design + 1 Developer + 1 Week
  18. 18. Intelligent Health Lab 1 SMART App in 3 SMART Systems
  19. 19. Intelligent Health Lab Well-publicized
  20. 20. Intelligent Health Lab
  21. 21. Intelligent Health Lab SMART BP Centiles App Running on Cerner
  22. 22. Intelligent Health Lab
  23. 23. Intelligent Health Lab Medication adherence JAMIA 2011
  24. 24. Intelligent Health Lab
  25. 25. Intelligent Health Lab
  26. 26. Intelligent Health Lab 26
  27. 27. Intelligent Health Lab
  28. 28. Intelligent Health Lab Decision Support Integration e.g., Immunization Forecasting
  29. 29. Intelligent Health Lab Monograph app e.g., Diabetes
  30. 30. Intelligent Health Lab Mashups: e.g., Genomic Medicine: There’s an App for that  Linkage to external decision support services  Pharmacogenomic rule sets  Decision support for doctors— associations
  31. 31. Intelligent Health Lab Collaborators and Implementers  EMR Vendors  Payors  Pharma  Major tech companies complementing or competing in the EHR space  Large-scale health systems
  32. 32. Intelligent Health Lab
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