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Mobile Health: the enable of Empowered Patients

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Draft of slides for talk by David Doherty (coFounder, 3GDoctor) at the "Transforming Community Pharmacies in to High Street Clinics" Conference in London on the 15th November 2018.

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Mobile Health: the enable of Empowered Patients

  1. 1. mHealth: the enabler of Empowered Patients David Doherty, coFounder, 3G Doctor Selfcare Pharmacy Conference London Olympic Stadium 15th November 2018 IMPORTANT: THESE SLIDES ARE NOT CONFIDENTIAL. PLEASE SHARE THEM.
  2. 2. For a copy of these slides & video recording of this talk please visit twitter.com/mHealth
  3. 3. 1995
  4. 4. Most important lesson I was taught at Medical School
  5. 5. My first experience looking up something for a Patient
  6. 6. Why did I feel like a complete fraud?
  7. 7. We weren't being trained to sign post Patients to info
  8. 8. Doctors still aren't taught to use the Internet with Patients
  9. 9. Did you know a Mobile on your person gets you an instant fail in the MRCGP exam?
  10. 10. Did you know a Mobile on your person gets you an instant fail in the MRCGP exam? You may never consult a Patient without a phone that's at least as powerful as an iPhone XS in your pocket.
  11. 11. Did you know a Mobile on your person gets you an instant fail in the MRCGP exam? You may never consult a Patient without a phone that's at least as powerful as an iPhone XS in your pocket. You may never see a Patient/Carer won't doesn't have a phone that's as powerful as an iPhone XS in their pocket.
  12. 12. Mobile has transformed Patient Education https://mhealthinsight.com/2015/10/07/
  13. 13. Mobile is transforming Clinician Education http://3D4Medical.com
  14. 14. Mobile is transforming Clinician Education http://MedHand.com
  15. 15. http://mhealthinsight.com/2013/06/17/ “It is not enough to do your best, you must know what to do and then do your best” W Edwards Deming
  16. 16. It's time to unlearn old ways of doing things... http://mHealthInsight.com/2015/07/20/
  17. 17. Guess how many Billions it would cost to get Doctors to enter their thoughts into Computers?
  18. 18. Guess how many Billions it would cost to get Doctors to enter their thoughts into Computers? > The NHS spent £12B on the NpfIT > The US Government spent €30B on MACRAS subsidies
  19. 19. Guess how many Billions it would cost to get Doctors to enter their thoughts into Computers? > The NHS spent £12B on the NpfIT > The US Government spent €30B on MACRAS subsidies Imagine if they'd asked a Doctor who was already sharing Medical Records with their Patients?
  20. 20. Prof Sam Lingam MD (Hons),
FRCPCH FRCP (Glas), DCH DRCOG https://mhealthinsight.com/2016/07/16/review-a-new-mhealth-apph/
  21. 21. Medical Records are better when connected to a Medic in the same way that financial data is better when connected to a means of transacting...
  22. 22. The evidence for the value of Interactive Medical History Taking Questionnaires http://www.youtube.com/watch?v=uY32p_BqPw0
  23. 23. 3GDoctor https://engagehealth.uk/about-us/
  24. 24. EngageHealth.uk by Wiggly-Amps.com https://engagehealth.uk/about-us/
  25. 25. Why aren't GPs motivated to make themselves more accessible?
  26. 26. The GP Shortage means Patients accept they'll lose half a day to see a GP GPs know that if they become easier & more convenient to access they will create more demand. Solutions need to save Patients and Doctors time: you can only achieve that by helping Doctors better manage Demand, better utilise their time, help them work beyond The 2000 year old office visit only model and at the top of their licence.
  27. 27. Doctors worked hard to get secretaries, they're not going to let them go just because an app can now do their job... Search “Computer Says No” on YouTube
  28. 28. Healthcare records are now electronic & the world's largest and most profitable company wants to focus on using this Information to empower Patients https://mhealthinsight.com/2017/10/25/
  29. 29. The Sickcare industry & the Politicians it promotes don't want to hear about this... https://mhealthinsight.com/2018/03/07/
  30. 30. What can a Pharmacist do for a Patient empowered with Mobile access to a detailed Healthcare Record? Perhaps more than a GP?
  31. 31. Might there be more incentives for Pharmacists to serve Empowered Patients than for Doctors?
  32. 32. The opportunity for mHealth to transform Healthcare http://mHealthInsight.com/2014/01/05/
  33. 33. The opportunity for mHealth to help us manage Health http://TelCare.com
  34. 34. What if every Patient had: > Mobile access to Medical Records > Seamlessly connected medical devices > a 24x7 Mobile Video Connection to their Carers
  35. 35. https://www.hisi.ie/hisi/certif ication/mhealth
  36. 36. m is for Mobile – the newest mass media http://mHealthInsight.com/2010/01/11/ http://twitter.com/TomiAhonen/
  37. 37. Unique attributes of Mobile as a mass media 1st – mobile is personal 2nd – mobile is permanently carried 3rd – mobile is always on 4th – mobile has a built-in payment channel 5th – mobile is available at the point of creative impulse 6th – mobile is most accurate at measuring its audience 7th – only mobile can capture the social context of consumption 8th – only mobile can offer augmented reality http://mHealthInsight.com/2010/01/11/ http://twitter.com/TomiAhonen/
  38. 38. Mobile isn't a subset of the Internet There are Landline phones 1.1B TomiAhonen.com Mobile Industry Almanac
  39. 39. Mobile isn't a subset of the Internet There are PCs (desktops+laptops +netbooks+tablet PCs) 1.5B TomiAhonen.com Mobile Industry Almanac
  40. 40. Mobile isn't a subset of the Internet There are TVs 2B TomiAhonen.com Mobile Industry Almanac
  41. 41. Mobile isn't a subset of the Internet There are mobile subscriptions 7.1B TomiAhonen.com Mobile Industry Almanac
  42. 42. Mobile isn't a subset of the Internet 68%Say they check their phone within 15 mins of waking up Google Consumer Surveys Aug 2015 n=729
  43. 43. Mobile isn't a subset of the Internet We check our mobiles a day 150 Kleiner Perkins C&B Internet Trends Report 2013
  44. 44. Mobile is transforming the Internet into a network of devices http://TelCare.com
  45. 45. Mobile is transforming the Internet into a network of devices http://twitter.com/UnderStudyPanc/
  46. 46. Mobile is transforming the Internet into a network of devices “I just made that number up to stop Mum worrying” http://twitter.com/UnderStudyPanc/
  47. 47. “When Digital Technologies Converge they Converge to Mobile” http://twitter.com/TomiAhonen/
  48. 48. “When Digital Technologies Converge they Converge to Mobile” http://www.withings.com/eu/en/products/blood-pressure-monitor/
  49. 49. “When Digital Technologies Converge they Converge to Mobile” http://www.withings.com/eu/en/products/smart-body-analyzer/
  50. 50. “When Digital Technologies Converge they Converge to Mobile” http://www.withings.com/us/withings-aura.html
  51. 51. “When Digital Technologies Converge they Converge to Mobile” http:/starkey.com/hearing-aids/technologies/halo-wireless-hearing-aids/
  52. 52. “When Digital Technologies Converge they Converge to Mobile” http://Alivecor.com
  53. 53. “When Digital Technologies Converge they Converge to Mobile” http://mHealthInsight.com/2015/04/11/
  54. 54. “When Digital Technologies Converge they Converge to Mobile” http://www.digisight.net/digisight/paxos-scope.php
  55. 55. “Healthcare will become a Mobile Experience, we will drop the Health in mHealth not the m” http://twitter.com/mHealth/
  56. 56. “...we see mHealth as one of the tools in fighting the spread of diabetes & making the lives of people with diabetes better. The key however is really ensuring that mHealth is embedded within healthcare programmes. It’s not an optional add on extra but it’s part of how we do good healthcare with people who have diabetes...” Petra Wilson, CEO International Diabetes Federation http://www.youtube.com/watch?v=tocZ7s4F8nA
  57. 57. Prescribe yourself some social media training http://mHealthInsight.com/2013/03/27/
  58. 58. Be brave, call things out & prepared to be told you're wrong http://twitter.com/mHealthInsight/
  59. 59. Support those you trust by sharing their insights
  60. 60. Understanding Mobile is the duty of Health Influencers
  61. 61. Understanding Mobile is the duty of Health Influencers http://mHealthInsight.com/2015/05/22/
  62. 62. Understanding Mobile is a duty of a Community Pharmacist “Do we need AllTrials or AllConsultations?” http://mHealthInsight.com/2013/03/06/
  63. 63. Mobile connects us and that transforms Patient Care `````
  64. 64. Mobile connects Carers and that transforms their lives Unimaginably tough times Volunteers Friends & Family untrained24x7 unpaid http://mHealthInsight.com/2015/04/11/
  65. 65. Assume Patients want to use the tech they use elsewhere “my mother is 93 years old & has an iPad. She wants to know why she can't FaceTime the Practice Nurse. So do I” http://twitter.com/roylilley/
  66. 66. Remember: “here's my number” is one of the most Caring Things you can say to a Patient https://mhealthinsight.com/2015/03/06/
  67. 67. Minimally Disruptive Medicine http://mHealthInsight.com/2015/02/08/
  68. 68. Snellen Chart or Smartphone App? http://mHealthInsight.com/2015/11/26/
  69. 69. Mobile is disrupting everything http://mHealthInsight.com/2015/04/01/
  70. 70. Clinical Trials are being disrupted by a company that doesn't make drugs http://mHealthInsight.com/2015/04/11/
  71. 71. http://www.youtube.com/watch?v=BFmb9OL-oq0 mHealth is transforming Research & Clinical Trials
  72. 72. mHealth is transforming Research & Clinical Trials https://mhealthinsight.com/2015/04/01/mobile-f irst-clinical-trials/
  73. 73. Most people have no idea what Big Data actually is... http://mHealthInsight.com/2013/08/21/
  74. 74. Apple HealthKit is closing the loop & enabling us to Calculate the precise values of personalised treatments http://developer.apple.com/heathkit/
  75. 75. How would the Born Mobile generation design Healthcare? http://mHealthInsight.com/2014/04/16/
  76. 76. http://mHealthInsight.com/2014/04/16/ How would the Born Mobile generation design Healthcare?
  77. 77. “Life's most persistent & urgent question: What are you doing for others?” http://mHealthInsight.com/2015/04/11/
  78. 78. Thank you. Please share your thoughts! @mHealth mHealth Insight.com

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