Engaging Patients and Clinicians inmHealth through the OpenmHealth            Platform                            Ida	  Si...
mHealth:	  “Full	  of	  sound	  and fury,	  signifying	  nothing”?                         Hype Cycle, Gartner Group
Plateau	  of	  Productivity•   “A	  Learning	  Healthcare	  System	  that	  is    designed	  to	  generate	  and	  apply	 ...
Global	  Impact	  of	  Chronic	  Disease               WHO | Facts related to Chronic Disease               http://www.who...
Global	  Cost	  of	  Chronic	  Disease   $47	  trillion    by	  2030               $14.7	  trillion                       ...
• Almost	  1/2	  of  American	  adults	  have  at	  least	  1	  chronic  disease   – obesity	  (~1/3)   – heart	  disease	...
Stovepiped     mHealth• Health	  apps	  built  independently   – little	  data	  sharing     and     interoperability• Res...
Siloed	  mHealth        Plateau of Diminished Promise
Why	  open	  architecture?
Stovepiped     mHealth• Limits	  the	  emergent  power	  and	  potential  of	  mHealth
Internet	  Hourglass	  Model• Standardize	  and  make	  open	  the  “narrow	  waist”• Reduces	  duplication,  spurs	  comm...
OpenmHealth.org        Estrin DE, Sim I. Science; 330: 759-60. 2010.
Open	  Architecture	  for              User	  Engagement• Define,	  build,	  and	  share	  modules	  of	  the	  basic  data...
Tipping	  towards	  Open• First	  openmHealth	  collaborative	  pilot    – PTSD	  Coach,	  with	  VA	  National	  PTSD	  C...
Goal	  for	  mHealth	  Ecosystem• Becomes	  a	  learning	  community	  enabled	  by	  an	  open  architecture,	  to	  more...
• Ida	  Sim	  ida.sim@ucsf.edu• Deborah	  Estrin	  destrin@cs.ucla.edu• http://openmhealth.org/   – a	  project	  of	  the...
Open mHealth: Engaging Patients and Clinicians in
Open mHealth: Engaging Patients and Clinicians in
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Open mHealth: Engaging Patients and Clinicians in

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Funding for this project was provided by the Robert Wood Johnson Foundation and the California Health Care Foundation.
Learn more about Ida Sim’s research at UCSF Profiles http://profiles.ucsf.edu/ProfileDetails.aspx?From=SE&Person=5380156

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Open mHealth: Engaging Patients and Clinicians in

  1. 1. Engaging Patients and Clinicians inmHealth through the OpenmHealth Platform Ida  Sim,  MD,  PhD Co-­‐Founder,  OpenmHealth Director,  Center  for  Clinical  and  Translational  Informatics University  of  California  San  Francisco September  20,  2011
  2. 2. mHealth:  “Full  of  sound  and fury,  signifying  nothing”? Hype Cycle, Gartner Group
  3. 3. Plateau  of  Productivity• “A  Learning  Healthcare  System  that  is designed  to  generate  and  apply  the  best evidence  for  the  collaborative  health  care choices  of  each  patient  and  provider;  to drive  the  process  of  discovery  as  a  natural outgrowth  of  patient  care” U.S.  Institute  of  Medicine,  Roundtable  Charter
  4. 4. Global  Impact  of  Chronic  Disease WHO | Facts related to Chronic Disease http://www.who.int/dietphysicalactivity/publications/facts/chronic/en/
  5. 5. Global  Cost  of  Chronic  Disease $47  trillion by  2030 $14.7  trillion US  2010  GDP World Economic Forum, 2011
  6. 6. • Almost  1/2  of American  adults  have at  least  1  chronic disease – obesity  (~1/3) – heart  disease  and stroke – cancer – diabetes – arthritis CDC Chronic Disease Overview http://www.cdc.gov/chronicdisease/overview/index.htm#ref2
  7. 7. Stovepiped mHealth• Health  apps  built independently – little  data  sharing and interoperability• Resulting  user experience  is…
  8. 8. Siloed  mHealth Plateau of Diminished Promise
  9. 9. Why  open  architecture?
  10. 10. Stovepiped mHealth• Limits  the  emergent power  and  potential of  mHealth
  11. 11. Internet  Hourglass  Model• Standardize  and make  open  the “narrow  waist”• Reduces  duplication, spurs  community innovation,  supports commercial  and  non-­‐ profit  uses
  12. 12. OpenmHealth.org Estrin DE, Sim I. Science; 330: 759-60. 2010.
  13. 13. Open  Architecture  for User  Engagement• Define,  build,  and  share  modules  of  the  basic data-­‐related  functions  common  to  engaging patients  and  clinicians – data  trending  (e.g.,  is  weight  really  down?) – signal  detection  (e.g,  asthma  exacerbation?) – inferencing  (e.g,  activity  =  walk,run,bike,car…?) – data  visualization  (e.g.,  stock  infographics)• Exploring  user  interaction,  incentives,  gaming
  14. 14. Tipping  towards  Open• First  openmHealth  collaborative  pilot – PTSD  Coach,  with  VA  National  PTSD  Center• Looking  for  other  pilots  to  drive  key  components of  shared  architecture,  e.g., – gaming – incentives• Supporting  best  practices  and  generation  of  best evidence• Sensitive  to  needs  of  all  communities
  15. 15. Goal  for  mHealth  Ecosystem• Becomes  a  learning  community  enabled  by  an  open architecture,  to  more  effectively  innovate,  share, and  deploy  best  technology  and  best  practices  for improving  individual  and  population  health
  16. 16. • Ida  Sim  ida.sim@ucsf.edu• Deborah  Estrin  destrin@cs.ucla.edu• http://openmhealth.org/ – a  project  of  the  Tides  Center  (www.tides.org)• Funding – Robert  Wood  Johnson  Foundation – California  Health  Care  Foundation• Collaborators – MIT,  Columbia,  CMU,  Northwestern,  Google, Microsoft  HealthVault,  Curious,  …

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