Mhealth, like the Smartphone, is still in the early stages of adoptionRapid adoption of tablet computing and rapid public acceptance of the technology in health applications.Clinicians and hospitals purchasing tablets and Smartphone's and utilizing them to support clinical scheduling and eprescribing.
Based upon evolutionary convergence the last few years saw music players and smartphones become one. High resolution still and video cameras tightly integrated have changed the use of photography and video forever. Consumers equipped with always on cameras have documented world events, misbehaving public officials and have brought down tyrants. Global positioning Systems combined with Internal Positioning Systems will provide location based services throughout the world. Combined with mult-band communication, we can find a lost device, detect when a nurse enters a room, or track the movements of a delusional patient.Every day entrepreneurs, research scientist and universtiy labs are producing a myriad of connected accessories that will change everything… the way we work, educate our children and most certainly care for our patients and our families
Before we talk about the devices, let’s talk about how they fit in the patient’s world, and in a broader healthcare context.
FDA & FCC to publish guidelines for handheld medical applications in order to determine if they will be considered medical devices
Provide bridge between telecom and healthcare industry by collaborating with a wide array of stakeholders
Video conferencing previously done with significant infrastructure will be replaced by 4&5G networksPatient Engagement
Tom Martin from HIMSS-Health 2.0 01.15.2013
Thomas Martin, MBA@tommartin3, LinkedIn@mhimss #mhimssHealth 2.0 SF Meetup- Thanks for havingme!
• Disruption is not easy• You could classify us as “Start Up”
HIMSS/mHIMSS• HIMSS is a 52 y/o not-for-profit – 50k members – Over 570 corporations – Goal: Work towards the optimal use of information technology to improve healthcare• mHIMSS is the mobile focused initiative- 1 y/o – 3500 members – Growing number of corporate members
CONVERGENCE• Phone• Music / Video Player- Recorder• Global Positioning System (GPS)• Internal Positioning System (IPS)• Computer• Camera• Healthcare Device• Voice Control• Projector• Variety Modular Add- On’s
MHEALTH ECOSYSTEM(Accessed at http://www.frogdesign.com/)
mHIMSS Stakeholders • ACT, ATA, TIA, CTIA, Continua , Health 2.0, West Wireless, mHealth • FCC, FDA, Alliance, SHLBC, I2, GSMA, WLSA, F • CMS, ONC, Telecom NIH, NIH • HRSA, HHS Secr Community • Patient advocacy groups • Consumer groups Federal Patient/ • Not-for-profits Agencies Consumer • Clinical Research / Pharma – CTIS, CEA • Telecom Infrastructure • Health IT • HIMSS, CHIME, • Mobile Aps & vendors Technology HC Industry • AMA, AHA, ATA, ACCE, • Device manufactures Organizations • AMIA, AHIMA, MGMA, • Security Technology Vendors • HCTAA, Rural & Hospice • RTLS/RFID vendors Finance Clinical • Hospitals & Providers • Payers – CMS & Private • Federal Health – DOD, VA, TATRC Providers • Industry & Federal Leases • Public Health & FQHCs • OECD, WEF • Lab/Pharmacy • Venture Capital • CAIs • Federal Grants/Subsidies-BTOP • EMS Community Academia • mFinance & Revenue Cycle Policy & Research Standards • Congressional • NIH, PEW, AHRQ Development • State & local • National Academies • HIMSS Analytics Organizations • ONC, FDA, FCC • Department of Commerce • Universities, I2 & NLR • ISO,I TU, ANSI, • R&D Telecom & • NIST, ONC, Pharma • IEEE, MITA, WiFi Alliance
MOST CONSUMERS WANT THEIR PHYSICIANS TOMAKE BETTER USE OF INFORMATION TECHNOLOGIES, BUT FEWWILL SWITCH PHYSICIANS IF THE TECHNOLOGIES AREUNAVAILABLE• Two in three consumers say they are interested in seeing physicians who use information technologies in their practice Not interested 61%• When asked if they would like 23 22 Moderately to have a self-monitoring % Interested % device if they had or developed Interested a condition that required regular checks, 61% of 14 15 consumers say they would % % want such a device to remotely 9% 7% send information to their doctor• Source: Deloitte Development LLC 3 2% 2% 2% % 1 2 3 4 5 6 7 8 9 10 Note: A 10 point rating scale where 1 equals not at all interested and 10 equals extremely interested
PERCENT OF CARE PROVIDED BY NON-PHYSICIANCLINICIANS FACILITATED BY MOBILE TECHNOLOGY None 23% Less than 25 Percent 35% 26 to 49 Percent 13% 50 to 74 Percent 11% 75 to 99 Percent 12% All 2% Dont Know 4%N=180 2012 HIMSS Mobile Technology Survey, sponsored by Qualcomm Life
CLINICIAN USE OF APPS TOP 10 RESPONSES View Patient Information 65% Look up non-PHI Health Information 64% Clinical Notifications 52% Tracking Worklists 46% Education/Training Purposes 45% Collect Data at the Bedside 45% Use Bar Code Reader on Mobile… 38% E-Prescribing 38% Analysis of Patient Data 38% Secure Communications Regarding… 34% Monitor Data from Medical Devices 34%N=180 2012 HIMSS Mobile Technology Survey, sponsored by Qualcomm Life
TYPES OF APPS PROVIDED TO CLINICIANS Apps Developed by Third Parties 61% Apps Developed by HIT Vendor 58% Apps Developed Internally 14% Apps Not Used 8% Dont Know 3%N=180 2012 HIMSS Mobile Technology Survey, sponsored by Qualcomm Life
BARRIERS TO USE OF MOBILE TECHNOLOGY Lack of Funding 71% Lack of IT Staff 52% Immaturity of Vendors 49% Inadequate Privacy/Security 43% Lack of Standards 42% Limited Incentives for Use 42% Lack of Expertise on Staff 39% Challenges Regarding Wireless… 32% Clinician Resistance to Technology 30% Doesnt Fit Into Workflow 19% Lack of Executive Support 18% Dont Know 3%N=180 2012 HIMSS Mobile Technology Survey, sponsored by Qualcomm Life
INTEGRATION CHALLENGES :• Privacy & Security- Policies may be outdated• Infrastructure – new & co-existence• Reimbursement- limited incentives• Workflow• Consumer & care providers demand access• Regulatory Requirements – Federal, State, Local and Institutional – FDA & FCC RF wireless & medical App guidelines for HC – Spectrum capacity & allocation policy (US)
MHIMSS• Focus on mobile and wireless technologies to promote health, improve the quality, accessibility and safety of care, and increase the cost- effectiveness of care.• mHIMSS builds on existing HIMSS strengths• HIMSS created mHIMSS as a platform for all stakeholders in the mobile space
mHIMSS AT A GLANCE• Launched December 2011• Corporate and individual membership• Non-profit partnerships• Advisory Council, taskforce, and workgroups• News & resources @ www.mhimss.org• Largest global mHealth event www.mhealthsummit.org• Linked In & Twitter• mHIMSS app for iPhone & Android• Annual healthcare delivery mobile survey powered by HIMSS Analytics• Selecting and App for your practice and other resources
• Major Areas of mHIMSS mHealth Engagement: – New and Disruptive Care Models – Privacy and Security – Standards and Interoperability – Policy – Technology – ROI/Finance
BENEFITS OF MEMBERSHIP:• Engage in Shaping the mHealth Industry – Support Major Industry Trends – Speaking Opportunities – Contribute to the Shaping of Policy• Contribute to Workgroups: – Policy Workgroup – Health Disparities Workgroup – Blog Workgroup – Case Study Groups• Networking• Discounts on Global Educational Events
mHIMSS ADVISORY COUNCIL• Chair: Daniel Lubin, Radius Ventures• Purpose is to: – Provide strategic focus, guidance and goals for mHIMSS that result all stakeholders embracing and harnessing the power of mobile health to improve care and control costs. – Influence policy issues of importance to all mHIMSS stakeholders – Create thought leadership and guidance – Enable the creation of valued research, tools and education – Suggest partnerships and alliances necessary to accomplish our mission
mHIMSS CORPORATE ROUNDTABLE• Chair: Michelle Mosolgo, VREE a subsidiary of Merck & Co.• Purpose is to: – Provide strategic recommendations to the mHIMSS Advisory Council – Influence policy issues of importance to corporations – Identify strategic opportunities for mHIMSS: thought leadership, alliances, guidance, education, tools, and partnerships – Identify strategic needs for research and outreach into the mHealth community
mHIMSS TASKFORCES: DIGITAL MEDIATASKFORCE• Digital Media Taskforce Chair: Jonathan Levoy• Purpose is to: Develop information and content for the mHealth communityWorkgroups include: Blog workgroup, policy workgroup, UI/UXworkgroup, Case Study Workgroup, Health DisparitiesWorkgroup• Goals blog, tweet, and post to LinkedIn importantworkgroup created deliverables• Address Hot Topics in mHealth includingApps, standards, privacy and security, policy
mHEALTH ROADMAP: WHAT IS IT?• Mobile strategy & guidance for hospital, health systems & providers.• “Live” document• Equip providers with knowledge of the current and future mHealth market trends• Provide practical guidance & steps they must take to successfully embrace the use of mHealth inside and outside their institutions.• On mhimss.org-some gated content, some not
MHIMSS ROADMAP TASKFORCE PURPOSE• Chair Dr. Mohamed Arif Ali• Update sections of the roadmap• Reporting work groups include: Care Models, Technology, Policy, Standards and Interoperability, Privacy and Security, ROI/Payment• Create and present information on roadmap topics at various events
HIMTA• Rep. Mike Honda – 15th Congressional District• Provide resources for the developer community• Establish an office of “wireless health”• Foster innovation and opportunities for things “not EHR centric”
WHAT WE NEED FROM YOU• Consider membership: Corporate or Individual• Visit booth at HIMSS13• Download the mHIMSS App• Encourage newsletter sign up on mHIMSS.org• Follow @mhimss• Join our linked in group• HIMSS13 Events-Knowledge Center, Roadmap Workshop, mHIMSS reception at HIMSS13
TRANSFORMING CARE MODELS• Mobility brings order and chaos …opportunities and challenges• Changes the patient - health care provider relationship – Services once available only at a provider location will become available on demand at the patient’s location through low tech affordable solutions• Changes when and how data is accessed and used – Right data, right time, right place
DISRUPTION IS NOT EASY PLEASE REACH OUT TO US TO ENGAGE YOUR COMMUNITY• Medicine at it’s basic level is about communication, improve this and we improve the system• David Collins, Senior Director firstname.lastname@example.org• Tom Martin, Manager email@example.com• Tim Castallo, Coordinator firstname.lastname@example.org• We would appreciate the opportunity to speak with any of your communities, please feel free to email us.