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2015: mHealth's Coming Out Party...Or Is It?

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Joseph Kvedar's Keynote address at the 2014 Connected Health Symposium, held Oct 23-24 in Boston, MA.

Published in: Healthcare, Health & Medicine
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2015: mHealth's Coming Out Party...Or Is It?

  1. 1. 2015: mHEALTH’S COMING OUT PARTY… OR IS IT? Joseph C. Kvedar, MD © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  2. 2. RECENT ENTHUSIASM FOR mHEALTH… Apple Samsung Microsoft Intel Google But is it irrational exuberance? Artwork: Mark Ulriksen © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  3. 3. THOSE WHO CANNOT LEARN FROM HISTORY ARE DOOMED TO REPEAT IT (GEORGE SANTAYANA) • How is HealthKit different than now-defunt Google Health? • Samsung’s S Health (on its 3rd generation) – adoption not strong • Aetna discontinues CarePass August 2014 • Microsoft, Samsung, Apple betting that the Smart Watch will be the difference © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by melenita2012 - Creative Commons Attribution License https://www.flickr.com/photos/78586432@N05 Created with Haiku Deck
  4. 4. TYPICAL APP STRATEGY Give The People What They Want © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  5. 5. In Health Care That Can Result In MISPLACED RESOURCES © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  6. 6. The People We’d Really Like To Have As mHealth Users © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  7. 7. HEALTH APPS ARE DIFFERENT Although 1 in 10 U.S. adults over the age of 18 owns an activity tracker, within 6 months one-third stops using them. © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  8. 8. HEALTH APPS ARE DIFFERENT More than 80% of health apps that are downloaded are abandoned within 2 weeks. © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by William Brawley - Creative Commons Attribution License https://www.flickr.com/photos/93841400@N00 Created with Haiku Deck
  9. 9. HEALTH APPS ARE DIFFERENT Even though we know people need these apps, they don’t always want them. © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by pmarkham - Creative Commons Attribution-ShareAlike License https://www.flickr.com/photos/9197427@N06 Created with Haiku Deck
  10. 10. WE CHECK OUR SMARTPHONES >100 TIMES A DAY! © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  11. 11. BUT PUSHING A BUTTON FOR HEALTH IMPROVEMENT IS TOO HARD Photos: Center for Connected Health, Alere Connect © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  12. 12. The Bottom Line DON’T CONFUSE EDUCATION WITH INSPIRATION © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by profcarlos - Creative Commons Attribution-NonCommercial License https://www.flickr.com/photos/35083636@N00 Created with Haiku Deck
  13. 13. ENGAGEMENT IS KING © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by pamhule - Creative Commons Attribution-NonCommercial License https://www.flickr.com/photos/58571789@N00 Created with Haiku Deck
  14. 14. TOOLS FOR ENGAGEMENT Frictionless Technology Social Personalization Relevance to Everyday Life © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by FindYourSearch - Creative Commons Attribution-ShareAlike License https://www.flickr.com/photos/48540379@N02 Created with Haiku Deck
  15. 15. FRICTIONLESS © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by pellesten - Creative Commons Attribution License https://www.flickr.com/photos/82976024@N00 Created with Haiku Deck
  16. 16. FRICTIONLESS © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  17. 17. FRICTIONLESS © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  18. 18. TOOLS FOR ENGAGEMENT Social © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by FindYourSearch - Creative Commons Attribution-ShareAlike License https://www.flickr.com/photos/48540379@N02 Created with Haiku Deck
  19. 19. MULTIPLE DIMENSIONS TO SOCIAL Camaraderie Competition Visibility © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by qwghlm - Creative Commons Attribution License https://www.flickr.com/photos/56495127@N00 Created with Haiku Deck
  20. 20. SOCIAL - Camaraderie © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  21. 21. SOCIAL - Competition © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  22. 22. SOCIAL - Visibilty DIABETES & BLOOD PRESSURE CONNECT Average drop of HbA1c: 1.5 69% achieved a drop in BP © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  23. 23. TOOLS FOR ENGAGEMENT Personalization © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by FindYourSearch - Creative Commons Attribution-ShareAlike License https://www.flickr.com/photos/48540379@N02 Created with Haiku Deck
  24. 24. PERSONALIZATION: TEXT 2 MOVE Customized Program Design Readiness To Change Connected Health Data Practice Location Analytic Engine © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  25. 25. PERSONALIZATION: TEXT 2 MOVE Mean change in HbA1c by engagement level 0.36 © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. HbA1c Change 1.08 0.62 Low engagement High Engagement All *
  26. 26. RELEVENCE TO EVERYDAY LIFE © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Created with Haiku Deck
  27. 27. RELEVENCE TO EVERYDAY LIFE Subconscious Triggers Go Where the Consumer Is Focus on Near Term Goals State of the Art Design © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  28. 28. SUBCONSCIOUS TRIGGERS: SUNSCREEN REMINDERS 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% -10% Weekly Adherence Rates (mean +/- SEM) Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 % Adherence Study Period Reminder group No Reminder Group © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Arch Dermatol. 2009;145(11):1230-1236.
  29. 29. GO WHERE THE CONSUMER IS © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  30. 30. FOCUS ON NEAR TERM GOALS © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  31. 31. STATE OF THE ART DESIGN © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  32. 32. BIG DATA, BIG OPPORTUNITY Photo by IBM Curiosity Shop - Creative Commons Attribution-NonCommercial License https://www.flickr.com/photos/52468544@N07 Created with Haiku Deck © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  33. 33. BIG DATA © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE.
  34. 34. IMPLICATIONS • The “give the people what they want” strategy for consumer apps does not translate • If we don’t get engagement right, mHealth will go down in history as yet another tech bubble • Some companies are doing some things right some of the time • This will be hard but worth the effort © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. Photo by William Hook - Creative Commons Attribution-ShareAlike License https://www.flickr.com/photos/83542829@N00 Created with Haiku Deck
  35. 35. WAYS TO CONNECT © 2014 Center for Connected Health – All Rights Reserved Content Confidential – DO NOT DUPLICATE. The cHealth Blog: chealthblog.connectedhealth.org www.partners.org/connectedhealth LinkedIn Group: Connected Health Community Twitter: @connectedhealth @jkvedar Contact Me: jkvedar@partners.org

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