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mHealth 101:
A Hopkins Clinical Perspective
Larry William Chang, MD, MPH
Assistant Professor, Division of Infectious Disea...
Disclosures
• I am a consultant for, minority equity holder in, and am entitled to
royalties from emocha Mobile Health Inc...
Education
Training
Logistics
Patient Interactions
Diagnosis
Treatment
Research
Billing
Medicolegal
Will I still have a pager?
Feature Text Messaging 1-Way Pager 2-Way Pager PING Inbox
HIPAA compliant No Yes Yes Yes
Suppor...
JHU Plastic Surgery Residency App
The Wired Patient
sen· sor noun-
a device that detects or
measures a physical property
and records, indicates, or
otherwis...
The New Patient Social History
• N=105
• Compared to traditional media
• Younger (mean age 31 vs. 42,
p<0.0001)
• More sex...
Take two apps and call me in the morning.
Source: www.bluestardiabetes.com
Apps for Patients
• Pain Diary Feasibility Study (n=37)
• Target Audience: Patients and Providers
J Med Internet Res 2013;...
Apps for Patients
• Personal medical record tracker and alerting system
• Target Audience: Patients
Peter Schmidt and POZ
Text Messaging for Patients
Text2quit, George Washington University, Voxiva
Text Messaging for Patients
Log on Location Symptoms Record Submit
New paradigms for patients & clinicians
The Epically ____ EPIC
Technology Innovation Center
• Interactive graphical dashboard
designed to analyze over-night workflow
productivity
• Mech...
Source: Google Play Storerch 7, 2014, Search for Cancer Medical
Apps apps everywhere…
What is Out There?
• 295 smartphone apps
– Breast cancer (46.8%, 138/295)
– Cancer in general (28.5%, 84/295)
– Raise awar...
Brave new world.
caveat emptor or
“do no harm”.
Thank You!
JHU-GmI Seminar - Dr. Larry W. Chang
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JHU-GmI Seminar - Dr. Larry W. Chang

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Clinical applications of mHealth

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JHU-GmI Seminar - Dr. Larry W. Chang

  1. 1. mHealth 101: A Hopkins Clinical Perspective Larry William Chang, MD, MPH Assistant Professor, Division of Infectious Diseases Johns Hopkins School of Medicine
  2. 2. Disclosures • I am a consultant for, minority equity holder in, and am entitled to royalties from emocha Mobile Health Inc., a company licensing an invention (emocha) from Johns Hopkins University which I helped invent and is described in this presentation. • I have received grant support from the National Institutes of Health and Bill and Melinda Gates Foundation.
  3. 3. Education Training Logistics Patient Interactions Diagnosis Treatment Research Billing Medicolegal
  4. 4. Will I still have a pager? Feature Text Messaging 1-Way Pager 2-Way Pager PING Inbox HIPAA compliant No Yes Yes Yes Supports multiple transmission protocols No No No Yes Cost Free $11/month $21/month $7/month Source: Ping
  5. 5. JHU Plastic Surgery Residency App
  6. 6. The Wired Patient sen· sor noun- a device that detects or measures a physical property and records, indicates, or otherwise responds to it. Sources: WisePill, AliveCore, iBGStar, iHealth, Fitbit
  7. 7. The New Patient Social History • N=105 • Compared to traditional media • Younger (mean age 31 vs. 42, p<0.0001) • More sex partners in the previous 14 days (1.88 vs. 1.1) Source: Grindr.com
  8. 8. Take two apps and call me in the morning. Source: www.bluestardiabetes.com
  9. 9. Apps for Patients • Pain Diary Feasibility Study (n=37) • Target Audience: Patients and Providers J Med Internet Res 2013;15(12):e287
  10. 10. Apps for Patients • Personal medical record tracker and alerting system • Target Audience: Patients Peter Schmidt and POZ
  11. 11. Text Messaging for Patients Text2quit, George Washington University, Voxiva
  12. 12. Text Messaging for Patients
  13. 13. Log on Location Symptoms Record Submit New paradigms for patients & clinicians
  14. 14. The Epically ____ EPIC
  15. 15. Technology Innovation Center • Interactive graphical dashboard designed to analyze over-night workflow productivity • Mechanism for Clinicians and Radiologists to engage in a tele- consultation session on iPads • EMR aggregation tool designed to display a patient’s relevant clinical data while minimizing clicks The Technology Innovation Center is pulls together clinicians, enterprise Health IT systems, and Johns Hopkins University researchers to create patient-centered medical solutions. @JHMTIC TIC@JHMI.EDU
  16. 16. Source: Google Play Storerch 7, 2014, Search for Cancer Medical Apps apps everywhere…
  17. 17. What is Out There? • 295 smartphone apps – Breast cancer (46.8%, 138/295) – Cancer in general (28.5%, 84/295) – Raise awareness about cancer (32.2%, 95/295) – Provide educational information about cancer (26.4%, 78/295) – Fundraising efforts (12.9%, 38/295) – Assist in early detection (11.5%, 34/295) – Promote a charitable organization (10.2%, 30/295), – Support disease management (3.7%, 11/295) – Cancer prevention (2.0%, 6/295) – Social support (1.0%, 3/295). – The majority of the apps did not describe their organizational affiliation (64.1%, 189/295). • Article Search n=594 articles. – 0 reported an evaluation of a cancer-focused smartphone application J Med Internet Res 2013;15(12):e287
  18. 18. Brave new world. caveat emptor or “do no harm”.
  19. 19. Thank You!

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