PHARMACY Is there an app
for you? Kevin A. Clauson, PharmD

Objectives • Define basic terminology
for mobile health (mHealth) and applications (apps) • Review highest utility mobile phone apps for pharmacy • Discuss apps that can be used with or recommended for patients

mHealth is the use of
mobile devices and global networks to deliver health services and information

Access to web-based resources How
SmartPhones Are Changing Healthcare for Consumers and Providers 2010

Remote Monitoring

International Journal of Electronic Healthcare
2007;3(3):303-16.

mHealth
Security &
Privacy

JAMA 2009;302(11):1159-60. Honk if you
love Jesus if you’re ready Text to meet Him!

JAMA 2009;302(11):1159-60. Texting increases crash
risk by 23.2 times!

What is the difference between
a “feature phone” and a…

”smartphone”

mHealth Devices o iPhone o
Android o Blackberry o Windows o iPad/TabletPC o USB o Fitbit o Etc.

Smartphone OS Share 2% 3%
9% 38% Android iPhone 21% BlackBerry Windows HP webOS Other 27% Source: Nielsen Mobile Insights 2011

Applications (apps) Native app Web
app Device-specific Software in browser- software designed rendered language to run on its (i.e., surfing the web OS/firmware (e.g., from your phone); download Angry needs internet Birds from App connectivity to work Store onto iPhone) “App” voted 2010 Word of the Year (ADA)

Pharmacy Apps
Drug References

• Epocrates Rx (FREE) •
Pro ($99) • Essentials ($199) • Available for all platforms below

Pharmacotherapy 2007 ;27(12):1651-8.

Lexi-Comp* • Lexi-Drugs ($75) •
Clinical Suite ($175) • Complete ($285) *all prices for one-year subscription

iPad
Interface

• Full drug, dx state
& protocol suite • Linked CME/CE • FREE

• No native app for
HP webOS (e.g., TouchPad) • Web app is eMed • App is actually optimized browser for Medscape content • Needs internet connection to use!

• Micromedex Drug Information –
Native app only for iOS (Apple) [FREE] • Web browsing/install for other platforms – Clinical Xpert – mobileMicromedex – Micromedex Mobile 2.0 • FREE for institutional subscribers (& DI/iOS)

Clinical Pharmacology No native app
for any platform/OS Web browsing ONLY via login

Pharmacy Apps
Calculators

• MedCalc (FREE) • MedCalc
Pro ($4.99) • Over 200 formulas/scores • Support for English, Spanish, French, and German

Pharmacy Apps A Few Words
about EHRs and PHRs…

Pharmacy Apps
Professional &
Productivity

• All questions structured to
elicit yes/no OR numerical answers • Spanish, Haitian Creole, Chinese (Cantonese/ Mandarin) • FREE

Skype & oovoo

• (Digital) peripheral brain •
Articles, web clipping, photos, images, etc. • FREE

Pharmacy Apps
Patient-targeted

82% of American adults owns
a cell phone* Owns *Range: 57% (65+) to 90% (18-29) Does not own Pew Cell Phones and American Adults 2010

Pew Internet Mobile Access 2010
87% of blacks and Hispanics own a cell phone* *Compared to 80% of whites

Pew Internet Mobile Access 2010
Hispanics use their phone to go online and to text more frequently than any other group* *English-speaking Hispanics

Consumers want to use health
apps To keep track of health information 48.5 To help manage 58.4 disease or drug To gain information 91.1 0 20 40 60 80 100 Percent Source: Consumer Health Information Corporation, April 2011 (n=395)

Consumers would most prefer to
receive a medication reminder via: Phone call 1.3 Buzzing drug 2.5 vial Email 15.2 Phone alarm 19.5 App 20.3 Text 41.1 message/SMS 0 20 40 60 80 100 Percent Source: Consumer Health Information Corporation, April 2011 (n=395)

Local
Flavor

Text BABY to 511411 Envia
BEBE al 511411 para Español Florida Department of Health www.text4baby.org

Recommended Resources  iMedical Apps.com
 MobiHealthNews.com  Medgadget.com  Palmdoc.net  MedicalSmartphones.com

Summary Points • mHealth may
help extend pharmacy services, drive change to the practice model, and reach underserved populations • Many opportunities for pharmacy exist in mHealth, but we have to seek them out • Apps offer a low entry point for clinical utility and a way to engage with patients

Images • http://www.mhealthalliance.org • http://www.mobirolla.com/wp-
content/uploads/Windows-Phone-7.png • http://vimeo.com/12175855 • http://www.vidagranola.com/wp- • http://www.nuance.com content/uploads/2010/03/fitbit.gif • http://www.montesheraldblog.com/jitter • http://cowbgonaca.blogspot.com/2011/06 bug_senior_citizen_cell_phone.jpg /wallpaper-for-android-mobile.html • http://hipsterjew.com/files/2010/07/eins • http://www.mac-wallpapers.com/Apple- tein_ipod.jpg Wallpapers/white-apple-logo-wallpaper/ • http://www.quickpwn.com/2010/06/ipho • http://www.laptopsteria.com/wp- ne-4.html content/uploads/2011/06/blackberry- logo.jpg • http://bit.ly/mRZIki • http://cdn.pocketnow.com/html/portal/n ews/0000015324/incredible-s-screen.jpg • http://www.onestopwebmasters.com/wp- content/uploads/2011/04/hp-logo.jpg • http://www.atakos.com/wp- content/uploads/2011/04/Blackberry- 8800.jpg • http://www.epocrates.com

Images • http://medcalc.medserver.be/ • http://www.imedicalapps.com/2011/0
3/blackberry-medical-apps-epocrates- • http://medcalc.medserver.be/profeatures. essentials-app-review/ html • http://itunes.apple.com/us/app/lexico • http://www.applecorelabs.com/products/ mp/id313401238?mt=8 RxCalc/ • http://www.appdiscover.com/iphone/ • http://www.slideshare.net/JFahrni/how- medical/313401238-lexicomp-app/ rounds-reports-and-mobile-computing- support-the-role-of-the-clinical- • http://www.medscape.com/ pharmacist • http://twitter.com/#!/mobilehealth/statu • https://market.android.com/details?id s/77747332367646721 =com.medscape.android&featur • https://market.android.com/details?id=c • http://palmdoc.net/images/emed_201 om.bim.pubmed&feature=search_result 1-02-05_194939.png • http://www.pharmacytimes.com/mobile • http://www.micromedex.com/2/mobil e.html • http://www.medibabble.com • http://www.goldstandard.com/pages/C PM-AboutCPM.html

Images • http://www.jeancoutu.com • http://www.greatcall.com/AppStore/ipho
ne-apps.aspx • http://itunes.apple.com/us/app/ashp- mobile-midyear- • http://www.diabetesmine.com/wp- 2010/id405949252?mt=8 content/uploads/2010/09/ibgstar- strip.png • http://pharmacistsociety.skipta.com/p ublic/images/1page_img1.jpg • http://www.diabetesmine.com/wp- content/uploads/2010/09/iphone- • http://www.pharmqd.com/ ibgstar.png • http://www.shownearby.com/press/log • http://itunes.apple.com/us/app/tapcloud /id424174431?mt=8 os/ • http://www.pharma.bayer.com/scripts/pa • http://www.skype.com ges/en/news_room/news_room/news_ro om97.php • http://www.oovoo.com • http://www3.bcbsfl.com/wps/portal/bcbs fl/links/mobile • http://www.evernote.com • http://www.doh.state.fl.us/family/mch/te xt4baby/text4baby.html • http://itunes.apple.com/us/app/seaworld -orlando-gps-map/id339963201?mt=8 • http://www.sensei.com/ • http://hopephones.org • http://www.slideshare.net/about/logos

Expanded slide deck can be
found at: www.slideshare.net/kclauson

clauson@nova.edu www.unhub.com/kevinclauson