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Connecting the Streams

Mike Kirkwood presents at mHealth (mobile health) 2010 conference.

This presentation is called Connecting the Streams and focused first on patient generated health observations and then shows several scenarios on how they intersect into the current health care system.

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Connecting the Streams

  1. 1. Connecting the Streams mHealth 2010 Polka [email_address]
  2. 2. Agenda <ul><li>Personal information platform </li></ul><ul><li>- Synchronized health records </li></ul><ul><li>- Emergency application </li></ul><ul><li>- Observation engine </li></ul><ul><li>- Reminders for medication (and more) </li></ul><ul><li>- Clinical applications in personal bubble </li></ul><ul><li>Crossing the stream into clinical setting </li></ul><ul><li>- Populating information in Polka </li></ul><ul><li>- Generating a wisdom report for doctor </li></ul><ul><li>- Real-time use of devices in the clinical setting </li></ul>
  3. 3. Personal Information Platform Selectively sharing information about me when I benefit
  4. 4. Synchronized health platform <ul><li>Aggregation of important health records in one place, anywhere, anytime (CCR +) </li></ul><ul><li>Add things only we know , such personal observations of health activities from many sources (devices, applications, streams) </li></ul><ul><li>Things we are committed to doing in the future, moving beyond the point of intention </li></ul>
  5. 5. Key Scenario: Emergency <ul><li>Phone to assist user in emergency situation </li></ul><ul><ul><li>Quick access to location information </li></ul></ul><ul><ul><li>Distress signal to trigger alert and help find person </li></ul></ul><ul><ul><li>Set an emergency wallpaper message for emergency contact and short message (even if your phone is locked) </li></ul></ul><ul><ul><ul><li>700,000 downloads to date </li></ul></ul></ul>
  6. 6. Reminders <ul><li>One click reminders are the most important innovation </li></ul><ul><ul><li>Focus on tasks that are must have, vs. nice to have </li></ul></ul><ul><ul><li>Medication adherence, persistence value to all parties (person, family, applications, pharma, payer, nurse, doctor) </li></ul></ul><ul><ul><li>Increases value of all other streams by helping user help themselves </li></ul></ul>
  7. 7. Reminders: One click ease <ul><li>Reminders are more valuable when they are responded to </li></ul><ul><ul><li>Response </li></ul></ul><ul><ul><ul><li>Add text </li></ul></ul></ul><ul><ul><ul><li>Change time </li></ul></ul></ul><ul><ul><ul><li>Related activities </li></ul></ul></ul><ul><ul><li>Generates a trail of personal actions </li></ul></ul>
  8. 8. Observe health activities <ul><li>Observations are records of things a person does, recorded over time </li></ul><ul><ul><li>Well being </li></ul></ul><ul><ul><li>Diet </li></ul></ul><ul><ul><li>Exercise </li></ul></ul><ul><ul><li>Weight </li></ul></ul><ul><ul><li>Sleep </li></ul></ul><ul><ul><li>Pain </li></ul></ul><ul><ul><li>Medications </li></ul></ul><ul><ul><li>Blood pressure </li></ul></ul><ul><ul><li>Glucose </li></ul></ul><ul><ul><li>Add your own </li></ul></ul>
  9. 9. Trends <ul><li>Record visual trends to learn about health patterns </li></ul><ul><ul><li>Graphs are first step in visualizing key trends </li></ul></ul><ul><ul><ul><li>Low points </li></ul></ul></ul><ul><ul><ul><li>High points </li></ul></ul></ul><ul><ul><ul><li>Relationships </li></ul></ul></ul>
  10. 10. Clinical tools <ul><li>Offer tools that use clinical measures to users to help them generate worthy data </li></ul><ul><ul><li>Pain scale and body map </li></ul></ul><ul><ul><ul><li>Log accurately pain in body </li></ul></ul></ul><ul><ul><ul><li>Switch views and body types </li></ul></ul></ul><ul><ul><li>Will get richer and personalized over time </li></ul></ul>
  11. 11. Personal timeline <ul><li>Visualizing what you have done, need to do, and will do </li></ul>
  12. 12. Wisdom reports: doctor centric roll-up Health  Vault Health Info Exchange Google Health Cerner PDF Secure Transport
  13. 13. Crossing the streams  
  14. 14. There's something I forgot to tell you <ul><li>Spangler:  What's that Egon? </li></ul><ul><li>  </li></ul><ul><li>Egon :  Don't cross the streams. [Pause]  It would be bad </li></ul><ul><li>Spangler : What do you mean, Bad? </li></ul><ul><li>Egon :  Try to imagine all life as you know it stopping instantaneously and every molecule in your body exploding at the speed of light. </li></ul><ul><li>  </li></ul><ul><li>Ray :  Total plutonic reversal. </li></ul><ul><li>Spangler :  OK. That's an important safety tip. </li></ul>
  15. 15. Polka information platform <ul><li>Polka is a platform for inputing and outputing data to partners </li></ul><ul><li>  </li></ul><ul><li>HealthVault - Demonstration of bringing medications in </li></ul><ul><li>Twitter - Demonstration of sharing observations out </li></ul><ul><li>Pharmasurveyor - Sharing medications out </li></ul>
  16. 16. Pulling medications from HealthVault <ul><li>Is a HealthVault partner </li></ul><ul><li>User triggers pull from Polka putting in HV password </li></ul><ul><li>Pulls medication list </li></ul><ul><li>Compares and brings in new medications </li></ul><ul><li>Triggers new medication reminder </li></ul>
  17. 17. Partner integration architecture - HealthVault Data Medication list Medication activity Medication report Medication partners Consumer partners Provider partners Token Cookie Pharma surveyor Health Vault API SDK Partner history Medication list Polka
  18. 18. Partner integration architecture - Consumers Data Medication list Medication activity Medication report Medication partners Consumer partners Provider partners Token Cookie Pharma surveyor Health Vault API SDK Partner history Medication list Polka
  19. 19. Even with EMRs, patients will be mobile first Oncoming Nurse Outgoing Nurse EMR
  20. 20. Real time participation is future of healthcare Health  Record Peer to Peer Nurse App Reminders Care Algorithm Secure Transport Notification Alert nurse on duty about new pain level? [ Yes ]  [No]
  21. 21. After visit care summaries populate Polka After visit summary file Care Provider Shared patient repository Care Provider Care Provider Care Provider Care Provider EMR Diagnoses Medications Industry care provider repository Patient rules engine Patient applications Patient Health Records Patient reminders Patient preferences Patient insurance Coverage Patient pharmacy referral Common data dictionary layer (or transformation) Common after visit data format (or transformation)
  22. 22. Populating Polka with receipt of care <ul><li>Element groups </li></ul><ul><ul><li>Receipt </li></ul></ul><ul><ul><li>Demographics </li></ul></ul><ul><ul><li>Charge </li></ul></ul><ul><ul><li>Charge Types </li></ul></ul><ul><ul><li>Discount </li></ul></ul><ul><ul><li>Payment Adjustment </li></ul></ul><ul><ul><li>Payment Types </li></ul></ul><ul><ul><li>Card Types </li></ul></ul><ul><ul><li>Provider </li></ul></ul><ul><ul><li>Medications </li></ul></ul><ul><li>  </li></ul><ul><li>Some key fields </li></ul><ul><ul><li>CPT code </li></ul></ul><ul><ul><li>CPT description </li></ul></ul><ul><ul><li>Medical record # </li></ul></ul><ul><ul><li>Insurance company </li></ul></ul><ul><ul><li>Provider name </li></ul></ul><ul><ul><li>Provider support # </li></ul></ul><ul><ul><li>Medication </li></ul></ul><ul><li>  </li></ul><ul><li>  </li></ul>
  23. 23. The stream becomes the marketplace history present to do Receipt Repository Card on File Update insurance info? Update provider contact? Add diagnoses / treatment? Add provider as primary? Payment Reminder Medication Reminder Follow-up Reminder
  24. 24. Populating with devices, sms, twitter, & apps <ul><li>Microsyntax standard for sharing personal activities </li></ul><ul><ul><li>Devices </li></ul></ul><ul><ul><li>Social networks </li></ul></ul><ul><ul><li>Observations </li></ul></ul><ul><ul><li>Transactions </li></ul></ul><ul><li>First implementations </li></ul><ul><ul><li>Blood pressure </li></ul></ul><ul><ul><li>Weight </li></ul></ul><ul><ul><li>Steps per day </li></ul></ul><ul><ul><li>Health card </li></ul></ul><ul><li>  </li></ul><ul><li>  </li></ul><ul><li>  </li></ul>
  25. 25. Populating with devices, sms, twitter, & apps <ul><li>Polka generates standard microsyntax </li></ul><ul><ul><li>Weight </li></ul></ul><ul><ul><li>Exercise </li></ul></ul><ul><ul><li>Mood </li></ul></ul><ul><ul><li>… </li></ul></ul><ul><li>And consumes microsyntax </li></ul><ul><ul><li>Application partners </li></ul></ul><ul><ul><li>Health devices (e.g. exercise) </li></ul></ul><ul><ul><li>Clinical devices (scale, blood pressure) </li></ul></ul><ul><li>  </li></ul><ul><li>  </li></ul>