Center for Health Leadership
New Media Training Series
UC Berkeley SPH
Mobile workshop
11/17/2010
Mike Kirkwood
mike@eek.c...
Introduction – Mike Kirkwood
• Mobile
– An early innovator in mobile apps (day one Apple apps, over 1
million apps downloa...
Workshop objective
• Today, we will survey the mobile health
technology landscape, review a real app
development project, ...
Agenda
• Introductions
• Landscape of M-Health
• Examples of mobile phone tools in public health and healthcare
– overview...
Introductions
• Name
• Your role in your
organization
• What you are
doing with
M-Health
• One reason you
are here today
The Survey
• What are some ways to kick-start a
project?
• Is HIPAA important?
• How is the web connect to mobile
strategy...
Activity
• Set a reminder message to your phone
LANDSCAPE
Why use mobile platform instead of
web?
• Graphics engine
support (games)
• Maps using location
services
• Sales through a...
Examples of projects in mHealth
• Text4Baby – Over 100,000
members. First “free send and
receive”
• Apps and mHealth chall...
Tsunami of activity
• Neilsen Report: Teens Text
3,339 Times Per Month! Voice
Calling on Phones Going
Extinct?
• Mobile ph...
Tsunami of activity
• For Many, Health Apps Are
Just Not Part Of The Routine
• Dear Google: please make a
medical category...
What do you think?
A few videos
http://www.youtube.com/wat
ch?v=OextYih4Z28
mHealth - Infectious
Disease in a Mobile Age
(MWV34)
http://www.y...
Some key #mhealth terms
• Smart phone
• Phone with OS that
includes full keyboard,
applications, and other
core services (...
Landscape: Longevity planning
Landscape: Self admin tools
Landscape: Wellness
Landscape: Augmenting reality
Landscape: Some challenges
• Fragmentation
– Touch-screen apps, no apps, some apps
– SMS / MMS
– Push notification
• Infra...
Landscape: Development
• Building a goal
• Developers are closest to canvas
• Template for app scope
• Scripting a story w...
Landscape
• Topics
– Mobile trajectory
– Health reform
– Location is social
– Apps in the market
– Connecting the
dots
Landscape - Mobile
• Mobile
– Messaging
is network
– Texting is
the medium
– iPhone
offers
baseline
• SMS
• Email
Landscape - Social
• Social
– Games
– Our story is
in memory
– Location
has a story
to tell
• People
• Places
• Things
Landscape - Health
• Health
– EHR
stimulus =
outcomes
– Measure
– Mobile
enterprise
• Sensors
drive
workflow
Landscape: Connecting the dots
• Health cloud
– SMS,
Email,
sharing
connect
– Apps with
sensors log
behavior
– Measuring
o...
SCENARIO
Review of a recent real-world mobile health app construction
Scenario – Mobile reminder log
• Scenario overview
– Connecting patients who need to take action to
achieve good heart hea...
Scenario: What is the goal?
• Allow people with
heart conditions to
easily keep track of
their risk factors
when working w...
Scenario: How does it work?
• Embedded
into web
applications,
e.g. provider
portals
• Joins web
account with
mobile
remind...
Scenario: Provider workflow
• Trigger new
dialog or
knowledge
sharing
• Brings
mobile and
web view
together
Scenario: Questions or reminders?
Scenario: Medications are tricky
Scenario: Simplify medications
Scenario: Daily expectations
Scenario: Simple user thread
Scenario: Complex user thread
Scenario: Missed reminder action
Scenario: Ask, Log, Confirm
• Proactive
SMS
reminder
• Smart
listener
• Share
through
web
services
Scenario: Anticipated outcomes
• Simple reminders become
baseline (like an alarm
clock)
• Story telling increases
length o...
Scenario: Community design
• Some steps
– Convert
achievable
actions into
shared currency
– Organize delivery
systems
• ge...
Scenario: Embedded app
Scenario: Question!
Scenario: Conversation threading
Scenario: Confirm dialog
App elaboration: What else?
Should it do? Should it not do?
WORKSHOP
Workshop: Agenda
• Activities
– App definition
• What will your mobile service do?
• Wire-frame workshop
• Feasibility rev...
What does your app do?
___________ (name) enables
____________ (group of people)
to accomplish _____________
_____________...
Sample (simple) use case
Actors
• Doctor
• Person
• Mobile #
• HealthVault
• AHA 360 application
• Log web service
• SMS g...
Use case
Actors Use case steps
1. -
2. -
3. -
4. -
5. -
6. -
7. -
Application name:
On this screen, the user if able to…
Application workflow:
The user…
Application name:
Application name:
Application name:
Application name
Application name:
Application name:
Application name:
Application name:
Application name:
Application name:
Application name:
Closing and Evaluation
• One thing you are
taking away from
today that will be
useful for you
• One thing you are
going to...
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University of California Center for Health Leadership Mobile workshop

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Workshop building baseline mobile health landscape, scenario description, and development workshop given by Mike Kirkwood in Oakland California on 11/17/2010.

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  • http://www.readwriteweb.com/mobile/2010/10/mobile-usage-in-japan-us-and-europe-compared.php
  • http://www.readwriteweb.com/mobile/2010/10/mobile-usage-in-japan-us-and-europe-compared.php
  • http://www.readwriteweb.com/mobile/2010/10/mobile-usage-in-japan-us-and-europe-compared.php
  • University of California Center for Health Leadership Mobile workshop

    1. 1. Center for Health Leadership New Media Training Series UC Berkeley SPH Mobile workshop 11/17/2010 Mike Kirkwood mike@eek.com
    2. 2. Introduction – Mike Kirkwood • Mobile – An early innovator in mobile apps (day one Apple apps, over 1 million apps downloaded) – Developed core technology for text reminders with AHA (American Heart Association) and HealthVault • Health – Serial speaker at Health 2.0 (tools panel), mHealth conference, and Quantified Self – Health claims management (large and small payers) – Developer of first iPhone emergency app & PHR (using CCR) • Technology – Analyst / Author, cloud computing for ReadWriteWeb – Large enterprise technology leader (Sony, Cisco, Intuit) specializing in real-time agile enterprise (6 patents in enterprise content, data, and metadata)
    3. 3. Workshop objective • Today, we will survey the mobile health technology landscape, review a real app development project, and kick off the design of our own personal mobile health project • Participants will: – Understand mobile health landscape – Be able to take a mobile project idea to peers or technology advisors
    4. 4. Agenda • Introductions • Landscape of M-Health • Examples of mobile phone tools in public health and healthcare – overview with open Q & A LUNCH • How mobile phones can be used for health applications – sharing and group discussion BREAK • Workshop – mobile tool and app design • Design statement • Wireframes • Brainstorm • Feasibility analysis • Closing and evaluation
    5. 5. Introductions • Name • Your role in your organization • What you are doing with M-Health • One reason you are here today
    6. 6. The Survey • What are some ways to kick-start a project? • Is HIPAA important? • How is the web connect to mobile strategy? • What if I have a smart phone, but I don’t use apps?
    7. 7. Activity • Set a reminder message to your phone
    8. 8. LANDSCAPE
    9. 9. Why use mobile platform instead of web? • Graphics engine support (games) • Maps using location services • Sales through app store (1 click to buy) • Push notification to deliver free notifications that can pull open apps
    10. 10. Examples of projects in mHealth • Text4Baby – Over 100,000 members. First “free send and receive” • Apps and mHealth challenge, Todd Park @ #mHealth • Heart 360 releases text reminders for Heart health patients • Norwegian Government Announces $1 Million for Initiative Using Mobile Technology to Support Maternal Health...Supports Use of Wireless Networks and Devices to Reduce Maternal and Newborn Mortality
    11. 11. Tsunami of activity • Neilsen Report: Teens Text 3,339 Times Per Month! Voice Calling on Phones Going Extinct? • Mobile phone health apps could improve care in developing countries • Why your phone is now the doctor in your pocket • Mobile Health Apps See Weak Adoption Rates • Innovative strategies and high- tech solutions for sexual health education and STD/HIV prevention • IT chief sees mHealth moving faster than expected • Bill Gates keynotes mHealth Summit, focuses on saving children • Text messages used to reach expectant, new moms • The Power of Mobile by Susannah Fox | Pew Research Center's Internet ... • New app zaps auto texting, tracks teens
    12. 12. Tsunami of activity • For Many, Health Apps Are Just Not Part Of The Routine • Dear Google: please make a medical category for apps in the Android Marketplace • Emotional Automation: Bonding with Technology to Improve Health • Chip-in-a-pill may be approved in 2012 • Busting the paradigm about mobile for health: it’s not just phones and browsers. (Morgan Stanley, April 2010) • Cleveland Clinic calls wireless telemonitoring of heart disease #6 most important medical innovation of today • Formation of mHealth Regulatory Coalition: Singular purpose is to create & submit a guidance document to FDA clarifying mHealth hardware... • Healthcare sector among top adopters of iPad • Health Insurer Humana's mHealth Program for 60,000 w/Chronic Disease • Mobile Phone Apps Being Created To Test For STDs
    13. 13. What do you think?
    14. 14. A few videos http://www.youtube.com/wat ch?v=OextYih4Z28 mHealth - Infectious Disease in a Mobile Age (MWV34) http://www.youtube.com/wat ch?v=PEza09P7bDo Med Apps: It's the Future- Just Right Now
    15. 15. Some key #mhealth terms • Smart phone • Phone with OS that includes full keyboard, applications, and other core services (email, maps, apps) • SMS • short messaging service, a commonly supported standard for sending and receiving messages on mobile networks • Web services • protocols for delivering data services over the web • Cloud computing • infrastructure and computing resources via the Internet • HIPAA • U.S. law governing health insurance portability & accounting • EHR • electronic health record • Meaningful use • standard for determining health stimulus incentive qualification over stages of time
    16. 16. Landscape: Longevity planning
    17. 17. Landscape: Self admin tools
    18. 18. Landscape: Wellness
    19. 19. Landscape: Augmenting reality
    20. 20. Landscape: Some challenges • Fragmentation – Touch-screen apps, no apps, some apps – SMS / MMS – Push notification • Infrastructure assumptions – Web and services support – Network quality and reliability – SMS fire and forget • Information management – HIPAA – Tokens, credentials
    21. 21. Landscape: Development • Building a goal • Developers are closest to canvas • Template for app scope • Scripting a story with tools • “not pretending” rapid wire-frames – Balsamiq • “reality” wireframe templates - Mockapp • Development technologies • Web (HTML 5) • SDK (Apple, Android) • Libraries & languages (Unity, Flash) • SMS / Voice (Twilio)
    22. 22. Landscape • Topics – Mobile trajectory – Health reform – Location is social – Apps in the market – Connecting the dots
    23. 23. Landscape - Mobile • Mobile – Messaging is network – Texting is the medium – iPhone offers baseline • SMS • Email
    24. 24. Landscape - Social • Social – Games – Our story is in memory – Location has a story to tell • People • Places • Things
    25. 25. Landscape - Health • Health – EHR stimulus = outcomes – Measure – Mobile enterprise • Sensors drive workflow
    26. 26. Landscape: Connecting the dots • Health cloud – SMS, Email, sharing connect – Apps with sensors log behavior – Measuring outcomes becomes baseline
    27. 27. SCENARIO Review of a recent real-world mobile health app construction
    28. 28. Scenario – Mobile reminder log • Scenario overview – Connecting patients who need to take action to achieve good heart health, working with doctors that observe and react to patient outcomes • Goal • Wireframe example • Application example • Scenario brainstorm – What could we do next? • For patient, family, friends • For doctor, nurse • With location, web, games, content, social, AI, …
    29. 29. Scenario: What is the goal? • Allow people with heart conditions to easily keep track of their risk factors when working with their doctor to monitor their progress • Conversation guideposts to help modify behaviors
    30. 30. Scenario: How does it work? • Embedded into web applications, e.g. provider portals • Joins web account with mobile reminder system
    31. 31. Scenario: Provider workflow • Trigger new dialog or knowledge sharing • Brings mobile and web view together
    32. 32. Scenario: Questions or reminders?
    33. 33. Scenario: Medications are tricky
    34. 34. Scenario: Simplify medications
    35. 35. Scenario: Daily expectations
    36. 36. Scenario: Simple user thread
    37. 37. Scenario: Complex user thread
    38. 38. Scenario: Missed reminder action
    39. 39. Scenario: Ask, Log, Confirm • Proactive SMS reminder • Smart listener • Share through web services
    40. 40. Scenario: Anticipated outcomes • Simple reminders become baseline (like an alarm clock) • Story telling increases length of use and commitment to action • Noisy and random is good (frequency dialog vs. numbers and form fields)
    41. 41. Scenario: Community design • Some steps – Convert achievable actions into shared currency – Organize delivery systems • geography • closeness • situational – Silence is golden
    42. 42. Scenario: Embedded app
    43. 43. Scenario: Question!
    44. 44. Scenario: Conversation threading
    45. 45. Scenario: Confirm dialog
    46. 46. App elaboration: What else? Should it do? Should it not do?
    47. 47. WORKSHOP
    48. 48. Workshop: Agenda • Activities – App definition • What will your mobile service do? • Wire-frame workshop • Feasibility review • Work in teams, or alone • Ask questions, review similar, invent new – App review • Peer review (time permitting)
    49. 49. What does your app do? ___________ (name) enables ____________ (group of people) to accomplish _____________ ______________________ (a specific task), while… ______________________ (optional: specific conditions) [ ] app [ ] sms [ ] service [ ] device
    50. 50. Sample (simple) use case Actors • Doctor • Person • Mobile # • HealthVault • AHA 360 application • Log web service • SMS gateway • Reminder engine • Conversation engine • Actions • Message Use case steps • Person accepts invitation from Provider to join HealthVault AHA 360 application • Person signs up for reminder engine by validating mobile # • Reminder engine sends reminder message to person • Person responds to message • Conversation manager inspects action in message – If understood, log action – If not understood, exit • Provider requests action log from conversation engine web service • Provider confirms review and updates person web service
    51. 51. Use case Actors Use case steps 1. - 2. - 3. - 4. - 5. - 6. - 7. -
    52. 52. Application name: On this screen, the user if able to…
    53. 53. Application workflow: The user…
    54. 54. Application name:
    55. 55. Application name:
    56. 56. Application name:
    57. 57. Application name
    58. 58. Application name:
    59. 59. Application name:
    60. 60. Application name:
    61. 61. Application name:
    62. 62. Application name:
    63. 63. Application name:
    64. 64. Application name:
    65. 65. Closing and Evaluation • One thing you are taking away from today that will be useful for you • One thing you are going to do to move forward with your M- health project

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