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Mobile Health
Trends, Platforms &
UX Driven Development.




Presentation at McKesson   December 2010   www.nascentgrp.com
A brand, product and service innovation consultancy.

Working internationally for a wide range of global brands:

SAP, Motorola, SanDisk, NewsCorp, NDS, Kodak, BetterPlace,
SuperDimension, Maccabi Healthcare Services

Expanding focus on the intersection of healthcare and mobile devices.



Presenter:
Guy Haviv : UX Design / Mobile Platforms Lead

Research:
nascent design research team



Presentation at McKesson   December 2010           www.nascentgrp.com
Outline



Why Mobile Platforms - Why Now?
Platforms Overview
Key Technologies / Strengths
Mobile Health Apps: Highlights
Touch Devices: Challenges in Medical Environments
(continues)




Presentation at McKesson   December 2010
Outline #2



Product Development: A UX-driven process
New Products: Prototyping
Summary
Q&A / Open Discussion




Presentation at McKesson   December 2010
Part 01
Why Mobile Platforms? Why now?




Presentation at McKesson   December 2010
Why Mobile Platforms? Why Now?


Touch device statistics indicate:

Physicians are
early adopters.




Presentation at McKesson   December 2010
Why Mobile Platforms? Why Now?


Touch device statistics indicate:

The healthcare
industry is enthusiastic.




Presentation at McKesson   December 2010
Physicians are Early Adopters



10% of 3m iPads in the U.S sold to physicians.
18% of physicians in the US using iPads.

9% of adult Americans using mhealth apps today.
14% of adult Americans will use them by 2011.




Presentation at McKesson   December 2010
iPad Adoption by industry: healthcare is in top 3




Presentation at McKesson   December 2010
The Healthcare Industry is Enthusiastic




60% of healthcare enterprises using smartphones health apps.

By 2014: Enterprise mhealth expected to be a
         $1.7 billion market.

By 2015: 500m people are expected to use mhealth
         smartphone applications worldwide.




Presentation at McKesson   December 2010
Why Mobile Platforms? Why Now?




Movement from early
adoption to mass market.




Presentation at McKesson   December 2010
Recent Developments


Medtronic CIO buys 4,500 iPads for sales team

Boston Scientific bought 2,000 iPads for sales team

Stanford School of Medicine and UC Irvine School of Medicine
issue iPads to all new students
The Labor Party in the Australian state of Victoria is campaigning
for AUS$12 million to equip every doctor in the state with an iPad




Presentation at McKesson   December 2010
Why Mobile Platforms? Why Now?




There are many potential
benefits to adopting
mobile health:



Presentation at McKesson   December 2010
Benefits


Allow more time with patients

Improved health record management and accessibility

Remote monitoring and care

Personalized health management & better compliance
Increased awareness - Earlier detection

Improved communication and training tools

Cut healthcare costs




Presentation at McKesson   December 2010
Why Mobile Platforms? Why Now?


Within 5 years

Mobile health app
distribution is expected
to go mainstream.



Presentation at McKesson   December 2010
Part 02
Platforms Overview




Presentation at McKesson   December 2010
Devices

Phones
Non-Phones
Tablets



Presentation at McKesson   December 2010
Operating systems

iOS
Android
Blackberry
Windows Phone 7
WebOS
MeeGo

Presentation at McKesson   December 2010
For the purpose of this talk

We’ll focus on iOS:
iPhone
iPod Touch
iPads


Presentation at McKesson   December 2010
iOS

Key Technologies &
Strengths




Presentation at McKesson   December 2010
iOS: Key Technologies & Strengths


Touch
Sensors
Incredible displays
Always connected
Multitouch gestures
Personal - almost intimate
(continues)



Presentation at McKesson   December 2010
iOS: Key Technologies & Strengths


Platform is opinionated
UI standards clearly defined
Apps are small, precise, focused
Apps run full-screen
Touch = immediacy, intuitiveness
Built in UI concepts facilitate information
navigation



Presentation at McKesson   December 2010
Technologies (highlights)


Core Animation
UI Kit
Webkit
Location Services
Audio / Video Playback / Streaming
Accessory Support
Airplay



Presentation at McKesson   December 2010
iOS

App Distribution:
App Store
In App Purchase
Enterprise Program


Presentation at McKesson   December 2010
Part 03
Mobile Health Apps: Highlights




Presentation at McKesson   December 2010
Mobile Health Apps: Highlights




We broadly separated
apps into 3 groups:




Presentation at McKesson   December 2010
Mobile Health Apps: Highlights




Apps for everyone




Presentation at McKesson   December 2010
Mobile Health Apps: Highlights


Apps for everyone:
- Medical references
- Health management tools
- Existing condition management tools
- Pharmaceutical management and care




Presentation at McKesson   December 2010
Apps for Everyone

Existing Condition Management




                                           iBP
                                           Blood sugar
                                           tracking
                                           $0.99




Presentation at McKesson   December 2010
Apps for Everyone

Existing Condition Management




                            AsthmaMD
                            Asthma tracking
                            Free
                            Track Events
                            Triggers (Allergies)
                            Track Medicine


Presentation at McKesson   December 2010
Apps for Everyone

Pharmaceutical Management

                                           Walgreens
                                           Drug
                                           Database
                                           Free


                                           Store Locator
                                           Scan Barcodes
                                           Order Refills


Presentation at McKesson   December 2010
Apps for Everyone

Pharmaceutical Management

                                           Lexi Drugs &
                                           Lexi Interact
                                           Drug
                                           database
                                           $119.99

                                           identify possible interactions
                                           between drugs

                                           Actively updated
                                           - monitoring FDA changes
                                            continuously




Presentation at McKesson   December 2010
Mobile Health Apps: Highlights




Apps for
med students &
physicians



Presentation at McKesson   December 2010
Mobile Health Apps: Highlights


Apps for med students & physicians:
- Educational / references tools
- EMR-EHR: electronic medical records
- Imaging
- Surgical assistance
- Healthcare for developing countries




Presentation at McKesson   December 2010
Apps for Practitioners

Education / Reference




                                           Merck Manual
                                           Reference
                                           $34.99
                                           All reference data available for
                                           offline browsing




Presentation at McKesson   December 2010
Apps for Practitioners

Education / Reference




                                           Echocardiography
                                           Atlas
                                           Cardiology
                                           Reference
                                           $19.99
                                           650Mb.
                                           Examples of normal and abnormal
                                           echocardiograms.
                                           Annotated image & video.




Presentation at McKesson   December 2010
Apps for Practitioners

Education / Reference


                                           Inkling
                                           Interactive
                                           Textbook
                                           Platform
                                           Free

                                           Looks incredible overall.




Presentation at McKesson   December 2010
Apps for Practitioners

EMR


                                           Dr. Chrono EHR
                                           Remote
                                           access EMR
                                           Free


                                           Patient scheduling
                                           Electronic medical billing
                                           UI looks like it needs some work.




Presentation at McKesson   December 2010
Apps for Practitioners

Remote Monitoring

                                           Airstrip
                                           Monitoring
                                           Remote
                                           Patient
                                           Monitoring
                                           Free (demo)
                                           Interfaces with companion
                                           backend (commercial)
                                           AirStrip system

                                           Cardiology solution also available




Presentation at McKesson   December 2010
Apps for Practitioners

Imaging


                                           mVisum
                                           onDemand
                                           DICOM,
                                           PACS
                                           Image Viewer
                                           Free
                                           View lab results from
                                           Quest Diagnostic




Presentation at McKesson   December 2010
Apps for Practitioners

Imaging



                              Osirix
                              Image Viewer
                              $19.99


                              Able to view CTs, Ultrasound, MRI in standard DICOM format
                              Based on OpenSource desktop client.
                              Widely used




Presentation at McKesson   December 2010
Mobile Health Apps: Highlights




Apps with supporting
accessories




Presentation at McKesson   December 2010
Apps with supporting accessories




                                       iBGStar™
                                       Diabetes Manager
                                       Blood
                                       glucose meter
                                       not yet released




                       December 2010
Apps for Practitioners




                                           Thinklabs
                                           Stethoscope
                                           App
                                           Visual heart &
                                           lung sounds
                                           $69.99




Presentation at McKesson   December 2010
Speciality Devices




                                           Vscan
                                           Handheld
                                           Ultrasound




Presentation at McKesson   December 2010
Speciality Devices


                                           Proteus
                                           Biomedical
                                           Ingestible
                                           Drug /
                                           Physical
                                           Monitor
                                           Low power, activated after
                                           ingestion by stomach fluids.

                                           Monitors incoming drugs /
                                           physical condition, heart rate,
                                           respiratory rate.




Presentation at McKesson   December 2010
Part 04
Touch Devices: Challenges
in Medical Environments




Presentation at McKesson   December 2010
Touch Devices: Challenges in Medical Environments




Physical Challenges:




Presentation at McKesson   December 2010
Physical Challenges


Not ruggedized
Hard to disinfect
Requires a dock
Difficult to operate with gloves
(video)




Presentation at McKesson   December 2010
Physical Challenges: Osirix Video




Watch this video online:

http://www.youtube.com/watch?v=t9jW7WDL2js
Skip to 4:30


Presentation at McKesson   December 2010
Touch Devices: Challenges in Medical Environments




Regulatory Challenges
For mobile mhealth apps,
regulatory environment is unclear,
involving both the FDA & FCC.


Some apps might need approval as if they were devices, from both the FDA & the FCC.




Presentation at McKesson      December 2010
Part 05
Product Development:
A UX-driven process




Presentation at McKesson   December 2010
Product Development: A UX-driven process


Quick point to consider

Mobile version !=
Porting existing software




Presentation at McKesson   December 2010
Product Development: A UX-driven process


UX driven development

Planning the product
around empowering
the user



Presentation at McKesson   December 2010
Product Development: A UX-driven process


Main output:

Detailed planning of the
system UI.
We call this Schematics.




Presentation at McKesson   December 2010
Product Development: A UX-driven process




Schematics align teams
around visible, tangible
functionality.



Presentation at McKesson   December 2010
Schematics (example)




Presentation at McKesson   December 2010
Product Development: A UX-driven process




Process overview:




Presentation at McKesson   December 2010
Product Development: A UX-driven process


Concept to Product
UX driven process




This process is straightforward, practical.




Presentation at McKesson   December 2010
Product Development: A UX-driven process

Research
- Existing product + technology research
- User research (shadowing, documenting)
- Identifying business & ecosystem opportunities
(continues)




Presentation at McKesson   December 2010
Product Development: A UX-driven process

Planning, Designing
- Ideation - concept development
- Defining project scope
- Paper prototyping
- Schematic design
- Validation / prototyping cycles
- Visual design + development kickstart
  (in parallel)




Presentation at McKesson   December 2010
Part 06
New Products:
Rapid Prototyping




Presentation at McKesson   December 2010
New Products: Rapid Prototyping


In a relatively small period of time

A small group can
plan, design & build a
mockup/prototype that
has tremendous impact.


Presentation at McKesson   December 2010
New Products: Rapid Prototyping




A mockup makes
theory tangible.
Can persuade internally
Clarify product needs
A strong marketing tool


Presentation at McKesson   December 2010
Part 07
Summary




Presentation at McKesson   December 2010
Mobile health apps can:

Increase productivity by
increasing connectivity.




Presentation at McKesson   December 2010
Mobile health apps can:

Facilitate new services
by connecting patients &
practitioners.



Presentation at McKesson   December 2010
UX-driven product
development is practical,
tangible & increases
team focus.


Presentation at McKesson   December 2010
Part 08
Q&A, Discussion




Presentation at McKesson   December 2010
Thank You.




Presentation at McKesson   December 2010   www.nascentgrp.com

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Mobile Health | nascent at McKesson

  • 1. Mobile Health Trends, Platforms & UX Driven Development. Presentation at McKesson December 2010 www.nascentgrp.com
  • 2. A brand, product and service innovation consultancy. Working internationally for a wide range of global brands: SAP, Motorola, SanDisk, NewsCorp, NDS, Kodak, BetterPlace, SuperDimension, Maccabi Healthcare Services Expanding focus on the intersection of healthcare and mobile devices. Presenter: Guy Haviv : UX Design / Mobile Platforms Lead Research: nascent design research team Presentation at McKesson December 2010 www.nascentgrp.com
  • 3. Outline Why Mobile Platforms - Why Now? Platforms Overview Key Technologies / Strengths Mobile Health Apps: Highlights Touch Devices: Challenges in Medical Environments (continues) Presentation at McKesson December 2010
  • 4. Outline #2 Product Development: A UX-driven process New Products: Prototyping Summary Q&A / Open Discussion Presentation at McKesson December 2010
  • 5. Part 01 Why Mobile Platforms? Why now? Presentation at McKesson December 2010
  • 6. Why Mobile Platforms? Why Now? Touch device statistics indicate: Physicians are early adopters. Presentation at McKesson December 2010
  • 7. Why Mobile Platforms? Why Now? Touch device statistics indicate: The healthcare industry is enthusiastic. Presentation at McKesson December 2010
  • 8. Physicians are Early Adopters 10% of 3m iPads in the U.S sold to physicians. 18% of physicians in the US using iPads. 9% of adult Americans using mhealth apps today. 14% of adult Americans will use them by 2011. Presentation at McKesson December 2010
  • 9. iPad Adoption by industry: healthcare is in top 3 Presentation at McKesson December 2010
  • 10. The Healthcare Industry is Enthusiastic 60% of healthcare enterprises using smartphones health apps. By 2014: Enterprise mhealth expected to be a $1.7 billion market. By 2015: 500m people are expected to use mhealth smartphone applications worldwide. Presentation at McKesson December 2010
  • 11. Why Mobile Platforms? Why Now? Movement from early adoption to mass market. Presentation at McKesson December 2010
  • 12. Recent Developments Medtronic CIO buys 4,500 iPads for sales team Boston Scientific bought 2,000 iPads for sales team Stanford School of Medicine and UC Irvine School of Medicine issue iPads to all new students The Labor Party in the Australian state of Victoria is campaigning for AUS$12 million to equip every doctor in the state with an iPad Presentation at McKesson December 2010
  • 13. Why Mobile Platforms? Why Now? There are many potential benefits to adopting mobile health: Presentation at McKesson December 2010
  • 14. Benefits Allow more time with patients Improved health record management and accessibility Remote monitoring and care Personalized health management & better compliance Increased awareness - Earlier detection Improved communication and training tools Cut healthcare costs Presentation at McKesson December 2010
  • 15. Why Mobile Platforms? Why Now? Within 5 years Mobile health app distribution is expected to go mainstream. Presentation at McKesson December 2010
  • 16. Part 02 Platforms Overview Presentation at McKesson December 2010
  • 18. Operating systems iOS Android Blackberry Windows Phone 7 WebOS MeeGo Presentation at McKesson December 2010
  • 19. For the purpose of this talk We’ll focus on iOS: iPhone iPod Touch iPads Presentation at McKesson December 2010
  • 21. iOS: Key Technologies & Strengths Touch Sensors Incredible displays Always connected Multitouch gestures Personal - almost intimate (continues) Presentation at McKesson December 2010
  • 22. iOS: Key Technologies & Strengths Platform is opinionated UI standards clearly defined Apps are small, precise, focused Apps run full-screen Touch = immediacy, intuitiveness Built in UI concepts facilitate information navigation Presentation at McKesson December 2010
  • 23. Technologies (highlights) Core Animation UI Kit Webkit Location Services Audio / Video Playback / Streaming Accessory Support Airplay Presentation at McKesson December 2010
  • 24. iOS App Distribution: App Store In App Purchase Enterprise Program Presentation at McKesson December 2010
  • 25. Part 03 Mobile Health Apps: Highlights Presentation at McKesson December 2010
  • 26. Mobile Health Apps: Highlights We broadly separated apps into 3 groups: Presentation at McKesson December 2010
  • 27. Mobile Health Apps: Highlights Apps for everyone Presentation at McKesson December 2010
  • 28. Mobile Health Apps: Highlights Apps for everyone: - Medical references - Health management tools - Existing condition management tools - Pharmaceutical management and care Presentation at McKesson December 2010
  • 29. Apps for Everyone Existing Condition Management iBP Blood sugar tracking $0.99 Presentation at McKesson December 2010
  • 30. Apps for Everyone Existing Condition Management AsthmaMD Asthma tracking Free Track Events Triggers (Allergies) Track Medicine Presentation at McKesson December 2010
  • 31. Apps for Everyone Pharmaceutical Management Walgreens Drug Database Free Store Locator Scan Barcodes Order Refills Presentation at McKesson December 2010
  • 32. Apps for Everyone Pharmaceutical Management Lexi Drugs & Lexi Interact Drug database $119.99 identify possible interactions between drugs Actively updated - monitoring FDA changes continuously Presentation at McKesson December 2010
  • 33. Mobile Health Apps: Highlights Apps for med students & physicians Presentation at McKesson December 2010
  • 34. Mobile Health Apps: Highlights Apps for med students & physicians: - Educational / references tools - EMR-EHR: electronic medical records - Imaging - Surgical assistance - Healthcare for developing countries Presentation at McKesson December 2010
  • 35. Apps for Practitioners Education / Reference Merck Manual Reference $34.99 All reference data available for offline browsing Presentation at McKesson December 2010
  • 36. Apps for Practitioners Education / Reference Echocardiography Atlas Cardiology Reference $19.99 650Mb. Examples of normal and abnormal echocardiograms. Annotated image & video. Presentation at McKesson December 2010
  • 37. Apps for Practitioners Education / Reference Inkling Interactive Textbook Platform Free Looks incredible overall. Presentation at McKesson December 2010
  • 38. Apps for Practitioners EMR Dr. Chrono EHR Remote access EMR Free Patient scheduling Electronic medical billing UI looks like it needs some work. Presentation at McKesson December 2010
  • 39. Apps for Practitioners Remote Monitoring Airstrip Monitoring Remote Patient Monitoring Free (demo) Interfaces with companion backend (commercial) AirStrip system Cardiology solution also available Presentation at McKesson December 2010
  • 40. Apps for Practitioners Imaging mVisum onDemand DICOM, PACS Image Viewer Free View lab results from Quest Diagnostic Presentation at McKesson December 2010
  • 41. Apps for Practitioners Imaging Osirix Image Viewer $19.99 Able to view CTs, Ultrasound, MRI in standard DICOM format Based on OpenSource desktop client. Widely used Presentation at McKesson December 2010
  • 42. Mobile Health Apps: Highlights Apps with supporting accessories Presentation at McKesson December 2010
  • 43. Apps with supporting accessories iBGStar™ Diabetes Manager Blood glucose meter not yet released December 2010
  • 44. Apps for Practitioners Thinklabs Stethoscope App Visual heart & lung sounds $69.99 Presentation at McKesson December 2010
  • 45. Speciality Devices Vscan Handheld Ultrasound Presentation at McKesson December 2010
  • 46. Speciality Devices Proteus Biomedical Ingestible Drug / Physical Monitor Low power, activated after ingestion by stomach fluids. Monitors incoming drugs / physical condition, heart rate, respiratory rate. Presentation at McKesson December 2010
  • 47. Part 04 Touch Devices: Challenges in Medical Environments Presentation at McKesson December 2010
  • 48. Touch Devices: Challenges in Medical Environments Physical Challenges: Presentation at McKesson December 2010
  • 49. Physical Challenges Not ruggedized Hard to disinfect Requires a dock Difficult to operate with gloves (video) Presentation at McKesson December 2010
  • 50. Physical Challenges: Osirix Video Watch this video online: http://www.youtube.com/watch?v=t9jW7WDL2js Skip to 4:30 Presentation at McKesson December 2010
  • 51. Touch Devices: Challenges in Medical Environments Regulatory Challenges For mobile mhealth apps, regulatory environment is unclear, involving both the FDA & FCC. Some apps might need approval as if they were devices, from both the FDA & the FCC. Presentation at McKesson December 2010
  • 52. Part 05 Product Development: A UX-driven process Presentation at McKesson December 2010
  • 53. Product Development: A UX-driven process Quick point to consider Mobile version != Porting existing software Presentation at McKesson December 2010
  • 54. Product Development: A UX-driven process UX driven development Planning the product around empowering the user Presentation at McKesson December 2010
  • 55. Product Development: A UX-driven process Main output: Detailed planning of the system UI. We call this Schematics. Presentation at McKesson December 2010
  • 56. Product Development: A UX-driven process Schematics align teams around visible, tangible functionality. Presentation at McKesson December 2010
  • 57. Schematics (example) Presentation at McKesson December 2010
  • 58. Product Development: A UX-driven process Process overview: Presentation at McKesson December 2010
  • 59. Product Development: A UX-driven process Concept to Product UX driven process This process is straightforward, practical. Presentation at McKesson December 2010
  • 60. Product Development: A UX-driven process Research - Existing product + technology research - User research (shadowing, documenting) - Identifying business & ecosystem opportunities (continues) Presentation at McKesson December 2010
  • 61. Product Development: A UX-driven process Planning, Designing - Ideation - concept development - Defining project scope - Paper prototyping - Schematic design - Validation / prototyping cycles - Visual design + development kickstart (in parallel) Presentation at McKesson December 2010
  • 62. Part 06 New Products: Rapid Prototyping Presentation at McKesson December 2010
  • 63. New Products: Rapid Prototyping In a relatively small period of time A small group can plan, design & build a mockup/prototype that has tremendous impact. Presentation at McKesson December 2010
  • 64. New Products: Rapid Prototyping A mockup makes theory tangible. Can persuade internally Clarify product needs A strong marketing tool Presentation at McKesson December 2010
  • 65. Part 07 Summary Presentation at McKesson December 2010
  • 66. Mobile health apps can: Increase productivity by increasing connectivity. Presentation at McKesson December 2010
  • 67. Mobile health apps can: Facilitate new services by connecting patients & practitioners. Presentation at McKesson December 2010
  • 68. UX-driven product development is practical, tangible & increases team focus. Presentation at McKesson December 2010
  • 69. Part 08 Q&A, Discussion Presentation at McKesson December 2010
  • 70. Thank You. Presentation at McKesson December 2010 www.nascentgrp.com