The Patient’S Back Up Brain


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Presentation given at the "mHealth Initiative", Washington DC, June 2009

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The Patient’S Back Up Brain

  1. 1. The Patient’s Back-up Brain A Mobile Health Future mHealth Initiative June 2009 Presented by Edward A Stern, RN Clinical Informatics Lead George Washington University Medical Faculty Associates Presented by Edward A, Stern, RN
  2. 2. About Your Presenter • Informatics Nurse for GW Medical Faculty Associates – 500+ Physician teaching practice (plus Residents and Student) with more than 40 clinical specialties in multiple locations, serving the entire Washington DC metro area – Treat an estimated 4,600 patients a day • Developed the “Back-up Brain” education series for Clinical professionals • Patented consumer “usability” research model • Former clinical informatics consultant Presented by Edward A, Stern, RN
  3. 3. What is a “Back-up Brain”? • Any kind of “device” which: – Helps keeps us in our daily routine – Allows us to reference complex data points – Enables us to “Think, Process and Clear” • “Stream of consciousness” thinking via; notes, reminders, etc which pop in get recorded and cleared for the next.. Presented by Edward A, Stern, RN
  4. 4. The Mobile Device Market • The UN Reports that more than half the world population has a mobile phone – Less than a quarter of the world population has Internet access • A mobile phone is by it’s very nature designed to be a “consumer usable” device (so it’s relatively easy to operate) • The mobile phone market is available to all and tends to level all socio-economic groups and age barriers Presented by Edward A, Stern, RN
  5. 5. Powerful Consumer Centric Mobile Market in the US • In 2008, 89% of the US population, are mobile phone subscribers (>270 million), according to a research study – 15 million more than 2007 • 1 trillion text messages during 2008 were sent in the US – Triple the number of texts in 2007 • 620 billion texts were sent during the second half of 2008 • Total volume of texting averages 3.5 billion per day. – That's 13 messages per person, per day • Total wireless revenues in 2008 came to $148 billion – $9 billion more than 2007 Source: CTIA President Steve Presented by Edward A, Stern, RN Largent, April 2009, Annual Conference
  6. 6. Playin’ the Patient Averages • The mobile phone has changed how the “average human” communicates – 89% of the US population has a cell phone • The “average patient” desires to be an active participant in their medical care, but the process is often complex and time consuming – 96% preferred to be offered choices and to be asked their opinions – J Gen Intern Med. 2005 June; 20(6): 531–535 Presented by Edward A, Stern, RN
  7. 7. Playin’ the Patient Averages • 54% are actively putting effort into learning more about their personal health” • 64% say they would be interested in using an ”in- home” medical device that could help them know what to do and when • 44% express interest in programs and tools such as health diaries and education • 37% say they are interested in using oniline tools that could help them assess, monitor and manage their health • 68% are interested in home monitoring devices that enable them to check their condition and send results to their doctor Source: 2009 Survey of Health Care Consumers – Deloitte Center for Health Solutions Presented by Edward A, Stern, RN
  8. 8. The Mobile Health Opportunity “mHealth” Patient Provider Mobile Technology Presented by Edward A, Stern, RN
  9. 9. 3 Point Cycle of Patient Centric mHealth Reference and message solutions for the patient Growth of the Patient and Provider relationship; resulting in Applications to improved health remind and engage the patient in personalized care Presented by Edward A, Stern, RN
  10. 10. Solutions must be patient and market driven • 270 million text enabled phones in the US – Simple communicator with a great deal of flexibility and versatility • Almost 10 million Blackberry Users + • Almost 7 million Windows based phones + • Approximately 5.4 Million iPhone devices sold + – Almost 1 billion iPhone applications downloaded – 38% of mobile internet market share (Source: BusinessWeek 5/26/09) • Strong presence of market segment for 3rd party vendors + (Source; Comscore via Softpedia May 6, 2009) Presented by Edward A, Stern, RN
  11. 11. Where do we start go from here? • Determine your patient market segment – Get and classify patient mobile numbers in practices • Simply offering help and suggest current 3rd party standalone solutions: – Track your BP, Hgb A1C, blood sugar – Medication reminder apps – Diet diaries/trackers/calculators – Exercise diaries/trackers Presented by Edward A, Stern, RN
  12. 12. Quickly moving forward • Consider voice options – Televox to mobile phone with patient care updates as simple entry level solutions • Text message options – Appointment reminders – Medication reminders • Pilot program at GW reminding cardiac patients when to take critical meds – Text to dB options • Have patients text their Glucose Presented by Edward A, Stern, RN
  13. 13. Integrated solutions • 3rd party apps directly from phone into MD EMR and patients PHR – Vitals, Medication reminder and use, home testing reference numbers – Appointment scheduling • MD and EMRs “to” the mobile device (and PHR) – Consults on medication adjustments based on results sent dynamically from the device • Home testing systems using mobile technology direct to the MD (and EMR/PHR) – Hgb A1C, blood sugar, and other home devices • Integrated devices – Phone “is” the testing device • Emergency care information access – Break the glass solutions on the patient phone for the CCR/EMR/PHR Presented by Edward A, Stern, RN
  14. 14. Conclusion The Next Steps • Patient population is ready and waiting • Industry moves – mHealth Initiative – Move towards HIT (ARRA etc) • Start simple and small and move forward Presented by Edward A, Stern, RN
  15. 15. Contact • Edward A Stern, RN – – • This presentation is available on SlideShare – Presented by Edward A, Stern, RN