mHealth Applications: Current Projects and their Status: Understanding the 12 Application Clusters of mHealth by C. Peter Waegemann, Executive Director, mHealth Initiative
Presentation on text messaging use in healthcare in developing countries, by Karen Coppock at mHealth Initiative Seminar in San Francisco, September 18, 2009
Social networking, a relatively new communication phenomenon, has the ability to provide education, foster advocacy, promote the profession, and influence mental health policy. It also has the potential to violate boundaries, infringe on privacy, create liability, and damage professional credibility. A review of the literature revealed limited research has been conducted concerning the impact and use of social networking sites in nursing practice and other healthcare disciplines.
In Psychiatric/Mental Health Nursing, communication is the foundation of the therapeutic alliance. Because social networking communications have the potential to positively and negatively affect this alliance, it is imperative to develop guidelines for prudent and resourceful usage of social networking media that complies with practice acts, promotes professionalism, and maintains work-life balance for the psychiatric mental health nurse. This session will provide an overview of different types of social media outlets, review published position statements from other healthcare disciplines, and consider best practices for Psychiatric/Mental health nursing.
Development Standards and Regulations for HealthTechElinext
Wearables, surgery robots, wellness platforms, and digital doctors. The new healthcare landscape is bright, full of novelties and breaking ideas. But before entering this market, you should learn the basic regulations and standards for HealthTech products. We gathered all the information for you in our new infographic.
Presentation on text messaging use in healthcare in developing countries, by Karen Coppock at mHealth Initiative Seminar in San Francisco, September 18, 2009
Social networking, a relatively new communication phenomenon, has the ability to provide education, foster advocacy, promote the profession, and influence mental health policy. It also has the potential to violate boundaries, infringe on privacy, create liability, and damage professional credibility. A review of the literature revealed limited research has been conducted concerning the impact and use of social networking sites in nursing practice and other healthcare disciplines.
In Psychiatric/Mental Health Nursing, communication is the foundation of the therapeutic alliance. Because social networking communications have the potential to positively and negatively affect this alliance, it is imperative to develop guidelines for prudent and resourceful usage of social networking media that complies with practice acts, promotes professionalism, and maintains work-life balance for the psychiatric mental health nurse. This session will provide an overview of different types of social media outlets, review published position statements from other healthcare disciplines, and consider best practices for Psychiatric/Mental health nursing.
Development Standards and Regulations for HealthTechElinext
Wearables, surgery robots, wellness platforms, and digital doctors. The new healthcare landscape is bright, full of novelties and breaking ideas. But before entering this market, you should learn the basic regulations and standards for HealthTech products. We gathered all the information for you in our new infographic.
Using technology-enabled social prescriptions to disrupt healthcareDr Sven Jungmann
As chronic diseases are increasingly straining healthcare systems, social factors are gaining importance. Since the birth of social medicine (19th century), we saw many failed attempts to beat the dominance of the biomedical model. Social prescriptions have come, raising hopes that non-biomedical solutions will improve outcomes and optimise resource use. Social Prescriptions connect citizens to support to address social determinants of health and encourage self-care for physical and mental health. Social prescriptions can make us healthier cheaper and with fewer side effects than most drugs. Social prescriptions can become a disruptive force as they can be personalised, improve lifestyle-related diseases, and support non-biomedical issues affected by social determinants of health.
Chronic illness: 75% of health system costs in North America
* Reimbursement models & care pathways focused
on disease management will continue to escalate
The information reflects information available as of June 2, 2020.
We encourage monitoring subsequent regulation updates pertaining to telehealth in wound care
Webinar deck: Mobile enabled Healthcare RevolutionArcher Inc.
Webinar deck: Mobile enabled Healthcare Revolution
Learn the important strategies, tactics and ROI models for mobile enabled healthcare marketing. We'll cover which types of campaigns are succeeding in the healthcare industry, how success is being analyzed, and which mobile marketing technologies should be part of your healthcare marketing mix. We'll present case studies and examples from the market to give you an excellent overview of how point-of-sale and traditional channel healthcare marketing are now mobile. Key marketing objectives and how they are addressed by mobile will be covered, as well as location aware messaging, alert medication and other important components of mobile healthcare marketing.
Healthcare Social Networking: Is Pharma Ready to Join the Conversation?Len Starnes
A pragmatic assessment of the impact of social networking on pharma marketing & sales. Includes analyses of HCPs' social networks, consumer/patient social networks and the convergence of PR with SEO and SEM. Presented at conferences in Zurich, Shanghai and Boston during 2008. This version presented at EyeforPharma's
E-Communications and Online Marketing Summit, Boston, 2008.
Surveys a series of ethical, economic, clinical and also safety issues relating to the application of informatics to healthcare, focusing especially on the role of informatics in the Patient Protection and Affordable Care Act. Talk presented in the University at Buffalo Clinical/Research Ethics Seminar - Ethics, Informatics and Obamacare, November 20, 2012. Slides are available here: http://ontology.buffalo.edu/13/ethics-informatics-obamacare.pptx
Using technology-enabled social prescriptions to disrupt healthcareDr Sven Jungmann
As chronic diseases are increasingly straining healthcare systems, social factors are gaining importance. Since the birth of social medicine (19th century), we saw many failed attempts to beat the dominance of the biomedical model. Social prescriptions have come, raising hopes that non-biomedical solutions will improve outcomes and optimise resource use. Social Prescriptions connect citizens to support to address social determinants of health and encourage self-care for physical and mental health. Social prescriptions can make us healthier cheaper and with fewer side effects than most drugs. Social prescriptions can become a disruptive force as they can be personalised, improve lifestyle-related diseases, and support non-biomedical issues affected by social determinants of health.
Chronic illness: 75% of health system costs in North America
* Reimbursement models & care pathways focused
on disease management will continue to escalate
The information reflects information available as of June 2, 2020.
We encourage monitoring subsequent regulation updates pertaining to telehealth in wound care
Webinar deck: Mobile enabled Healthcare RevolutionArcher Inc.
Webinar deck: Mobile enabled Healthcare Revolution
Learn the important strategies, tactics and ROI models for mobile enabled healthcare marketing. We'll cover which types of campaigns are succeeding in the healthcare industry, how success is being analyzed, and which mobile marketing technologies should be part of your healthcare marketing mix. We'll present case studies and examples from the market to give you an excellent overview of how point-of-sale and traditional channel healthcare marketing are now mobile. Key marketing objectives and how they are addressed by mobile will be covered, as well as location aware messaging, alert medication and other important components of mobile healthcare marketing.
Healthcare Social Networking: Is Pharma Ready to Join the Conversation?Len Starnes
A pragmatic assessment of the impact of social networking on pharma marketing & sales. Includes analyses of HCPs' social networks, consumer/patient social networks and the convergence of PR with SEO and SEM. Presented at conferences in Zurich, Shanghai and Boston during 2008. This version presented at EyeforPharma's
E-Communications and Online Marketing Summit, Boston, 2008.
Surveys a series of ethical, economic, clinical and also safety issues relating to the application of informatics to healthcare, focusing especially on the role of informatics in the Patient Protection and Affordable Care Act. Talk presented in the University at Buffalo Clinical/Research Ethics Seminar - Ethics, Informatics and Obamacare, November 20, 2012. Slides are available here: http://ontology.buffalo.edu/13/ethics-informatics-obamacare.pptx
EHRs, PHRs, EMRs: Making Sense of the Alphabet SoupCHI*Atlanta
CHI*Atlanta's October program tackles health records and the potential of user experience to improve their adoption. Panelists include CDC, Kaiser Permanente, and Greenway Technologies. Hosted at Philips Design to cover public, private, and vendor perspectives.
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Consumerism, Innovation and Best Practices to Thrive in the Future of HealthJustin Barnes
May 1, 2019 University of Toronto, Dalla Lana School of Public Health, The Institute of Health Policy, Management and Evaluation (IHPME) Keynote speaker Justin Barnes, a health innovation strategist and co-founder of Health Innovation Think Tank, will provide yet another integral perspective focused on the ways in which we can scale up and implement evidence-based changes in health care technology on a global scale. Having testified before Congress on more than twenty occasions delivering statements on virtual care, alternative payment methods, consumerism, connected health and the globalization of healthcare, Justin offers thought leadership for the university, the healthcare community as well as other key stakeholders.
Consumer Driven Health – IHPME Research Day
Looks to the Future of Health Care
The trend towards consumer driven health, whether it be mobile apps, wearable devices, or easy access to electronic health records, is changing the landscape of our health care system and the way we think about care.
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
It is that time of year again – time to look at healthcare trends, predictions and technology innovations for 2018.
Identifying trends is fairly simple, since it relies on looking back to see what the most popular topics have been and continue to be. Many trends tend to stay for more than a year as their momentum builds. Predictions are a little more difficult to identify and assure accuracy, since they are a look into the future. This year we will also be looking at the top 10 technology-related clinical innovations.
mHealth Israel_Top Health Industry Issues of 2021_Will a Shocked System Emerg...Levi Shapiro
Presentation by PwC Health Research Institute for mHealth Israel, February 17, 2021: Top Health Industry Issues of 2021...Will a Shocked System Emerge Stronger?
Key Sections:
1) Rightsizing after virtual visit explosion
2) Changing clinical trials
3) Easing physician burden with digital
4) Healthcare forecast for 2021
5) Reshaping health portfolios
6) Resilient and responsive supply chains
7) Inter-Operability
The Patient’s Back-up Brain: A Mobile Health Future presented by resented by Edward A Stern, RN, Clinical Informatics Lead, George Washington University Medical Faculty Associates.
Presented at mHealth Initiative's June 4, 2009 conference in Washington, DC.
www.mhealthinitiative.org
PHR Functionalities Being Developed at
NLM presented by Clement McDonald M Director, Lister Hill National Center for Biomedical Communications
Presented at mHealth Initiative's June 4, 2009 conference in Washington, DC.
www.mhealthinitiative.org
Communications for Seniors presented by by Arlene Harris, Founder and Chairwoman, Jitterbug.
Presented at mHealth Initiative's June 4, 2009 Conference in Washington, DC.
www.mhealthinitiative.org
So Where Do We Go From Here by Jay H. Sanders, MD, President, The Global Telemedicine Group
Presented at mHealth Initiative's June 4, 2009 conference in Washington, DC.
www.mhealthinitiative.org
Report from Washington presented by J. Michael Fitzmaurice, Senior Advisor, AHRQ
Presented at mHealth Initiative's June 4, 2009 conference in Washington, DC.
www.mhealthinitiative.org
Project HealthDesign and its Importance for mHealth presented by Patricia Flatley Brennan, RN, PhD, Lillian Moehlman Bascom Professor, School of Nursing, University of Wisconsin
Presented at mHealth Initiative's June 4, 2009 conference in Washington, DC.
www.mhealthinitiative.org
Beyond Borders: What America Can Learn about mHealth from Developing Countries presented by Patricia Mecheal, mHealth and Telemedicine Advisor, Millennium Villages Project, Earth Institute at Columbia University
Presented at mHealth Initiative's June 4, 2009 conference in Washington, DC.
www.mhealthinitiative.org
mHealth Community Project - A Role Model for the Nation to Reduce Healthcare Costs and Improve the Quality of Care presented by C. Peter Waegemann, Vice President of Development, mHealth Initiative
Presented at mHealth Initiative's June 4, 2009 conference in Washington, DC.
www.mhealthinitiative.org
Understanding Participatory Health: What it is and How it will Revolutionize Healthcare presented by C. Peter Waegemann, Vice President of Development, mHealth Initiative
Presented at mHealth Initiative's June 4, 2009 conference in Washington, DC.
www.mhealthinitiative.org
Using Mobile Technologies to Transform Nursing Practice by Renee McLeod PhD, APRN, CPNP
Presented at the mHealth Initiative Spring Seminar, March 31, 2009 Boston MA
www.mhealthinitiative.org
Current Implementation by AllOne Mobile and Diversinet by Stu Vaeth, Diversinet
Presented at the mHealth Initiative Spring Seminar, March 31, 2009 Boston MA
www.mhealthinitiative.org
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
2. New Era of Participatory Health
What is Participatory Health?
New roles for all participants
Patients
Clinicians
Consumers
Payers
Government
Inclusive: Health community within
participatory health
New communication
4. Goal: Enable consumers to
Research symptoms at any place at any
time
Communicate with healthcare providers
PHR interoperability
•
Email and text communication
•
Share information with others
Have a personal health assistant
Appointments
•
Communication
•
Reminders
•
5. Deloitte Survey: 2009 Survey of
Health Care Consumers: Key Findings, Strategic Implications
Wellness &
Healthy
Living
Traditional Alternative
Health Care Health
Services Services
Healthcare
Consumerism
Health
Information
Insurance
Resources
Health
Policy
Adapted from Deloitte Survey
March 2009
6. Participatory Care Model
Integration of Integration of
Public Health
Wellness and Alternative
Healthy Living Health
Systems Services
Information
Resources
Healthcare Services
Health Insurance
7. Deloitte Survey: 2009 Survey of
Health Care Consumers: Key Findings, Strategic Implications
71.5% of consumers want to be engaged or seek alternatives
30% of consumers report comparing doctors before choosing one in the last 12
months, up from the 23% who in 2008 reported doing so during the previous 24
months.
Before going to the hospital, 32% say they checked to see if their insurance
covered the treatment they were going to receive and 34% checked to see if the
hospital accepted their insurance; 15% compared hospitals.
Trusted sources for information about providers are websites sponsored by
doctors or medical practices (48%), medical associations (34%), independent
health related websites (33%) and hospital associations (28%).
6 in 10 consumers say they looked online for information about treatment
options in the past year.
Among prescription medication users, 1 in 3 consumers say they compared
available treatment options.
For information about the effectiveness and safety of treatment options, medical
associations and academic medical centers are most trusted (50% trust these
sources); health plans and manufacturers are least trusted (13% or less trust
these sources).
Source: Deloitte Survey http://www.deloitte.com/dtt/article/
8. Deloitte Survey: 2009 Survey of
Health Care Consumers: Key Findings, Strategic
Implications
Most trustworthy about treatment costs
37% academic medical centers
35% medical associations
31% community hospitals
29% health plans
19% FDA
13% manufacturers
22% say they looked or asked for information
about a health insurance plan in the last 12
months, and 20% say they compared plans before
choosing the one they purchased.
Source: Deloitte Survey http://www.deloitte.com/dtt/article/
9. Deloitte Survey: 2009 Survey
9% have a computerized personal health record (PHR) compared to
8% in 2008.
57% want a secure Internet site that would enable them to access their
medical records, schedule office visits, refill prescriptions and pay
medical bills.
42% want access to an online personal health record connected to
their doctor’s office.
55% want to be able to communicate with their doctor via email to
exchange health information and get answers to questions.
38% concerned about privacy and security of personal health
information- 24% are not at all concerned.
60% believe that the government should set standards for how medical
information is collected, stored, exchanged and protected, while others
view this as a role for health plans (21%) and employers (5%); 14%
say no entity should set standards.
Source: Deloitte Survey http://www.deloitte.com/dtt/article/
10. Privacy Concerns
Very
24% Not Concerned
38% Very
Concerned
Not sure
Concerned
Not
38% Not sure
concerned
11. Worldwide: about 800 million cable/satellite
TV subscribers
850 million registered automobiles
950 million people use PCs
1.2 billion fixed landline phones
1.3 billion access the internet
About 1.4 billion TV sets in use
1.5 billion people have at least 1 credit card
Total worldwide mobile subscriber base:
over 4 billion (Almost 50% of world
population has a mobile phone).
12. PHR
For over 2,000 years, the
Concern
patient was rarely Developments
over
informed about the 2009:
Internet
medical circumstances. mHealth
reliability
Disease details were left Revolution
1 million PHRs
to doctors. As recently as
10 mill. PHR-Lites
1965, patients were not
3-4 mill. PPPs
allowed to see medical
books in publicly funded Interoperability
sed
20% EMR
libraries a
Dot.com through
R-b
Implementation CC ecosystems
bubble
Professionally
bursts
guided
13 million disease
Personal Health 2007-2008 communities
Records will support
Health 2.0: new
2002-2006
research.
Disease-
guidelines
Patient specific
1999-2000 support and protocols
Communities
groups
Internet
opens up develop
HIPAA gives the
health
patient the right
information
to a copy of the
medical record
13. 12 Mobile Phone Function Clusters in Healthcare
- General Technology View -
4 Disease
1 Patient Communication Management
3 Point-of- Care
2 Access to web-
• Before Visit: •Diabetes
•Appointment •Dermatology
Documentation
•Agenda (Reason for Visit) based resources •Asthma
•Access patient history
•Patient Information (CCR) Guidelines and Protocols •Smoking Cessation
•Documentation
Data Set Decision Support •More
(information capture)
• General Telemedicine Guidance
•Transmission
•Text messages Formulas and Medications
5 P-o-C Education
•Navigation
•Email
•Medication Reminders
Programs
•Questions (with photos if
Teaching Applications
applicable)
•Patient education
6 Professional
12 BAN Communication
Pharmacy,
New Body Area Colleagues, Lab,
Network ecosystem Hospital, Others
8 Financial 7 Administrative Appl.
9
10 Public
11 Applications:
•Patient Tracking
Ambulance/EMS
Health •Charge Capture
•Asset Tracking
Pharma/Clinical •Disease •Search for PHR and •Eligibility Checking
•Scheduling
Reporting other Resources •Payment
Trials •Bed Assignment
•Bioterrorism •Capture information •Other Financial
•Clinical Trials •Other Communication
Communication •Transmit to ED Systems
14. Problem
Patients can see their clinicians only
periodically and for short periods of
time.
They need to remember all health
symptoms and health related events
within a very short visit that may be
emotionally laden.
16. Adjustment of Healthcare to
the 21st Century
Change in communication
Continuous communication exchanges
as needed
Using the Internet and mDevices as
appropriate
Requires patient education
Requires workflow changes at providers
17. Application Cluster 1
Communication between Patients
and Providers
Selection of caregiver
Pre-visit communication
Consumer/patient providing information
In the care process
References
18. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
19. Text Messaging
• In general, fewer than 5% of adults are currently
able to communicate with their providers
electronically
• When asked, 62% of adults stated that electronic
communication would influence their choice
• 75% stated they wanted to schedule
appointments electronically
• Harris Interactive: Feb. 8, 2007
• 50% of 12 to 24 year olds send or receive text
messages
• Ipsos: 2007
Credit: Renee McLeod
20. Types of Communication
Patient to provider (pre-engagement)
1.
General inquiry
a.
Appointment
b.
Insurance coverage or cost
c.
Provider-patient interactively
2.
Appointment confirmation/reminder
a.
Reason for visit: Agenda
b.
Referrals and other care management
c.
communication, e.g. How r u?
Other
d.
Patient education
3.
21. Problem
Outdated systems for appointments
and administrative reminders cost
healthcare providers hundreds of
millions of dollars.
22. Text Messaging
Appointments
•
Medication reminders
•
General inquiries
•
Administrative questions
•
Non‐healthcare related communication
•
Health promotion
•
Patient‐initiated communication
•
– Need to reschedule appointment
– Need for prescription refill (?)
23. Preferred Communication Like Airline
Industry
Programs like “Remember Me” provide
• A direct path to information about you when
calling from a phone number pre‐registered
with your provider.
• The system recognizes your phone number,
instantaneously pulls up your information and
even greets you by name.
• All of this information is available within a few
seconds at the beginning of the call
24.
25. Summary: Communication Systems
More communication between clinician and
patient
Better quality of care
Fewer visits
Disruptive patient behavior
mHealth is the enabler
26. mHealth Agenda for
Communication
All communication must be discernable and
customizable (usability)
Reason for visit
Both parties need acknowledgement. (This may even
be more important for the provider because it will allow them to be better
prepared and confirm that tests required for the visit have been done.)
Requires new workflow, parameters and
protocols
27. Considerations
ID Systems: Photo and “Remember me”
New reimbursement system
This opens a whole can of worms for evaluating the time and
impact of each communication.
Do all communications have equal value? If nine communications are
required in one instance and five in another, are they paid the same?
How do you measure the amount of work required by the physicians
behind the scenes for each communication?
Would compensation paradigms that include a frequency component
invite abuse?
Can the evaluation of the value/compensation be automated or does it
need a new bureaucracy?
Is this another good reason to move to capitated compensation structures
so that providers are free to focus on the optimal way to arrive at best case
outcomes?
28. Considerations
Providers must have an auto responder function
about emergencies
What is the difference between text messaging
and telephone messages in terms of impact and
liability?
Perhaps the terminology should be “emailing or
text messaging” since text messages are limited
to 140 characters, which will often be too
limiting.
29. Message/email Style
Standardize structured text or free text
Occasional need for a more personal touch
Text/emailing creates a far superior audit trail to telephone
messaging, so assuming that the provider has acted properly, it
reduces liability and the likelihood of litigation.
Fail-safe controls are required to ensure a timely response to all
communications, otherwise a new avenue of liability would be
created.
Need patient agreement and clear guidelines
Guidance where text messaging should be used; what
requirements for response and saving it (data base, EMR
document).
30. Considerations
All communication should be logged and saved
for a minimum period.
Everything that isn’t easily and automatically
identifiable as unnecessary (such as appointment
reminders) should be saved in an EMR,
otherwise time/money is wasted deciding on
what’s worthy.
33. Accessing Information at the
Point of Care
Patient health information
Insurance eligibility information
Care decision support information
Formularies
Guidelines and protocols
Disease management information
Access to scientific body of medicine
Other
34. Application Cluster 2
Cell Phone as Information Resource at the Point of Care
Formularies
1.
Guidelines and protocols
2.
Decision support
3.
Telemedicine guidelines
4.
Accessing specific CCR information
5.
Patient’s comments re Web
6.
Patient directives
7.
PHR
8.
35. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
39. Problem
Consumers have access to health
information outside the clinician
community.
They demand a more convenient, open
and communicative system.
They want privacy guaranteed but also
want to be able to share health data
with others
41. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
42. Application Cluster 3
Point-of-Care Documentation
Three parts:
Computer use at the point of care
1.
Accessing information
2.
Within the system
a.
Outside
b.
Documenting
3.
User preferences
Technologies
Integration
47. Using the CCR as the
base, a clinician can now
dictate or record through
speech recognition – or
with keyboard or stylus
This opens up a wide
range of workflow
options at the point of
care
48. As such recordings will
be integrated over the
next 18 months with
online protocols (new
and existing), a new
process of electronically
enabled care will emerge
49. Point-of-Care Computing in
Participatory Health
Combination of mDevices and monitors
Access to information resources
Rules for documentation
Integration into legacy systems
52. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
53. Cluster 4: Disease
Management
Wonders of better communication
Currently focused on
Diabetes
Asthma
Dermatology
Preventive care in pregnancy
Smoking cessation
Hypertension
54. Diabetes
Several companies
Applications
Parents to monitor their children
Patients to monitor and report their health
data
58. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
60. Issues
We need to understand projects and
experiences
Need for standards
61. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
62. Application Cluster #6:
Professional Communication
Preferred communication channels for
lab, pharmacy etc.
Colleagues
Specialty-specific communities
63. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
64. Application Cluster #7:
Administrative Applications
Wide range of applications
Provider – Patient applications
Staff communication
With others
Text v. email
65. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
67. Application Cluster #8:
Financial Applications
Charge capture
Providers accessing eligibility info
Providers sending bills
Payers in active communication with
patients and providers
Online real-time adjudication
68. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
69. Application Cluster #9: Emergency
Care in Participatory Health
Not starting with a “blank sheet”
Potential need for record locator system
Substantial cost reductions expected
70. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems
71. Application Cluster #10:
Population Health Communication
in Participatory Health
Reporting of disease outbreaks
Instructing patients
Bioterrorism
Surveillance
Population notifications
Other
72. New Healthcare Communication is the first part
of the mHealth Revolution
1 Patient Communication
3 Point-of- Care
2 Access to web-
• Before Visit:
4 Disease
•Appointment
Documentation
•Agenda (Reason for Visit) based resources
•Access patient history Management
•Patient Information (CCR) Guidelines and Protocols
•Documentation
Data Set •Diabetes
Decision Support
(information capture)
• General •Dermatology
Telemedicine Guidance
•Transmission
•Text messages •Asthma
Formulas and Medications
•Navigation
•Email •Smoking Cessation
•Medication Reminders •More
•Questions (with photos if
applicable)
•Patient education
5 P-o-C Education
11 Pharma/Clinical Programs
Teaching Applications
Trials
•Clinical Trials
6 Professional
•Patient Feedback Systems
Communication
7 Administrative
8 Financial
9
10 Public Pharmacy,
Applications Colleagues, Lab,
Applications:
Ambulance/EMS
Health •Patient Tracking Hospital, Others
•Charge Capture
•Disease •Search for PHR and •Asset Tracking
•Eligibility Checking
Reporting other Resources •Scheduling
•Payment
•Bioterrorism •Capture information •Bed Assignment
•Other Financial
Communication •Transmit to ED •Other Communication
Systems