Mobile health applications are growing rapidly, with 72% of physicians currently using smartphones. The most popular platforms for medical apps are currently the iPhone and Blackberry. In the future, more apps will be developed for Android tablets and Windows Phone 7. Popular current medical apps include Epocrates for drug references, Medscape for extensive medical content and CME, and various clinical apps like Nimble that allow access to electronic health records from mobile devices. Remote monitoring apps are also emerging that allow monitoring patients from ICUs and during childbirth from mobile devices. Future directions include more "web apps" that can be accessed from any device and app stores within electronic health records to facilitate integration.

1. Medical Applications for Mobile Devices
Felasfa Wodajo, MD
Virginia Telehealth Summit
April 5, 2011

2. Disclaimers
Senior editor & partner, iMedicalApps.com
mobile medical app and technology reviews & commentary
Co-Founder, Touch Consult LLC
www.theList.MD : web based signout software for medical and surgical residents
Board of Advisors, Doximity
physicians’ private network, directory & secure messaging

3. Mobile health applications are growing rapidly

4. Health apps by platform, 6 months
source: MobiHealthNews.com, 11/4/10

5. 72% of physician use smartphones
projected to rise to 81% by 2012
source: Manhattan Research

6. Currently most popular are iPhone & Blackberry

7. Future Growth of Platforms
Epocrates surveyed medical students in 2010 (that use Epocrates - bias)
42% of respondents stated they are planning on buying a new device in the
next year
of these, 64% were planning on purchasing iPhone (iOS) device, 24% Android
and only 4% Blackberry

9. “The core goal of the iPad initiative is to improve
the student learning experience.”

10. UC Irvine - White Coat ceremony (with iPad)
http://www.imeded.uci.edu/white_coat_2010.asp
http://www.uci.edu/features/2010/08/feature_ipad_100813.php

11. Current & New
• Current:
• iOS4 (iPhone, iPad, iPod Touch)
• Android, Blackberry, Symbian
• New:
• Windows Phone 7
• Android tablets
• Blackberry Playbook

12. Finding Mobile Medical Applications

13. Android Market Launches Medical Section
• December 2010
• Clinician & Patient apps mixed

14. iTunes App Store
Healthcare & Fitness
Medical

17. Demand for Mobile Medical Content
iMedicalApps.com
• November 2009 - March 2011
• <50,000 views/month March 2010
• 400,000 views/month February 2011

18. Clinician apps
Clinical

19. Electronic Health Records (EHRs) & ePrescribing

20. Nimble

21. Nimble

22. Nimble

23. Monthly pricing
Pricing & Editions
All versions include software hosting, data back-ups, maintenance, support,
and upgrades at no additional charge.
BEST VALUE!
Prescribing Edition Clinical Edition Practice Edition
A powerful electronic prescribing A comprehensive EMR and Integrated scheduling, billing,
application whether in the o ce electronic prescribing solution and EMR solution for the entire
or on the go. for today’s busy physician. medical o ce.
$ 99
per provider/per month
$ 399
per provider/per month
$ 499
per provider/per month
Includes Nimble interactive Includes Nimble interactive EMR Includes Nimble interactive EMR
electronic prescribing for the for the iPad. for the iPad.
iPad and iPhone.
Diagnosis-driven prescribing Includes all Prescribing Edition Includes all Prescribing and Clinical

24. Allscripts Remote

25. Epic

26. iPrescribe

27. Medical devices & Monitoring

28. Airstrip Technologies - Remote Obstetric & ICU
monitoring
Multiplatform

29. Airstrip
• FDA approved
• recently announced partnership
with Physio-Control (Medtronic)
to integrate with LIFEPAK
defibrillator/cardiac monitors to
send strips from EMS

30. iBGStar Glucometer

31. Clinician apps
Practice

32. Medical Reference

33. Epocrates

34. Epocrates
Epocrates Rx (Free)
Epocrates Rx Pro ($99 per year)
Epocrates Essentials ($159 per year)
Epocrates Essentials Deluxe ($199 per year)

35. Epocrates Rx Sample Features
Free Version:
Drug Interactions
Pill Identifier – Pill pictures
Drug Info – Information on thousands of drugs
MedMath
Epocrates Rx Pro – $99 per year:
Infectious Disease Treatment Guide
Brand Name OTC drug products
Alternative Medicine
IV compatibility checker

36. Epocrates Essentials
for Android
Drug Information
OTC Medications
Drug Interactions
Disease Information
Infectious Disease
Diagnostic/Lab Tests
Alternative Medicines
Pill ID
Tables/Calcs

37. Medscape

38. One of the best free apps
Top 20 Free iPhone Medical Apps
for Health Care Professionals

39. Medscape
Free app
Huge amount of content
7,000+ drug references
3,500+ disease clinical references
2,500+ clinical images and procedure videos
robust drug interaction tool checker
CME activities
and more

40. iPad and Android versions

41. Medscape
• Nov 2009: 200,000 downloads
• March 2011: 975,000 downloads
• Functionality
• CME

42. Calculators

43. MedCalc

44. MedCalc Pro
• Reviewed by
iMedicalApps.com ( Amit Patel,
MD, 09/17/10)
• iOS only
• Pro version upgrade to free
version and superior ($7.99)
• can create a “patient
database”
• iPad support
http://dev.imedicalapps.com/2010/09/medical-
calculator-medical-apps-medcalc-pro/#more-7102

45. MedCalc
• 800,000 downloads
• Niche
• Small developmental team

46. Radiology reference & Imaging apps

47. Monster Anatomy

48. Featured in Apple iPad advertisement

49. iRadiology

50. Free Radiology teaching tool

51. OsiriX

52. Radiology 2.0: One night in the ED
• Case Based Learning
• 48,000 downloads
• 1,200 downloads per week
• Individual developer

53. Future of Medical Apps

54. “Web apps”
• Advantages
• Easier to deliver, maintain
• Cheaper

55. “Web apps”
• Disadvantages
• Offline Usability
• Full Functionality
• User Experience

56. Health 2.0 Apps Accelerator
• “light-weight open framework”
• non-profit and vendor neutral
• “Removing integration barriers
that limit mutually beneficial
collaborative business
opportunities”

57. EHR app stores
• EHRs releasing APIs to allow
developers to build extensions
and new interfaces
• Help patients report health data directly to their
• Practice fusion alone had 24 doctors and their medical charts in real-time
developers participate in its
Developer Challenge • Give medical providers access to real-time patient-
driven health data within their EHR system
• Build additional analysis, data visualization, alerts,
patient education and health-improvement features
utilizing the health data

58. Thank you
Felasfa Wodajo, MD
Senior editor, iMedicalApps.com
Musculoskeletal Tumor Surgery
Virginia Hospital Center