mHealth & the Medical Provider

mHealth & the Provider Experience
Harnessing mHealth to improve the patient relationship

Luca M. Sergio

LMSergio@gmail.com
Twitter: @LMSergio
Mobile: +1-201-744-3364

Luca Sergio
• CEO of ophthalmic marketing
communications firm, Ethis
Communications

• Industry experience: technology
commercialization and strategy

• Ophthalmology, dentistry, infection control

• Healthcare IT

• Catalyst behind 1st mHealth app and
miniPACS cloud system in eyecare:
EyeRoute® Synergy (Topcon Medical
Systems)

• mHealth advocate

[mHealth & the Provider] : [April 2013]

Objectives for this evening

• Understanding of mHealth
• How it applies to the provider and the patient
• Deeper dive on some of the technology
• Trends
• Key needs
• An overview of what’s coming


what is mHealth?
Mobile healthcare (mHealth) is “the biggest technology breakthrough of our time
[being used] to address our greatest national challenge”, said US Health and
Human Services Secretary, Kathleen Sebelius

mHealth is defined as the provision of healthcare or health-related information
through the use of mobile devices (typically mobile phones, but also other
specialized medical mobile devices, like wireless monitors). Mobile applications
and services can include, among other things, remote patient monitors, video
conferencing, online consultations, personal healthcare devices, wireless access
to patient records and prescriptions.


what is mHealth?

$11.5 billion in
$23 billion
pervasive $6.6 billion in
global market
mHealth devices
by 2017
services

http://www.emdt.co.uk/article/jvosinterview


who is mHealth? data exchanged between
all


what makes up mHealth?


example - ophthalmology


example - cardiology


example – enterprise Health IT –
apps, interoperability, BI/analytics


example - diabetes


example – vital signs monitoring


example – infection control


example – secure communications


example – new patient scheduling


example – patient education


example – remote pediatric care


example – mobileRx of healthapps


what should mHealth drive?
Alignment with Meaningful Use
Stage 2 behavioral
requirements
mHealth 2.0 is all about driving
behavioral change (patient &
provider) via mobility of
systems
mHealth 1.0 was an app for an
app's sake


key mHealth macro opportunities
Chronic disease (chronic heart failure, chronic obstructive
pulmonary disorder, diabetes) - 75% of US healthcare
spending
Behavioral change
Intelligent systems to handle data deluge


mHealth trends
Cell phone subscribers constitute largest distribution
system for healthcare info
Anytime, anywhere, any device
Initial enthusiasm focused on apps and fitness
sensors, focus now shifting to mobile enabled
services that drive meaningful change
Focus on quality of care, patient retention, and
patient communication
Recent VA & NHS studies evidence cost reductions
via mHealth
Continued lack of interconnection between data silos
& consequent emergence of meta-systems to access
disparate data silos


mHealth trends
While buzz is about mHealth & Health 2.0 systems, the
real change agent will be the data ... But they must be
actionable, with low latency, and within feedback loop
Meanwhile, MDs suffer from a data deluge
Newer IT players displacing older, legacy systems
MD & consumer adoption of mobile devices plus patient
expectations of "now" creating pressure for new data
dialogue and new clinical insights
Greater patient involvement will revolutionize care
Aging at home must be a priority
Reimbursement models emerging in US with alignment to
quality of care


key provider needs

Focused on
closing specific
Instantaneous Mobilized,
compliance
view of patient eased workflow
loops with
patient


key patient needs

Self care
Easily closing
information, but
24/7 access to compliance loop
connected to
providers for MD care
valued partner:
instructions
MD


problems to avoid

Wasting time to
Adding
learn a non- Non HIPAA
complexity to
intuitive compliance
workflow
interface


barriers to broad adoption

Lack of
Reimbursement interoperability
Regulatory
/ business with existing
uncertainty
models Health IT
systems


FDA/EU, Congress, & certification

FDA & EU US Congress Certification
• FDA guidance document not finalized • 3 days of recent hearings • Question: “Is this app medically valid?”
(7/21/2011) – perhaps by 2013? • House Committee on Energy & • “Is it useful, standardized and accurate?”
• Debate on device / app classification Commerce • Happtique Health App Certification
continues • Inconclusive Program (a CCHIT for mHealth)
• EU debating as well – most apps Class 1 • Raised awareness and scrutiny
• Hindering innovation? • Focus on patient benefits, regulation, and
• Issues: spurring innovation
• Re-representing data • Rep. Mike Honda (D-CA) “Healthcare
• Clinical Decision Support Innovation & Marketplace Technologies
• Controlling a device Act” (HR 6626) to be introduced again to
2013 Congress:
• Creation of alarms
• “FDA Office of Wireless Health”
• Quality systems requirements
• Innovation fund
• Reducing barriers to entry
• Financing to MDs for adoption


what does the future hold?
1.Sensors, smartphone sleds & attachments
2.Apps, Cloud Systems, and Interfaces with broader Health IT
3.Big Data, Predictive Analytics, Modeling Tools, & Business
Intelligence Dashboards
4.Clinical Decision Support systems
5.Remote Patient Monitoring / Patient Centered Home / Telemedicine
6.Communications / Healthcare Social Media / Collaboration tools
7.Middleware for national patient IDs
8.Patient Communication & Self-Service - Patient Portals, Databases,
Apps, & Kiosks
9.Explicit services linked to a Mayo Clinic-type org / Hub & Spoke
10.Quantified Self / Fitness devices
11. Platform as a service: enabling workflow & data across multiple
devices


a vision of a connected future –
from Kaiser Permanente…

[mHealth & the Provider] : [ April 2013]

mHealth influencers & resources
www.MobiHealthNews.com
www.Happtique.com
www.mhealthsight.com
www.HealthcareMobile.com
Dr. Eric Topol, @EricTopol
Dr. Ruchi Dass, @drruchibhatt
Dr. David Lee Sherer, @dlschermd
Paul Sonnier, @Paul_Sonnier
Wireless Health group on LinkedIn
Luca Sergio, @LMSergio


For more conversation…
Please reach out to me at any time

Luca M. Sergio

LMSergio@gmail.com
Twitter: @LMSergio
Mobile: +1-201-744-3364

mHealth & the Medical Provider

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