Mobile Health: the enable of Empowered Patients

mHealth: the enabler of
Empowered Patients
David Doherty, coFounder, 3G Doctor
Selfcare Pharmacy Conference
London Olympic Stadium
15th
November 2018
IMPORTANT: THESE SLIDES ARE NOT CONFIDENTIAL. PLEASE SHARE THEM.

For a copy of these slides & video recording
of this talk please visit
twitter.com/mHealth

Most important lesson I was taught at Medical School

When did you first look something up on the internet
with a Patient?

Why did I feel like a complete fraud?

We weren't being trained to sign post Patients to info

Doctors still aren't taught to use the Internet with Patients

Patients love older Medics who use the internet with them
(if you're current with tech you're probably current with
your medical knowledge)

If you're a young Medic Patients think you're cheating
using the internet (unless you're really competent & using
the very latest tech)

Did you know a Mobile on your person gets you
an instant fail in the MRCGP exam?
https://mhealthinsight.com/2016/12/20/

You may never consult a Patient without a phone that's at
least as powerful as an iPhone XS in your pocket.

You may never see a Patient/Carer who doesn't have
a phone that's as powerful as an iPhone XS in their pocket.

You may never see a Patient/Carer who doesn't have
a phone that's as powerful as an iPhone XS in their pocket.
Impressed with 3G? That might be slowest internet speed
you ever experience...

The 'first opinion' is now a Google search of your own
symptoms on your Mobile

Mobile is transforming Clinician Education
http://3D4Medical.com

Mobile has transformed how to access clinical information
http://MedHand.com

http://mhealthinsight.com/2013/06/17/
“It is not enough to do your best,
you must know what to do and
then do your best”
W Edwards Deming

It's time to unlearn old ways of doing things...
http://mHealthInsight.com/2015/07/20/

https://www.hisi.ie/hisi/certif ication/mhealth

Guess how much it would cost to get Doctors to enter
their thoughts into Computers?

> The NHS spent £12B on the NpfIT
> The US Government spent €30B on MACRAS subsidies

> The NHS spent £12B on the NpfIT
> The US Government spent €30B on MACRAS subsidies
Imagine if they'd asked a Doctor who was already sharing
Medical Records with their Patients?

Prof Sam Lingam MD (Hons), FRCPCH FRCP (Glas),
DCH DRCOG
https://mhealthinsight.com/2016/07/16/review-a-new-mhealth-apph/

Medical Records are better when connected to a Medic
in the same way that financial data is better when
connected to a means of transacting...

The evidence for the value of Interactive Medical History
Taking Questionnaires

http://www.youtube.com/watch?v=uY32p_BqPw0

3GDoctor.com (launched November 2006)
https://engagehealth.uk/about-us/

EngageHealth.uk by Wiggly-Amps.com
https://engagehealth.uk/about-us/

Why aren't GPs motivated to make themselves
more accessible?

The GP shortage means Patients accept they'll lose
half a day to see a GP.
GPs know that if they become easier & more convenient
to access they will create more demand.
Solutions need to save Patients and Doctors time:
Patients need to be able to share their info with a Doctor at
Anytime from anywhere
Doctors need more info to move beyond the 2000 year old
visit only model of healthcare and better manage demand
& utilise their time.

Doctors worked hard to get secretaries, they're not going to
let them go just because an app can now do their job...
Search “Computer Says No” on YouTube

Healthcare records are now electronic & the world's largest
and most profitable company wants to focus on using this
Information to empower Patients

Tim Cook: mHealth revenues will dwarf our current
business

The Sickcare industry & it's Politicians don't want to hear
about Apple Health...

What can a Pharmacist do for a Patient empowered with
Mobile access to a detailed Healthcare Record?
Perhaps more than a GP?

Might there be more incentives for Pharmacists to serve
Empowered Patients than for Doctors?

Moving beyond the 2000 year old office visit only model

The opportunity for mHealth to help us manage Health
http://TelCare.com

What if every Patient had:
> Mobile access to Medical Records
> Seamlessly connected medical devices
> a 24x7 Mobile Video Connection to their Carers

m is for Mobile – the newest mass media
http://mHealthInsight.com/2010/01/11/ http://twitter.com/TomiAhonen/

Unique attributes of Mobile as a mass media
1st – mobile is personal
2nd – mobile is permanently carried
3rd – mobile is always on
4th – mobile has a built-in payment channel
5th – mobile is available at the point of creative impulse
6th – mobile is most accurate at measuring its audience
7th – only mobile can capture the social context of consumption
8th – only mobile can offer augmented reality
http://mHealthInsight.com/2010/01/11/ http://twitter.com/TomiAhonen/

Mobile isn't a subset of the Internet
There are
Landline phones
1.1B
TomiAhonen.com Mobile Industry Almanac

There are
PCs
(desktops+laptops
+netbooks+tablet PCs)
1.5B

There are
TVs
2B

There are
mobile subscriptions
7.1B

68%Say they check their phone
within 15 mins of waking up
Google Consumer Surveys Aug 2015 n=729

We check our mobiles
a day
150
Kleiner Perkins C&B Internet Trends Report 2013

Mobile is transforming the Internet from something we
browsed & clicked-on into a network of devices
http://TelCare.com

“I just made that number up
to stop Mum worrying”
Mobile is transforming the Internet from something we
browsed & clicked-on into a network of devices
http://TelCare.com

“When Digital Technologies Converge
they Converge to Mobile”
http://twitter.com/TomiAhonen/

http://www.withings.com/eu/en/products/blood-pressure-monitor/

http://www.withings.com/eu/en/products/smart-body-analyzer/

http://www.withings.com/us/withings-aura.html

http:/starkey.com/hearing-aids/technologies/halo-wireless-hearing-aids/

http://Alivecor.com

http://www.digisight.net/digisight/paxos-scope.php

Snellen Chart or Smartphone App?

“Healthcare will become a Mobile Experience,
we will drop the Health in mHealth not the m”
http://twitter.com/mHealth/

“...we see mHealth as one of the tools in fighting the spread of
diabetes & making the lives of people with diabetes better.
The key however is really ensuring that mHealth is embedded
within healthcare programmes. It’s not an optional
add on extra but it’s part of how we do good
healthcare with people who have diabetes...”
Petra Wilson, CEO
International Diabetes Federation
http://www.youtube.com/watch?v=tocZ7s4F8nA

Support those you trust by sharing their insights

Understanding Mobile is a duty of a Community Pharmacist

“Do we need AllTrials
or AllConsultations?”

Prescribe yourself some social media training

Mobile connects us with Patients & that transforms Care
`````

Mobile connects Carers & that transforms their Lives
Unimaginably tough times
Volunteers
Friends & Family
untrained24x7
unpaid

Assume Patients want to use the tech they use elsewhere
“my mother is 93 years old & has
an iPad. She wants to know why
she can't FaceTime the Practice
Nurse. So do I”
http://twitter.com/roylilley/

Remember: “here's my number” is one of the most
caring things you can say to a Patient

Minimally Disruptive Medicine

Mobile is disrupting everything

Clinical Trials are being disrupted by a
company that doesn't make drugs

http://www.youtube.com/watch?v=BFmb9OL-oq0
mHealth is transforming Research & Clinical Trials

mHealth is transforming Research & Clinical Trials
https://mhealthinsight.com/2015/04/01/mobile-f irst-clinical-trials/

Most people have no idea what Big Data actually is...

Apple HealthKit is closing the loop & enabling us to
Calculate the precise values of personalised treatments
http://developer.apple.com/heathkit/

How would the Born Mobile generation design Healthcare?

Thank you. Please share your thoughts!
@mHealth
mHealth Insight.com

Mobile Health: the enable of Empowered Patients

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