The document discusses using mobile apps and technology to create a more patient-centered healthcare system. It describes how apps can provide patients with healthcare information, facilitate communication between patients and providers, and help educate patients. Quality measures for healthcare can be improved by giving patients a more direct role in their care and accessing feedback through their app usage and behaviors. The document presents examples of potential apps, like one that helps asthma patients track their conditions and medications. Overall, the goal is to empower patients and turn them into active customers through mobile technologies.

1. Patient Centered IT meets APPS4HEALTHDr. Christian SeebodeGerman Healthcare Services

2. OverviewPatient Centered IT12APPS4HEALTHTurn patients into customers3Quality measures45Case Study: APPS4HEALTH – Mobile Health Explorer© GHS Dr. Christian Seebode APPS4HEALTH

3. Patient Centered ITInformation12CommunicationEducation3Security & Trust4© GHS Dr. Christian Seebode APPS4HEALTH

4. InformationInformation about meWhat happens to me ?

5. Electronic Records accessible to patients, eLearing modules and community interaction provide valuable possibilities to improve the personal level of literacy. Access to online libraries, information packets and resource centers.Information about helathcare providerWhat about my treatment ?

6. Everything from the display of general hospital information, patient pathways up to the possibility to schedule admission or examination.Information about othersHow about the others ?

7. Build sustainable informational and personal relationships . Communities to study what is happening to other patients and how they are treated in comparable situations. But also information about family members and relatives is necessary to support patients.© GHS Dr. Christian Seebode APPS4HEALTH

8. CommunicationPatients communicate knowledgePatients are experts on their own behalf.

9. A Simple but valuable tool to capture this experience would be an electronic diary where the patient shares his experiencesPatients communicate needsThe patient connected online to communication activities is more prone to self disclosure.Communication is therapySupport motivation and participation via positive self-perception.

10. Responsiveness is an issue. So the care team needs enhancement by call- or online center people with medical knowledge.© GHS Dr. Christian Seebode APPS4HEALTH

11. CommunicationCommunication is sharing informationExplicit and implicit sharing of information and knowledge between patients, physicians and the community

12. I.e. Explicit information sharing via clinical pathwaysCommunication is diverseDifferent languages and cultural backgrounds

13. Social and family situation. Family members should be supported in communication efforts© GHS Dr. Christian Seebode APPS4HEALTH

14. EducationPatient contextThe level of illness, skills, disabilities, literacy, work, family, economical situation. Reflect this in the user model or personalization engine.Patient networksEducation via personal relationships is effective because there’s someone you can ask as a patient. Improve health literacyHealth Literacy is an important influence on health outcome.

15. Involve patients in healthcare delivery leverages understanding and improves outcome© GHS Dr. Christian Seebode APPS4HEALTH

16. Security & TrustTrust myselfWould i connect with others online and share intimate information ?

17. Online communication supports anonymous exchange and lowers thresholds

18. Writing supports self reflection. What will others think ? Trust othersFrom Healthcare provider to the rest of the world. What are the risks ?

19. Evidence based medicine to model the risk of healthcare delivery

20. Trust and Security are shared asset and not a problemTrust the systemTendency to trust in security features is different

21. Each Patient needs a personal risk model.

22. The system has to be explicit about who accesses the information© GHS Dr. Christian Seebode APPS4HEALTH

23. SummaryKnowledge sharing, diaries, communities, cultural diversity.Libraries, EPR, community, treatment plans, schedule activities, personal relationships InformationCommunicationEducation Trust Support personal risk model. Be explicit about who accesses informationIndividual Context and personalizaton, Q&A in network, improve health literacy© GHS Dr. Christian Seebode APPS4HEALTH

24. APPS4HEALTHPatientCenteredITPerceive patient as a customer

25. Location based services to find health services

26. Instant dialogue triggered by physical conditions or environmental change

27. Use camera to document skin symptoms, position sensors to measure movements

28. Text messaging as reminders improve outcomesAspectsRealizationMobility supports proximity

29. High responsiveness directly adressed via mobile communication

30. Mobile phones use sensors to generate personal data

31. Mobile communication supports patient involvement

32. Always on supports continuous care and prevention

33. Mobile patients act as a customersTurn patientsintocustomersApps leverage Patient Centered perspectiveDirect Access to patient behavior!Communication and participationFeedbackQuality MeasuresApps reduce problem complexityIf there is a business case then it is simpleApps lower threshold to experimentPatientInvestorBut: simplification needs to be governedi.e. avoid over-saturation effect because of many similar apps

34. Turn patientsintocustomersCharacteristicsofAccountable CareThe ability to provide, and manage with patients, the continuum of care across different institutional settings, including at least ambulatory and inpatient hospital care and possibly post acute care The capability of prospectively planning budgets and resource needsSufficient size to support comprehensive, valid, and reliable performance measurement.© GHS Dr. Christian Seebode APPS4HEALTH

35. Quality MeasuresPerceive patient as a customerMeasures and CritiquePCIT powered APPS4HEALTHProcess measures

36. measures whether a process or a step took place or not

37. Specific but not patient oriented

38. Outcome measures

39. Patient oriented but too global

40. Composite measures

41. Patient oriented and global but restricted to provider processes (Appropriate care measure ACM)

42. Patient Experience measures

43. Patient experience but not patient satisfaction

44. Patient experience accessible

45. Directly via questionnaires

46. Indirectly via Patient behaviour

47. Immediate result feedback

48. Reminder support up-to-date information© GHS Dr. Christian Seebode APPS4HEALTH

49. AED4EUStoryAED4EUAs a first aider i want to locate automatic external defibrillators quickly© GHS Dr. Christian Seebode APPS4HEALTH

50. ABRIIZStoryABRIIZAs asthma patient i want to track my medication and attacks so that i am able to adjust my medication together with my physician© GHS Dr. Christian Seebode APPS4HEALTH

51. APPS4HEALTH - Dashboard© GHS Dr. Christian Seebode APPS4HEALTH

52. APPS4HEALTH – Weekly View© GHS Dr. Christian Seebode APPS4HEALTH

53. APPS4HEALTH – QuestionsOverview© GHS Dr. Christian Seebode APPS4HEALTH

54. APPS4HEALTH – Questionnaire© GHS Dr. Christian Seebode APPS4HEALTH

55. APPS4HEALTH – Guidebook© GHS Dr. Christian Seebode APPS4HEALTH

56. Patient Centered Cycle© GHS Dr. Christian Seebode APPS4HEALTH

57. Fred BasalamaInformations-wissenschaftDr. med.Robert GerlArzt & MBADipl. Inf.Heiko MusaWirtschaftsinformatikerDr. med.Christian SeebodeArzt & Dipl. Informatiker© GHS Dr. Christian Seebode APPS4HEALTH

58. Patient Centered ITPatientCenteredIT?Mailchristian.seebode@german-healthcare-services.comfred.basalama@german-healthcare-services.comheiko.musa@german-healthcare-services.comrobert.gerl@german-healthcare-services.comWebGHShttp://german-healthcare-services.com/Patient Centered IT Blog:http://patient-centered-it.comFacebook:http://www.facebook.com/pages/Patient-Centered-IT/58930458136Twitter:http://twitter.com/PatCentIT??German Healthcare ServicesDessauer Str. 28/29D-10963 BerlinTel. +49 30 33985817 Fax: +49 30 33985818© GHS Dr. Christian Seebode APPS4HEALTH