The Patient’S Back Up Brain

The Patient’s Back-up Brain
A Mobile Health Future

mHealth Initiative June 2009

Presented by Edward A Stern, RN
Clinical Informatics Lead
George Washington University Medical Faculty Associates

Presented by Edward A, Stern, RN
ed.stern@nothingbetter.com

About Your Presenter
• Informatics Nurse for GW Medical Faculty
Associates
– 500+ Physician teaching practice (plus Residents and
Student) with more than 40 clinical specialties in
multiple locations, serving the entire Washington DC
metro area
– Treat an estimated 4,600 patients a day
• Developed the “Back-up Brain” education series
for Clinical professionals
• Patented consumer “usability” research model
• Former clinical informatics consultant

What is a “Back-up Brain”?
• Any kind of “device” which:
– Helps keeps us in our daily routine
– Allows us to reference complex data
points
– Enables us to “Think, Process and
Clear”
• “Stream of consciousness” thinking via;
notes, reminders, etc which pop in get
recorded and cleared for the next..


The Mobile Device Market
• The UN Reports that more than half the
world population has a mobile phone
– Less than a quarter of the world
population has Internet access

• A mobile phone is by it’s very nature
designed to be a “consumer usable”
device (so it’s relatively easy to operate)

• The mobile phone market is available to
all and tends to level all socio-economic
groups and age barriers


Powerful Consumer Centric
Mobile Market in the US
• In 2008, 89% of the US population, are mobile phone
subscribers (>270 million), according to a research study
– 15 million more than 2007
• 1 trillion text messages during 2008 were sent in the US
– Triple the number of texts in 2007
• 620 billion texts were sent during the second half of 2008
• Total volume of texting averages 3.5 billion
per day.
– That's 13 messages per person, per day
• Total wireless revenues in 2008 came to
$148 billion
– $9 billion more than 2007
Source: CTIA President Steve
Presented by Edward A, Stern, RN Largent, April 2009, Annual Conference

Playin’ the Patient Averages
• The mobile phone has changed how the
“average human” communicates
– 89% of the US population has a cell phone

• The “average patient” desires to be an active
participant in their medical care, but the
process is often complex and time consuming
– 96% preferred to be offered choices and to be asked
their opinions
– J Gen Intern Med. 2005 June; 20(6): 531–535

Playin’ the Patient Averages
• 54% are actively putting effort into learning more
about their personal health”
• 64% say they would be interested in using an ”in-
home” medical device that could help them know
what to do and when
• 44% express interest in programs and tools such as
health diaries and education
• 37% say they are interested in using oniline tools
that could help them assess, monitor and manage
their health
• 68% are interested in home monitoring devices that
enable them to check their condition and send
results to their doctor
Source: 2009 Survey of Health Care Consumers – Deloitte Center for Health Solutions

The Mobile Health Opportunity
“mHealth”

Patient

Provider

Mobile
Technology


3 Point Cycle of
Patient Centric mHealth
Reference and
message
solutions for the
patient
Growth of the
Patient and
Provider
relationship;
resulting in
Applications to improved health
remind and
engage the
patient in
personalized
care


Solutions must be
patient and market driven
• 270 million text enabled phones in the US
– Simple communicator with a great deal of flexibility
and versatility
• Almost 10 million Blackberry Users +
• Almost 7 million Windows based phones +
• Approximately 5.4 Million iPhone devices sold +
– Almost 1 billion iPhone applications downloaded
– 38% of mobile internet market share (Source: BusinessWeek 5/26/09)
• Strong presence of market segment for 3rd party
vendors + (Source; Comscore via Softpedia May 6, 2009)


Where do we start go from here?
• Determine your patient market segment
– Get and classify patient mobile numbers in
practices
• Simply offering help and suggest current 3rd
party standalone solutions:
– Track your BP, Hgb A1C, blood sugar
– Medication reminder apps
– Diet diaries/trackers/calculators
– Exercise diaries/trackers

Quickly moving forward
• Consider voice options
– Televox to mobile phone with patient care
updates as simple entry level solutions
• Text message options
– Appointment reminders
– Medication reminders
• Pilot program at GW reminding cardiac patients when
to take critical meds
– Text to dB options
• Have patients text their Glucose


Integrated solutions
• 3rd party apps directly from phone into MD EMR and patients
PHR
– Vitals, Medication reminder and use, home testing reference
numbers
– Appointment scheduling
• MD and EMRs “to” the mobile device (and PHR)
– Consults on medication adjustments based on results sent
dynamically from the device
• Home testing systems using mobile technology direct to the MD
(and EMR/PHR)
– Hgb A1C, blood sugar, and other home devices
• Integrated devices
– Phone “is” the testing device
• Emergency care information access
– Break the glass solutions on the patient phone for the
CCR/EMR/PHR


Conclusion The Next Steps
• Patient population is ready and waiting
• Industry moves
– mHealth Initiative
– Move towards HIT (ARRA etc)
• Start simple and small and move forward


Contact
• Edward A Stern, RN
– ed.stern@nothingbetter.com
– www.nothingbetter.com

• This presentation is available on SlideShare
– www.slideshare.net/nothingbetter


The Patient’S Back Up Brain

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