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Rapid Rise of Mobile Apps in Healthcare

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Presentation by PJ Gorenc, Nemours Center for Health Delivery Innovation at the Smart Health Conference 2018, held at Bally's Las Vegas on the 26-27th of April, 2018.

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Rapid Rise of Mobile Apps in Healthcare

  1. 1. Rapid Rise of Mobile Apps in Healthcare PJ Gorenc Nemours Center for Health Delivery Innovation
  2. 2. Patient Care by the Numbers 410,000 Patients/1.7 million annual encounters 3,800 Trainees (Residents, Fellows & Students) 837 Employed physicians 228 Researchers 1,600 Nurses 42 Specialties and subspecialties 49 Employed hospitalists 80 Pediatric care locations in five states 19 Collaborating hospitals 7,600 Employees Wilmington, Delaware Orlando, Florida Nemours at a Glance  Nonprofit devoted to children’s health, providing care, research, and education  Enduring legacy of Alfred I. duPont Center for Health Delivery Innovation
  3. 3. Center for Health Delivery Innovation Stating the Obvious Problem: • 78% of the more tech-savvy consumers say the healthcare digital customer experience needs improvement. • 50% said they would leave their current physician for a better digital customer experience. • Consumers want fast and easy digital experiences, but mobile healthcare is perceived as lacking ease of use and features, with 62% not able to accomplish what they want it to do, and 42% citing a lack of relevant options. Source:  https://www.beckershospitalreview.com/patient-engagement/consumers-want-their-digital-healthcare-experience-to-be-more-like-retail-4-things-to-know.html  The research was based on online responses from nearly 1,102 U.S. healthcare consumers during September 2017.
  4. 4. Center for Health Delivery Innovation There’s an App for That Problem: • There’s an app that either exists, or is being developed for just about every clinical problem that patients face. • But there are too many! This fragmentation is:  Not easy for patients  Not easy for clinicians  Not sustainable at scale
  5. 5. Center for Health Delivery Innovation There’s a Device AND an App for That Remote Monitoring • Disease Management: devices+apps. • Too many!  Not easy for patients  Not easy for clinicians  Not sustainable at scale Source: https://www.tytocare.com/tytohome/ https://www.youtube.com/watch?v=1m-jniZo-Jg https://www.propellerhealth.com/how-it-works/ https://www.novartis.com/news/how-digital-technologies-are-shaping-new-normal-people-living-copd https://www.hapi.com/product/hapiscales
  6. 6. Center for Health Delivery Innovation There’s a Device and an App for That Device Data Transmission EMR Clinician Mom/Dad
  7. 7. Center for Health Delivery Innovation Example: Asthma One could easily wind up with several apps for one condition. • Patient Record / Scheduling / Clinician Communication • Telehealth • Asthma Disease Management / Education • Asthma Remote Monitoring – Peak Flow/Spirometry • Asthma Remote Monitoring – Med. Adherence
  8. 8. Center for Health Delivery Innovation Logic Puzzle • Who pays? • Who distributes? • Who supports? • Who pulls the information together to give an integrated, holistic view?  There are risks with disjoining provision of technology from provision of care. • How do we make this complexity easy for families & clinicians?
  9. 9. Center for Health Delivery Innovation It’s got to be easy. • Patients can’t be expected to be tech gurus. • Clinicians can’t be expected to manage myriad workflows for apps / devices. • Payers need to see the value. • Sign-up / provisioning for several apps is digitizing the annoyance of filling out the same paperwork over and over again. • Digital expectations set by other industries. • People will do the right thing – if it is easy.
  10. 10. Center for Health Delivery Innovation Nemours App Sustainability Strategy for Nemours The Strategy: • By starting work now on the Nemours App – Nemours will be ready when the tide of consumerism turns desires into expectations. • If we wait to solve the problems / challenges involved in developing top-flight digital experiences until the market expects these things, it will be too late. • By providing the right tools to link patient and clinician when the patient is outside the clinic, we will help drive better outcomes, and a better bottom line in a VBC world. • NOTE: Sharing Nemours’ vision to promote the thinking, not the product.  Not licensable. (But no promises if it proves successful.)
  11. 11. Center for Health Delivery Innovation MyNemours Nemours Brightstart!KidsHealthCareConnect Nemours Consumer Digital Properties Patient Portal Public Website Telehealth Education Reading Readiness
  12. 12. Center for Health Delivery Innovation Nemours, Anytime, Anywhere. Re-imaging how patient families experience Nemours digitally. First Condition: Asthma • Provide tools designed with families and clinicians that will lead to better control of childhood Asthma. • Provide clinicians a view into how their patients experience their condition in between visits.
  13. 13. Center for Health Delivery Innovation Not Just Nemours Features
  14. 14. Center for Health Delivery Innovation The app is the point of convergence. Custom Developed Custom Developed
  15. 15. Center for Health Delivery Innovation Nemours App for Asthma – Design Thinking With a patient focus driven by Design Thinking, we began by listening.  Listening to patient families – 42 interviews with parents & patients  Listening to clinicians –30+ interviews with Nemours clinicians  Listening to Nemours – 20+ interviews with business & technology professionals  Listening to the industry – literature review of 136 papers, essays, and studies
  16. 16. Center for Health Delivery Innovation Nemours App for Asthma
  17. 17. Anytime, Anywhere  Take the complexity on ourselves, to make it easy for our families and our clinicians.  Find partners with SDK/API strategies that support integration.  Create an easy interface for families.  Listen. Iterate. Evolve.  EMPATHY: Keep the family first.

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