Mandl app store for health

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Mandl app store for health

  1. 1. Intelligent Health Lab Kenneth D. Mandl, MD, MPH Director, Intelligent Health Laboratory Children’s Hospital Informatics Program Center for Biomedical Informatics, Harvard The App Store for Health: Co-opting the Point of Care in the Era of the Affordable Care Act
  2. 2. Intelligent Health Lab US Spending per capita vs. Life Expectancy
  3. 3. Intelligent Health Lab Learning Health System: Evidence Generated from a Well-Instrumented Health System
  4. 4. Intelligent Health Lab ? How do we learn from “All the Patients . . . All the Time?” (Instead of Some of the Patients All of the Time . . . ) . . . or really, just a couple of the patients, not that often.
  5. 5. Intelligent Health Lab
  6. 6. Intelligent Health Lab Dr. Collins discussing the Rapid Learning Network
  7. 7. Intelligent Health Lab WITHOUT ACCESS TO THE POINT OF CARE, EVERYTHING IS A ONE-OFF
  8. 8. Intelligent Health Lab Intelligent Health Laboratory | Children‘s Hospital Informatics Program
  9. 9. Intelligent Health Lab Returning Genomic Medicine Results
  10. 10. Intelligent Health Lab
  11. 11. Intelligent Health Lab The App Store for Health ONC Funded Research $15M Project under the “SHARP” program
  12. 12. Intelligent Health Lab Can EMRs behave like iPhones or Androids in that innovators readily create and widely distribute apps across thousands of installs?
  13. 13. Intelligent Health Lab Our vocabulary  Data Sources Managed by containers  Containers Present data from data sources to apps in a uniform  fashion  Apps Completely substitutable
  14. 14. Intelligent Health Lab 18.12 Issue
  15. 15. Intelligent Health Lab State-of-the-Art ???
  16. 16. Intelligent Health Lab
  17. 17. Intelligent Health Lab 1 Design + 1 Developer + 1 Week
  18. 18. Intelligent Health Lab 1 SMART App in 3 SMART Systems
  19. 19. Intelligent Health Lab Well-publicized
  20. 20. Intelligent Health Lab
  21. 21. Intelligent Health Lab SMART BP Centiles App Running on Cerner
  22. 22. Intelligent Health Lab
  23. 23. Intelligent Health Lab Medication adherence JAMIA 2011
  24. 24. Intelligent Health Lab
  25. 25. Intelligent Health Lab
  26. 26. Intelligent Health Lab 26
  27. 27. Intelligent Health Lab
  28. 28. Intelligent Health Lab Decision Support Integration e.g., Immunization Forecasting
  29. 29. Intelligent Health Lab Monograph app e.g., Diabetes
  30. 30. Intelligent Health Lab Mashups: e.g., Genomic Medicine: There’s an App for that  Linkage to external decision support services  Pharmacogenomic rule sets  Decision support for doctors— associations
  31. 31. Intelligent Health Lab Collaborators and Implementers  EMR Vendors  Payors  Pharma  Major tech companies complementing or competing in the EHR space  Large-scale health systems
  32. 32. Intelligent Health Lab

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