Post on 18-Nov-2014
description
mHealth Networking ConferenceFebruary 3, 2010
Claudia Tessier RHIACEO and PresidentmHealth Initiative
Copyright 2010 mHealth Initiative Inc., Boston MA. All rights reserved.
Worldwide mobile subscriber base >4 billion
Compare that to:◦ Landline phones: 1.2 billion ◦ TV sets in use: 1.4 billion ◦ Registered automobiles: 850 million◦ People using PCs: 950 million ◦ Access to internet: 1.3 billion◦ People with at least 1 credit card: 1.5 billion population
has a mobile phone).
Devices – thousands including◦ Apple iPhone
◦ Droid
◦ Blackberry Curve and Storm
◦ HTC Touch HD and HTC Pro
◦ Palm
◦ Samsung
◦ Sony Ericson
Estimated 5000 mHealth apps available over range of devices◦ Over 3700 clinical
◦ Over 1000 consumer
◦ But not all apps available on all phones
mHealth 12 Application Clusters
During visit◦ Patient education
◦ Financial and administrative
◦ Care communication
Post-visit and between visits◦ Text messages
◦ PHR (CCR)
◦ Medication reminders
◦ Health promotion
◦ Questions (with photos if applicable)
◦ Patient education
◦ Disease management
◦ Resources
Before visit◦ Selecting caregiver
◦ Pre-visit communication Text message
Photos
◦ Appointment requests, scheduling, reminders
◦ Appointment agenda
◦ Administrative inquiries
◦ Insurance info
◦ Demographic data
◦ Advance check-in
◦ PHR (CCR)
Appointments
Medication reminders
General inquiries
Administrative questions
Non-healthcare related communication
Health promotion
Patient-initiated communication◦ Need to reschedule appointment
◦ Need for prescription refill, etc.
Programs like the airlines’ “Remember Me” provide ◦ A direct path to information about you when calling
from a phone number pre-registered with your provider.
◦ The system recognizes your phone number, instantaneously pulls up your information and even greets you by name.
◦ All of this information is available within a few seconds at the beginning of the call
More communication between clinician and patient leads to◦ Better quality of care
◦ Greater continuity of care
◦ Greater efficiency
◦ Fewer visits
◦ Lower costs
Communications must be clear and customizable (usability)
Both parties need acknowledgement New workflow, parameters and protocols
required New reimbursement system must be considered New ID systems can help: Photo and
“Remember me”
Patient ID
Structured communication
Security/confidentiality
Provider workflow issues
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Medical reminders are sent to the patient’s mobile phone, and questions are answered by simply pressing buttons or using voice response.
The messaging functionality continues to work, even if out of network range.
Patients have the option of using a GenerationOne-provided phone or approved mobile devices.
Patients input test results directly into the mobile phone.
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The patient responses automatically populate the Dashboard and Patient Health Record.
• Dashboard - Provides real-time monitoring, tracking and trending by health plan and authorized constituents.
• PHR - Can receive data from EMRs and lab facilities.
InTouch Clinical
Your next
appointment with
Dr. Divish is on
04-14-2009.Please
respond YES or
NO to indicate if
you can attend
Appointment
Reminders
© 2010 Life:WIRE Corp PATENT PENDING JANUARY 2010
Wellness InteractionGood afternoon Kelly,
how are you feeling
today? Please let us
know with an “A” for
Great, “B” for OK or
“C” Don’t Ask
C
Don't Ask
Automated Delivery
Reports Patient
Record
Jitterbug – phones for seniors
Portable Health Device
www.PortableHealthDevice.com
Provider directories – and directions Urgent care centers Formularies Guidelines and protocols Decision support Telemedicine guidelines Accessing specific CCR information Patient’s comments re Web Patient directives PHR
For providers and patients
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iTriage
User follows symptoms
to “Possible Cause”
then selects
description, tests,
symptoms, treatment,
search web or find a
provider
Available on other
mobile platforms and
the desktop
www.itriagehealth.com
Notes
Geolocation used to
provide access and
directions to:
-Hospitals
-Physicians
-Urgent Care
-Centers
-Retail Clinics
Directs consumers to
most appropriate level of
care given symptoms
iSEEK Medical Mobile™Evidence Based Medicine at the
Point-of-Care for Clinicians
Results categorized by topic, source, and MeSH
Selected Topic to Drill Down
Scroll down to view results
◦ The promise of EMRs at your fingertips anywhere, anytime
Access patient history in real-time
Document (capture patient information capture and generate report) in real-time
Transmit patient information in real-time
Navigate patient information in real-time
Is documentation
like this acceptable
anywhere other
than in healthcare?
• Legibility
• Structure
• Meaning
• Completeness
Real-time, point-of-care
information capture!!!
Confidential!
“Handy” – and Mobile!
Handheld
Device?
Accuracy
Authentication
Interoperability◦ mDevices to HIS and EMR
◦ Medical devices wireless communication
EMC
Data integrity
Interoperability
From internal system
From a Website
From the phone card
Currently focused on ◦ Diabetes
◦ Asthma
◦ Dermatology
◦ Preventive care in pregnancy
◦ Smoking cessation
◦ Hypertension
◦ Weight control
Many variations
Applications◦ Parents to monitor their children
◦ Patients to monitor and report their health data
• View data in graphical format,
clearly showing where range
should be
• See a High/Low alert for
readings out of range with
prompts to enter contextual
information
• Medication notepad shows med
changes as flag on graph, to
correlate with readings
• Helps patients begin to associate
readings with lifestyle and other
factors
Blood Sugar Too Low Instructions to Eat Something
Tip after eating and retaking the blood sugar reading
Also supports these blood
glucose meters
Abbott FreeStyle Lite
Ultra Mini
Bayer Contour
One Touch Ultra Series
Ultra 2Ultra
Supports scale measurements for weight loss programs
Bluetooth-enabled Scale
Tele-Medicine - Products
High Risk Pregnancy
Delivery
Vital Sign Monitoring
Temp
BP
ECG
Resp
Pulse
Remote Cardiac Monitoring
FDA approval
Proof of ROI
Collection of projects/experiences◦ Aggregation of data
Teaching, monitoring, coaching…
New applications in nursing and other areas
Teaching patients self-care, monitoring, expectations
Need standards
Preferred communication channels for lab, pharmacy, etc.
Colleagues◦ Specialty-specific communities
◦ Disease-specific experiences
◦ Ask the expert!
Provider-patient applications Financial data
Demographic data
Non-clinical data
Appointments
Self check-in
Reminder
Staff communication Internal
External
Third parties Payers
Labs
Other providers
Asset tracking◦ Surgical instruments◦ Medical records◦ Equipment
Patient flow management◦ Scheduling◦ Admissions and
discharges◦ Bed management
Charge capture Providers accessing eligibility info Providers sending bills Patients accessing coverage and co-pay
information Payers in active communication with patients
and providers Online real-time adjudication
For EMS and the ED◦ Not starting with a “blank sheet”
◦ Advance triage
◦ Substantial cost reductions expected
◦ San Diego experience
For patients themselves◦ Emergency self-care
◦ First aid
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Reporting of disease outbreaks◦ Swine flu, for example
Alerting providers
Instructing patients
Bioterrorism
Surveillance
Population notifications
Increasing adoption in developing countries
Other
Clinical trials◦ Automatic, scheduled and ad hoc
information transmission
◦ Rely on instrument rather than patient for routine data collection
◦ Patient feedback systems
Patient-led “clinical trials”
Mobile wearable or implanted sensors that monitor vital body parameters and movements and wirelessly transmit data from the body to provider or elsewhere via a home base
Examples◦ Heart monitor could alert pending heart attack◦ Auto-inject insulin ◦ Sports activity monitoring: speed, distance,
heart rate, blood pressure
Big issue: Security
Tele-Medicine - Products
Develop online resource to record and access information about mApps◦ By application cluster
◦ By device
◦ By disease
◦ Information from vendors
◦ Information and feedback from users
Are there more than 12 clusters?
www.mobih.org
claudia@mobih.org
617-816-7513