Achieving Widespread Adoption of mHealth Devices: the Missing Link and the Providers

Point of View

OPAL: Medical Devices SummitFebruary 20th, 2015 Boston, MA

Background: Daniel Carlin MD

• US Navy Veteran

• Boarded emergency physician

• 1st American full-scale telemedical practice

• Boston Academic

• Entrepreneur

• CEO/Founder WorldClinic

• Failed chair thief

• Relentless demographic and economic/political pressure

• Computing/connectivity and genomic differentiation

• "mHealth and meHealth”"

Today

• 3rd-party billing code dysfunction and

institutional dependency

• Chaos of new industry in formation,

driven from the outside

• ACOs/hospital-insurer: disruptive

• Profitability = premium – cost of care

• Drives organized, connected care for

prevention, chronic disease care

• Massive opportunity

Tomorrow

Moving mHealth Forward

• Early adopters signal need and market

• 2 primary stakeholders: doctors and patients

• Common requirement: simplicity and human

connection

• Initial widespread rejection by current demographic

• Winners: simplicity combined with human interaction*

*Not necessarily a doctor or nurse

Moving Forward: Patient

• Initial widespread reluctance driven by liability, reimbursement,

inertia, cultural mismatch

• Care delivery integration challenge

• Winners: simple and built from existing care standards

• Scalable, cheaper, better outcomes

Moving Forward: Doctor

Winning Widespread Adoption: Patient

• 1-touch execution

• Piggyback on existing ADL

• Personally meaningful feedback

• Psychographically matched

• Extension of familiar practice standards

• Rules sort and report performance (patient vs. population)

• Alarms, trends, exceptions

• Triggered tiered response

• Simple UI

Winning Widespread Adoption: Doctor

• Strategy: Prove the ROI to unlock reimbursement• Tactic 1: Build coalition of stakeholders:

• EHR• Data platform• Device• Connectivity• Providers and patients

• Tactic 2: Apply reality-based practice model, iteratively develop to functional

• Tactic 3: Fund the pilot to prove the ROI

Winning Widespread Adoption: Strategy and Tactics

Daniel Carlin MD

dcarlin@worldclinic.com

603-526-9003