Development of a Web-Based Mobile Technology

Application for Healthcare Providers in

Transplant CareHaley Hoy, PhD, ACNPSusan Alexander, DNP, CNS, CRNPManil Maskey, Research Scientist, ITSC

haley.hoy@uah.edu

Idea?

Clinical experience Education Opportunity Networking

URII

UAHuntsville Research Infrastructure Investment Grant

Mobile Application Web Based Technology for Transplant

Nurses Survey will be administered on the site

Transplantation

Total adult kidney transplants

(includes kidney-pancreas)

SRTR, 2010

Kidney transplant waiting list

activity among adult patients

SRTR, 2010

Patients on the transplant waiting list on December

31st of the year 2010 (active listings only)

SRTR, 2010

KI 4.1

Total adult kidney transplants

(includes kidney-pancreas)

SRTR, 2010

Total adult lung transplants

SRTR, 2010

Lung Transplant Evaluation

Chest CT EKG ECHO Right and Left

Heart Catheterization

VQ lung scan Panorex Family Evaluation Insurance

assessment

Serologies Sputum culture Six minute walk Skin Testing Gyn/Mammogram

for females PSA for men Psychosocial

assessment

Time Scheme of Infections after

Renal Transplantation - Rubin

Rubin RH, Inf. Dis. Clinics, 1995

Medications

Web based portal In collaboration with Manil Maskey,

Dr. Susan Alexander, and Helen Conover, a prototype of the web-based portal has been developed (http://tpp.uah.edu/).

Technological Concerns Why do I need healthcare

technology? Healthcare providers are busy people

and need tools that move with them How do I choose what to use?

Not all apps are created equal Is it really all that necessary?

Mobile devices can improve efficiency, coordination of care for the patient, and provider communicationsMichael, S. (2011). Making mobile health work for your medical practice: What is ‘mhealth’ and how to plug into

it. Accessed from: Mobilehttp://www.welldoc.com/LinkClick.aspx?fileticket=dN_kaDt8Eco%3D&tabid=104

Healthcare Apps Electronic Health Record is the most

important application driving investment above 28% from HealthCare Industry. Next to it, Computerized Physician Order Entry and Medication Administration attracts investment above 13% individually (Source – Motorola)• Mobile Health Care applications will play vital role taking the Health Care systems to next level in future.

Raja, Y. Sept. 9, 2011. NJTC TechWire: Best practices and trends in developing mobile healthcare applications. Accessed from http://njtcblog.wordpress.com/2011/09/09/best-practices-and-trends-in-developing-mobile-healthcare-applications-2/

Mobile Health Care market to hit $2.1 billion by end of this year – growth by 17% in each of the past two years (Source – ComputerWorld)• Health Care Application set to become hugely popular and above 500 million consumers will be using the application in next 5 years (Source – Research2guidance)• More than 1/3 of 1.4 billion smartphone users will use atleast one Mobile HealthCare Application by 2015 (Source – Global Mobile Health Market Report 2010-2015)

Raja, Y. Sept. 9, 2011. NJTC TechWire: Best practices and trends in developing mobile healthcare applications. Accessed from http://njtcblog.wordpress.com/2011/09/09/best-practices-and-trends-in-developing-mobile-healthcare-applications-2/

Involve people, groups or teams to achieve common goals

Provide more effective ways to share ideas, documents, media, tools (not just emails, chats)

Allow users to submit or update contents Improve communication Control access Manage and index contents Categorize contents Integrate semantics Provide basis for Mobile App Knowledgebase Social Media Integration

Advantages of Collaborative Environments

Technology Basics Refresher Course

Content Management System Drupal Feeds Resource Aggregation Forums Mobile Apps

Drupal A popular Web Content Management

System (CMS), open source (GPL), ~10 years old (Dries Buytaert)

Large user and developer community, thousands of contributed modules, science applications

Modular and extensible Framework written in PHP, runs on

major OS platforms

Core Features Content management

With admin user interface Custom content types Versioning Taxonomy support Search support

Template & theme system Separation of content from view* Many faces, same content

User management User authentication and role-based authorization Many extensions available, e.g., LDAP module

Concepts Administration Interface: build and administer a

site Node: underline storage units for all types (“base

class”) Comments: comments on a node Users and Roles Theme: assembles HTML, scripts to display

content Block: information placed on a display location Publish contents to Social Media

Collaborative Environment for Transplant Professional

Pub.workflow

Taxonomy

Search

RSS

Analytics

Blogs/Wikis

Forums/comments

Ratings

Tagging

Content Users

TransplantCases

ToolsCalculators

Mobile AppExtension

SEMANTIC LAYER

ContentMgmtSystem

SocialSoftwareTools

DRUPAL

TransplantProfessionalExtension

• UAH developed customizable “software appliance” to build collaborative portals for transplant professionals

• Leverages Drupal, an open architecture platform, to provide the core Content Management System capabilities required by an online collaborative portal

Collaborative Environment - Web

Feed Aggregator

PostedContents

Tools

Events

FeaturesCollaborate Using Forums

Resource Aggregation

CEU/Other Resources

CMS Database

Architecture

CollaborativeEnvironment Services

authorize to update

authentication for add/update

ReportAnalysis

Mobile AppANDROID

IOS

Mobile App functionalities

Calculators ForumsFeeds Events

Mobile App Functionalities

Latest Publications – Categorized Calculators Calendars/Events Read Forums Post Comments/ Answers Forum

Questions Requires Login (Same login as the

Portal)

Why use? Post a question about a case Automatic notification for questions

and responses Collaborative research projects One stop shop for all transplant

resources Curate the information Share the information

Links Android App

https://play.google.com/store/apps/details?id=com.itsc.transplantpro

iPhone App http://itunes.apple.com/us/app/transplantpro/id512387289?ls

=1&mt=8

Collaborative Portal http://tpp.uah.edu

Use Android  10 - 50 Installs  iPhone  Stat not available yet.

Prior to production site Visits: 325 Unique Visitors: 148 Pageviews: 2,044 Pages/Visit: 6.29 Avg. Visit Duration: 00:08:17 % New Visits: 45.54

Post production site conversion

Visits: 144 Unique Visitors: 58 Pageviews: 655 Pages/Visit: 5.77 Avg. Visit Duration: 00:06:09

StatisticsSite demonstration

App demonstration

Preliminary Resultsprior to beta testing:

Preliminary Resultsafter beta testing:

Preliminary Resultsprior to beta testing:

Preliminary Results after beta testing:

Use of Web-based mobile applications to reduce healthcare inefficiency

Real patient care and clinical benefits

Prevent medication errors Prevent communication errors Avoid Delays/Links ……….- the sky is the limit

Acknowledgements Grant-North American Transplant

Coordinators Association Grant-UA Huntsville-JFDR Grant –UAHuntsville-URII Research Team:

Susan Alexander, DNP Karen Frith PhD Manil Maskey, Information Technology &

Systems Center

Portal http://tpp.uah.edu/content/ua-system

-scholars-institute-presentation-2012-haley-and-manil

Questions

?