MOBILE HEALTH TRENDS

John Sharp, Senior ManagerHIMSS Personal Connected Health AllianceApril 19, 2016

Millennials as Parents

Millennials

• Digital Natives• Facebook and beyond• Texting, Instagram, Snapchat• Online Gaming

Time Magazine Survey

HIMSS Connected Health Survey 2016

http://www.himss.org/2016-connected-health-survey

Convenience Apps

• Online scheduling• Bill paying• Wayfinding• Prescription renewals (through portal)• Secure messaging to clarify medications, test

results (avoid phone tag, through portal)• eVisits, Telemedicine to avoid ER visits

Boston Children’s

• DisCo, a Discharge Communication Platform • sends families either a text message or an

email with 3 questions within 24 hours of discharge.

National Children’sWhy Do Patients Not Use Portals?• “Did not know it was available”• “Physician never spoke to me

about it”• Challenging groups (children,

adolescents, elderly, mental illness)

• Confusing user interface• Not compelling enough

Children's Health, Dallas, TX

• Remote patient monitoring post-transplant• Using a tablet to connect to devices and

transmit data to the medical team (blood pressure, weight, O2 stats)

• Eliminates visits 2x per week• Also can be used

for patient education

Geisinger Medical Center

• Using the MyChart portal as the center of the customer experience

• Building/buying tools integrated to reduce the administrative time at appointments– Medication reconciliation by

patients prior to appointments

Carolinas Health System

• *NEW* View doctor's notes and radiology reports (Open Notes)

• *NEW* Track your health with the new MyCarolinas Tracker app

Giving patients access to their health data

Kaiser’s Experience1. Secure Email Supports Improved

Outcomes And Patient-Centered Care2. Patient Portal Use Positively Impacts

Patient Loyalty To The Health Plan And Member Satisfaction

3. Evidence Of A Relationship Between Secure Email And Other Kinds Of Utilization Is Mixed

4. Even With The Best Intentions, E-Health Disparities Can Emerge

Feedback from Kaiser Patients• more in control over their medical condition;• they had access to information and access to

the people they needed to consult; and,• more confident, less intimidated, and closer

to their physician.

http://healthaffairs.org/blog/2016/04/07/lessons-from-more-than-a-decade-in-patient-portals/

Use of Texting

Why texting?• Common use among millennials – more likely

to read• Lower income populations may not have

smart phone but do have texting • One-way texting – health reminder messages• Two way texting – ask for a brief response

Texting examplesText4Baby • free app to pregnant women and new

mothers about health reminders based on the stage of pregnancy or the baby’s age.

• user can set up appointment reminders and watch informative videos.

• Used by almost 1 million moms. • One study showed significant positive

change in attitudes about prenatal health behaviors.

Texting ExampleMetroHealth Medical Center, Cleveland• Direct Messaging to

Parents/Guardians to Improve Adolescent Immunizations

• TeleVox Software Inc. 39% increase in vaccination rates for adolescents.

• http://www.jahonline.org/article/S1054-139X(14)00764-2/abstract

Text messages reduce emergency room visits for low income patients with diabetes

• study of 128 patients, published in the Annals of Emergency Medicine

• Self-reported medication adherence did improve significantly in the intervention group, however, and actually got worse in the control group

• 94 percent reporting they enjoyed the messages and 100 percent saying they would recommend them to a friend

• http://mobihealthnews.com/27446/text-messages-reduce-emergency-room-visits-for-low-income-patients-with-diabetes/

Text2Move for Diabetes - Partners

Significant lowering of HA1c

Kvedar, The Internet of Healthy Things

Where to find reviews of health apps?

• http://www.imedicalapps.com/ • http://www.nodehealth.org/

Mt. Sinai Asthma App

http://blog.cincinnatichildrens.org/rare-and-complex-conditions/review-of-epilepsy-and-seizure-tracking-applications/

Health Apps for Kids

https://www.commonsensemedia.org/reviews/category/app/genre/health-fitness-65

Games to motivateType 1 Diabetics

• Developing good habits of checking their blood sugar regularly or bolusing insulin with meals

• Rewards and social competition• Creator – Jen Dyer, MD, pediatric

endocrinologist in Columbus

Social Media

Sample topics• Your Children Not Sleeping? It Might Be YOU• Candy Or Medicine? Safe Medicine Storage• HPV Vaccine Decreases HPV Infections!• Dayton - Dr. Mom Squad – link to this great

content from Facebook

Facebook

• Used frequently by new parents to share photos

• Feature videos and your latest blogs, not just events

• Grow numbers by advertising in the hospital and clinics

HIMSS Book of the year 2014

New HIMSS Book• Participatory Healthcare: A Person-Centered

Approach to Healthcare Transformation – Available in June

• My chapter – Programs that work to promote partnership and engagement

Contact me• HIMSS website: www.himss.org• Email: jsharp@himss.org• Twitter @johnsharp• LinkedIn: linkedin.com/in/

johnsharp• SlideShare: slideshare.net/

johnsharp