Personal Connected Health: From Wearables to EHRs and Workflow
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Transcript of Personal Connected Health: From Wearables to EHRs and Workflow
Personal Connected Health Alliance
Personal Connected Health: From Wearables to EHRs to Workflow
John Sharp, MSSASenior Manager, PCHA/HIMSS
9/12/2016
Personal Connected Health Alliance
Personal Connected Health Alliance
• Division of HIMSS• Originally focused on events
– mHealth Summit• Now expanding to thought leadership,
convening stakeholders, publishing technical guidelines, promoting innovation and developing an evidence base on an international level
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Personal Connected Health Alliance
Defining Personal Connected Health
• Personal: unique to a specific person – different for every individual, customized
• Connected: individual’s information flows seamlessly, with their consent, to and from a clinician, caregiver or community
• Health: the state of a person’s physical, social and mental well-being including but not limited to the absence or control of a disease
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Personal Connected Health Alliance
State of Personal Connected Health
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Consumer
Apps &
Devices
Mobile phone Cloud Intero
p
Personal Connected Health Alliance
CONSUMERISM
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Personal Connected Health Alliance
Consumerism and Health
• From Philips Future Health Index
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7
Future of treatment
Connected health devices (apps, wearables, biosensor devices) for patients will form part of treatment plans in the future
33%38%
27%37%
33%42%
USA
UK
Physicians
Consumers
Diabetics
Personal Connected Health Alliance
Consumer and Provider
• Seeing the same data – displayed in ways that are usable/actionable for each
• Participatory healthcare• Partnership in care
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Personal Connected Health Alliance
Consumerism
• Dana Lewis• Type 1• Do It Yourself
Artificial Pancreas
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Personal Connected Health Alliance
WEARABLES AND SENSORS
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Personal Connected Health Alliance
Wearable Market
• Fitness bands• Smart watches• Shoe devices and smart shoes• Smart clothing• Ear devices• Headsets• Glasses• Tatoos 9/12/2016
Personal Connected Health Alliance
Sensors
• Accelerometer• Gyroscope• Multi-touch
display• GPS• Microphone
Can enable monitoring of multiple actions:• Gait and balance• Fitness• Timed walk• Reaction time• Hand dexterity• Tone audiometry
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Personal Connected Health Alliance
Future Applications of Sensors
• Smartphones can be used to identify atrial fibrillation with existing hardware
• uses the phone's own accelerometer and gyroscope to check for atrial fibrillation
• http://www.news-medical.net/
• Wristband detects and alerts for seizures
• http://news.mit.edu
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Personal Connected Health Alliance
New Devices
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Smart Inhalers Medical smart tatoosRobotics and exoskeletons
medicalfuturist.com
Personal Connected Health Alliance
APPS AND DEVICES
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Personal Connected Health Alliance
App and Device Market
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• 78.5 million consumers using home health technologies by 2020
Personal Connected Health Alliance
Personal Health Dashboard
9/12/2016 Fitbit
Personal Connected Health Alliance
Cloud enabled
• Data moves from the personal health device orapp
• Through secure transmission• To cloud storage• For analysis and visualization• Delivered to consumer and provider
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Personal Connected Health Alliance
HEALTHCARE INTERNET OF THINGS
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Personal Connected Health Alliance
Healthcare Internet of Things Categories
• Clinical efficiency• Clinical grade biometric
sensors• Consumer/home
monitoring• Infant monitoring
• Fitness wearables• Advanced sports apps• Brain sensors/
neurotechnology• Sleep monitoring
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Personal Connected Health Alliance
Internet of Things (IoT)
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Personal Connected Health Alliance9/12/2016
Personal Connected Health Alliance
INTEROPERABILITY
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Personal Connected Health Alliance
Interoperability and the EHRsPerhaps the most important shortcoming of the
EHR is the absence of social and behavioral factors fundamental to a patient’s treatment response and health outcomes.
In this world of patient portals and electronic tablets, it should be possible to collect from individuals key information about their environment and unique stressors—at home or in the workplace—in the medical record.
• JAMA - August 15, 20169/12/2016
Personal Connected Health Alliance
Patient Generated Health Data
• From these sensors, apps and devices, we have data – what do we do with it?– ONC PGHD Fact Sheet
https://www.healthit.gov/sites/default/files/patient_generated_data_factsheet.pdf
– ONC Patient Engagement Playbookhttps://www.healthit.gov/playbook/pe/chapter-4/
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Personal Connected Health Alliance
Interoperability
Personal HealthDevices
• Personal Health Devices Interface
Personal Health
Gateway
• Services interface
Health & fitness
Service
• HIS Interface
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EHR
Design Guidelines
Personal Connected Health Alliance
Integrating into Workflow
Data from devices, questionnaires Transmission Integration engine
Store in EMR
Algorithm generates alert or
inbox to team member
Take action
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Personal Connected Health Alliance
Integrating Patient Generated Health Data
• Workflow options– Alert about significant change in status– Unusual reading which may indicate device
malfunction– Combination of data indicating risk for
readmission– Overall trends sent to inbox as a message
• To whom should each situation be routed?– Medical home team member
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Personal Connected Health Alliance
INCENTIVES AND BARRIERS
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Personal Connected Health Alliance
Provider Incentives
• Readmission penalties• Diabetes Prevention Programs• Accountable Care Organizations
– pay for value• Chronic Care Management• Comprehensive Primary Care Plus • Care bundles – joint replacement, cardiac
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Personal Connected Health Alliance
Barriers to Connected Health
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Personal Connected Health Alliance
Behavior Change and Coaching
• Devices and apps alone cannot create real change
• Need strategy and coaching to enable health behavior change
• Example – Diabetes Prevention Programs
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Personal Connected Health Alliance
EVIDENCE AND INNOVATION
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Personal Connected Health Alliance
Evidence
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propellerhealth.com
Personal Connected Health Alliance
Evidence
• Text 2 Move: Diabetes Care – Partners Healthcare– Personalized text messages encouraged physical
activity– Significant lowering of HbA1c levels
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Personal Connected Health Alliance
Evidence
• NODE Health – Network of Digital Evidence– From the Sinai App Lab
• Newsletter includes – Initiatives– Publications– Resources
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Personal Connected Health Alliance
Innovation – Venture Funding
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2015 – 4.5 Billion
Personal Connected Health Alliance
Innovation – Venture Funding
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Personal Connected Health Alliance
State of Personal Connected Health
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Consumer
Apps &
Devices
Mobile phone Cloud Intero
p
Personal Connected Health Alliance
Personal Connected Health Alliance
• December 11-14, 2016• Gaylord National | Washington, DC Area• PCHAconference.org
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Personal Connected Health Alliance
Contact Me
• [email protected]• @JohnSharp• Linkedin.com/in/johnsharp• Recent blogs:
http://www.pchaconference.org/blogs
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