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Transcript of Mhealth 12 Apps
8/8/2019 Mhealth 12 Apps
http://slidepdf.com/reader/full/mhealth-12-apps 1/37
The 12 mHealth
Application Clusters
mHealth Initiative SeminarSan Francisco
September 18, 2009
Claudia Tessier RHIACEO and President
Copyright 2009 mHealth Initiative Inc., Boston MA. All rights reserved.
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Mobile Phones at the End of the
First Decade of the 21st
Century Worldwide mobile subscriber base >4 billion
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).
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12 Mobile Phone Application Clusters
in Healthcare1 Patient
Communication2 Access to
Web-based
Resources
3 Point-of-
Care
Documentation
4 Disease
Management
5 Education
Programs
6 ProfessionalCommunication
7 Administrative
Applications
8 FinancialApplications9Ambulance/EMS
10PublicHealth
11Pharma/Clinical
12 Body
Area Network
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Application Cluster #1
Patient CommunicationBefore visit
Selection of caregiver
Pre-visit communication Text message
Photos
Appointment reminders Appointment request and
scheduling
Agenda
Insurance info
Update demo data
Advance check-in
PHR (CCR)
Consumer/patientproviding information
During visit
Patient education
Financial and administrative Care communication
Post-visit and general
Text messages
Email Continuity of care
Medication reminders
Questions (with photos if
applicable) Patient education
In the care process
References
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Text Messaging 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.
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Preferred Communication: The Phone
as Identification
Programs like the airlines’ “Remember Me” provide
A direct path to information about you whencalling from a phone number pre-registered withyour provider.
The system recognizes your phone number,instantaneously pulls up your information andeven greets you by name.
All of this information is available within a fewseconds at the beginning of the call
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Benefits of mHealth PatientBenefits of mHealth Patient
Communication SystemsCommunication Systems More communication between clinician andMore communication between clinician and
patient leads topatient leads to Better quality of careBetter quality of care
Greater continuity of careGreater continuity of care
Greater efficiencyGreater efficiency Fewer visitsFewer visits
Lower costsLower costs
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Considerations
All communication must be clear andcustomizable (usability)
Reason for visit
Both parties need acknowledgement This mayeven be more important for the provider because it will allow them tobe better prepared and confirm that tests required for the visit havebeen done.
Requires new workflow, parameters andprotocols
ID Systems: Photo and “Remember me”
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Considerations Requires new reimbursement system
Do all communications have equal value? If ninecommunications are required in one instance and five inanother, are they paid the same?
How do you measure the amount of work required by the
physicians behind the scenes for each communication? Would compensation paradigms that include a frequency
component invite abuse?
Can the evaluation of the value/compensation be
automated or does it need a new bureaucracy? Is this another good reason to move to capitated
compensation structures so that providers are free tofocus on the optimal way to arrive at best case
outcomes?
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Considerations Providers must have an auto responder function
about emergencies
What is the difference between text messagingand telephone messages in terms of impact andliability?
Perhaps the terminology should be “emailing or
text messaging” since text messages are limitedto 160 characters, which may be too limiting.
All communication should be logged and savedfor a minimum period.
Everything that isn’t easily and automaticallyidentifiable as unnecessary (such as appointmentreminders) should be saved in an EMR, otherwise
time/money is wasted deciding on what’s worthy.
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Standards Needed Patient ID
Structured communication Security/confidentiality
Provider workflow issues
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Application Cluster #2:
Access to Web-based Resources 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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Lexi-Comp References
Credit: Renee McLeodCredit: Renee McLeod
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Drug Programs
Credit: Renee McLeodCredit: Renee McLeod
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Search PubMed
(Pub Search is a free application)
Credit: Renee McLeodCredit: Renee McLeod
A li i Cl #3
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Application Cluster #3:
Point-of-care, Real-time Documentation
The promise of EMRs at your
fingertips anywhere, anytimeAccess patient history in real-time
Document (capture patient informationcapture and generate report) in real-time
Transmit patient information in real-time
Navigate patient information in real-time
Real-time point-of-care
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Real time, point of careinformation capture!!!
Is documentation
like this acceptable
anywhere other
than in healthcare?
• Legibility
• Structure
• Meaning• Completeness
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Issues Accuracy
Authentication Interoperability
mDevices to HIS and EMR
Medical devices wireless communication
EMC
Data integrity
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Accessing Patient Information Interoperability
From internal system From a Website
From the phone card
A li ti Cl t #4
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Application Cluster #4:
Disease Management
Currently focused on
Diabetes
Asthma
Dermatology Preventive care in pregnancy
Smoking cessation
Hypertension
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Diabetes Several companies
Applications Parents to monitor their children
Patients to monitor and report their health
data
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Record Blood Sugar Intake
Record Instant feedback Follow up
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Meal Planning Questions
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Disease Management Issues FDA approval
Proof of ROI Collection of projects/experiences
Aggregation of data
Application Cluster #5:
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Application Cluster #5:
Education Programs Teaching, monitoring, coaching…
New applications in nursing and otherareas
Teaching patients self-care, monitoring,
expectations Need standards
Application Cluster #6:
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Application Cluster #6:
Professional Communication Preferred communication channels for lab,
pharmacy, etc. Colleagues
Specialty-specific communities
Disease-specific experiences Ask the expert!
Application Cluster #7:
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Application Cluster #7:
Administrative Applications 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/discharges
Bed management
Application Cluster #8:
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Application Cluster #8:
Financial Applications 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
Application Cluster #9:
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Application Cluster #9:
Emergency Care Not starting with a “blank sheet”
Potential need for record locator system Substantial cost reductions expected
San Diego experience
Application Cluster #10
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Application Cluster #10
Public Health Reporting of disease outbreaks
Swine flu, for example
Alerting providers
Instructing patients
Bioterrorism
Surveillance
Population notifications
Increasing adoption in developing countries Other
Application Cluster #11
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Application Cluster #11
Pharma/Clinical Trials Clinical trials
Automatic, scheduled and ad hoc informationtransmission
Rely on instrument rather than patient forroutine data collection
Patient feedback systems
Application Cluster #12:
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Application Cluster #12:
Body-area Networks (BAN) Mobile wearable or implanted sensors that
monitor vital body parameters andmovements and wirelessly transmit data fromthe body to provider or elsewhere via a homebase
Examples Heart monitor could alert pending heart attack
Auto-inject insulin for patient whose blood sugardrops
Sports activity monitoring: speed, distance, heartrate, blood pressure
Fantasy? - Exchange business cards (or patientdemographic data) with a handshake?
Big issue: Security
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mHealth Initiative Plans 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
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Thank you!
www.mhealthinitiative.org
617-816-7513