ehealth initiative advisory council on business and clinical … · 2016-07-21 · 2013 2015...
TRANSCRIPT
eHealth Initiative
Advisory Council on Business
and Clinical Motivators
July 20, 2016
2:00 p.m. EDT
2
Reminder
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practices and innovations from leaders in: Data & Analytics, Interoperability, Privacy &
Security and Clinical and Business Motivators.
Space is limited so Register now at http://events.ehidc.org!
4
Agenda
Welcome and Overview of Agenda
Meeting facilitated by:• Leslie Kelly Hall, Vice President Policy, Healthwise
Workgroup goals, process and timeline
IMS Health Speakers– James Tong, Engagement Management– Michael Krupnick, Director of Product, AppScript– Brian Clancy, Senior Product Manager, AppScript Analytics
Next Steps
5
Business and Clinical Motivator
Workgroup Process
Process, Timeline and
Deliverables
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Purpose of council: How to create
the business case
To identify, understand, and communicate successful examples of
innovative uses of technology with emphasis on clinical and
business improvements.
This group will harmonize efforts to ensure that patients, consumer
tools, devices, and mobile apps are part of the considerations of
best practices and identify, understand, and communicate
successful examples of innovative uses of technology with
emphasis on clinical and business improvements.
– What are organizations doing? Why? What have been the results?
– How have they overcome systemic issues/barriers?
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Goals: Develop Recommendations
and Trends
Identify key business drivers moving technology
What was the value proposition
Explain which technologies are creating momentum
around value-based care
Describe how the patient’s experience is changing
Describe how insurance benefits may cover or not cover
innovations
What is the future of innovation in these areas
What were the factors that came together
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Deliverables in 2016
To identify, understand, and communicate successful examples of innovative uses of
technology with emphasis on clinical and business improvements
At least 20 new examples of success stories will be added to online resource center
that demonstrate
Set of overarching recommendations will be developed by group
Group will identify priorities that can be recommended for federal partners to take
action, and successful innovation that can be models for all stakeholders. At least 20
new examples of success stories will be added to online resource center that
demonstrate
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We need your input
Understand from the industry the barriers,
purpose, initial successes, what worked
and why
10
Current Success Stories
American Heart Association
LabCorp
CRISP
Validic
Colorado Regional Health Information
Organization
CVS Minute Clinic (pending)
Making Mobile Health WorkDiscussion for eHealth Initiative Business
and Clinical Motivator Workgroup
IMS Health
20 Jul 2016
12
AgendaIMS brings leading global perspectives to digital health engagement,
helping the healthcare industry deliver the promise of digital health
1 2 3 4
IntroductionsMaking mHealth
Work Today
IMS Health:
Powering Digital
Patient Engagement
mHealth
Challenges
James TongEngagement Manager
Michael KrupnickDirector of Product,
AppScript
Making Mobile Health Work
Brian ClancySr. Product Manager,
AppScript Analytics
5
Q&A
13
About IMS Health
Making Mobile Health Work
Our Mission
Connect information and technology services to deliver
intelligence and drive improved performance for a
growing universe of global healthcare customers.
Global Healthcare Insights
IMS Experience
Industry Thought Leadership Orchestrated Digital Engagement
14
Post-2013, consumers prefer Mobile
Making Mobile Health Work
0.3 0.3 0.40.8
1.6
2.32.6
2.82.2 2.32.4
2.6
2.5
2.3
2.42.4
0.20.3
0.4
0.3
0.3
0.3
0.3
0.4
0
1
2
3
4
5
6
2008 2009 2010 2011 2012 2013 2014 2015
Other ConnectedDevices
Desktop/Laptop
Mobile
Hrs
Source: eMarketer, KPCB analysis
• Smartphone
• Tablet
Time Spent per Adult User per Day with Digital Media, USA
15
IMS Health Perspectives on Mobile x Health
IMS has been publishing on mHealth since 2013
IMS helps clients succeed through innovative thought leadership, case
studies, peer-reviewed research publications, and industry presence.
Strategy & Roadmap
• Mobile Marketing
• Engage & Retain
• Digital Health
• Biometric sensors & Wearable
Technologies
Economics & Operations
• Return-on-Investment
• Mobile portfolio rationalization
• Enterprise Performance Life Cycle,
Mobile Architecture
• Privacy & Security
Implementations
• Patient Engagement
• Provider Engagement
• Clinical Outcomes
• Patient Satisfaction
• Remote Monitoring
• Clinical Trials
Making Mobile Health Work
16
43,689
90,088
46,399
2013 2015
mHealth apps continue to proliferate
Comparison of iOS mhealth Apps 2013 and 2015
Making Mobile Health Work
Source: Mevvy, June 2015; IMS Health, AppScript, June 2015; IMS Institute for Healthcare Informatics, August 2015
106%
There are now 165K health apps on US app stores
17
mHealth Challenges: Fragmentation & Quality
Making Mobile Health Work
Source: IMS Institute for Healthcare Informatics, September 2013
18
mHealth Challenges: Security & Standards
Making Mobile Health Work
The Economist cites security and standards as top mHealth barriers
“Nearly half (49%)) of the EIU survey
respondents think consumer wariness about
privacy violations would be a barrier to the
adoption of m-health, and half (51%) say data-
privacy risks are their biggest concern.”
Security
• Healthcare organizations relay heavily on the
network layer to protect data.
• Recent news highlights various exploits to
SSL implementation.
• 75% of mobile breaches are a result of mobile
app mis-configuration
Standards
• Regulatory bodies for healthcare require strict
auditing and history capabilities to ensure that
accountability can be traced and tracked.
• Most commercialized mHealth applications have
no accountability
0
20
40
60
80
100
120
2009 2010 2011 2012 2013 2014 2015
Millio
ns
American Lives Affected by Health Data Breaches
Source: US DHHS
.05 M5.3 M
13 M2.6 M
6.3 M 12 M
+98 M
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Key Practical Question: Where does mHealth Work Today?
Making Mobile Health Work
“It really takes a thought leader, a physician champion to speak to and
really push the issue and give healthcare organizations examples of
where mHealth works. We need to demonstrate how we can use those tools
to help patient care, improve outcomes and actually give patients options for
investing in their own health.”
Alisa Niksch, MD, Tufts Medical Center
Source: IMS Institute for Healthcare Informatics, September 2015
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Today, mHealth may be most likely to drive value in T2D, MI/CHF, and Med Adherence
Making Mobile Health Work
Higher
Lower
Lower Higher
Asthma/COPD[ED / admissions]
Cli
nic
al
Vali
dati
on
(stu
dy q
uantity
, quality
, &
results)
Typical Health System ROI Potential(applicability to value based purchasing, ACO quality, & readmissions metrics)
T2D [HbA1C, others]
T1D[HbA1C]
Patient Portal [MU2]
Patient
Satisfaction [HCAHPS]
Obesity[lbs]
General
Fitness [steps]
Paid & Restricted & “HCP Req’d”Free & Available & “Patient-Only”
MI / CHF[Readmissions]
CV Disease[risk factors]
Med
Adherence[various]
Source: AppScript Score Database & Analysis
DirectionalNotable clinical validation; weak ROI Where to Start
Weak clinical validation; weak ROI Where to Study
Cancer[readmissions]
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mHealth deployments have a lifecycle
Making Mobile Health Work
$
$
$$
$
Planning your
big move
Building your
solution
Proof of
concept
and/or value
testing
Encouraging
growth
Routinely
measuring
business
results
Digital Patient Engagement Lifecycle
Strategy Build Pilot Promote Measure ROI
1 32 4 5
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IMS Health Capabilities
Making Mobile Health Work
Strategy Build Pilot Promote Measure ROI
1 32 4 5
AppScript™ mHealth Market
Insights
AppScript™ mHealth Expert
Network
IMS Consulting Group
AppNucleus™ Security and
mBAAS
Nexxus™ Marketing
Patient Edition
AppScript™mHealthResearch Network
AppScript™ mHealth
Prescription Workflow
Retrospective Studies
IMS Health Offerings
Information Services Technology
The MI AppScript™
mHealth Detail
Ad Targeting Data
$$
$$$
AppNucleus™ Care Plan App
AdIQ™ ROI Measurement
Digital Patient Engagement Lifecycle
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AppNucleus: Security and Mobile Backend
A secure digital engagement platform that can help enterprises aggregate digital health
applications into an ecosystem
Making Mobile Health Work
Integration & Other Services
DoD IA/Security Certifications
Authority to Operate
Data Analytics Ready
Data Integrity Validation
APIs for integration
Service Oriented Architecture
Security & ID Management
Encrypted Data-at-Rest, Data-in-Transit
(FIPS 140-2)
Two-Factor Authentication
One-Time Passwords
Identity Management, HSPD-12
NIST 800-88 (Remote Wipe &
Revocation)
Digital Engagement
Bring Your Own Device (Multi-OS Support)
Data Collection (GPS, Surveys)
Bluetooth Enabled for Biometric Data
Capture
Secure Messaging
Online & Offline Capability
Multi-Channel Engagement
SOAP APIAES-Encrypted Exchange
TLS Pipe
One-Time Password
Bilateral 2-Factor
Authentication
One-Time Password
FIPS 140-2
Client ServersMobile App
Portfolio
AppNucleus
Platform
Patients Staff
Wearables & IoT
24
The US Army uses mCare to connect patients with their
care teams
• BYOD, 40k users
• Tailored Content (Messaging, Goal, Diabetes)
• Appointment Management
• Interactive Questionnaires
• Security - DIACAP, ATO, HIPAA Compliant
• iOS, Android, Windows, Blackberry, Java
• DoD Commercial Mobile Device Implementation Plan (DISA for Enterprise)
• US Army’s Greatest Inventions, 2010
• Industry Presence: American Telemedicine Association, mHealth Summit,
Healthcare Unbound
Army Medicine Case Study
• 150k+ Secure messages sent
• 176% Increase in patient engagement
• 70% User retention 6 months after download
• 85% Provider acceptance
• 56% Reported improvement in appointment attendance
• ROI Study & Analysis in progress
Source: Poropatich RK, Pavliscsak HH, Tong JC, Little JR, McVeigh FL. mCare: Using Secure Mobile Technology to Support Soldier Reintegration and Rehabilitation. Telemed J E Health.
2014; 20 (6): 563-9.Making Mobile Health Work
25
AppNucleus PortfolioThe AppNucleus platform has been used to solve a number of health care challenges. Selected solutions shown below.
Making Mobile Health Work
Patient
EngagementiPharmaiPharma
mCareUS Army
QMedVA, Payers, Providers
iWinNIDA, Payers,
Providers
Patient EngagementElsevier, Life Sciences,
Payers, Providers
CheckmateCDC, Life Sciences,
Payers, Providers
iPharmaSAMHS, 59th MW
• Medication compliance
• Pain Assessment
• Post-Surgical care
• Fitness
• Physical Therapy
• Case management
• Telehealth
• Post-Surgical Care
• Physical Therapy
• Medication Compliance
• EMR Interoperability
• Case Management
• Mental/ Behavioral
Health
• Substance Abuse
Prevention
• Wellness
• Medication Compliance
• Patient Education &
Coaching
• Post-Surgical Care
• Secure Messaging
• Care Coordination
• Telehealth
• Biosensor Integration
• User Tracking
• Analytics Dashboard
• Case Management • Medication Compliance
• Patient Education
• Appointment
• Wait-Times
26
165KHealth Apps
1,000’s Wearables &
Clinical Devices
MM’sPatient Educational
Content
?
mHealth Market Failure
Making Mobile Health Work
27
AppScript: mHealth Prescription Workflow
The Leading Discovery, Distribution, and Analytics Platform
for Mobile Health Technologies
Enables clinicians to find and e-prescribe apps to their patients
Making Mobile Health Work
28
AppScript Score
A living score comprised of six
individual rating categories and
weighted algorithm:
Making Mobile Health Work
29
AppScript enables faster & better mHealthdeployments
Quickly Deploy
mHealth
Deploy Best
Possible
mHealth
Test, Optimize,
& Document
mHealth
1
2
3
Ap
pS
cri
pt
Valu
e –
Ad
ded
AppScript Value Drivers
Ro
uti
ne
Us
e
1 2 3
1
2
3
Faster Better
Making Mobile Health Work
30
Apps Discovered/Distributed via AppScript have ~3X higher retention than average health apps
20%
56%
0%
10%
20%
30%
40%
50%
60%
Avg. Health App Avg. Health App
with AppScript
^Source: flurry analytics
*Source: AppScript Provider pilots
App Retention at 30 Days
N = 1500 initial AppScript App Prescriptions*
~3Xbetter w
AppScript
^
Making Mobile Health Work
31
Q&A / Contact
Making Mobile Health Work
James TongEngagement Manager
Ph: +1 703 204 3844
Michael KrupnickDirector of Product,
AppScript
Ph: +1 973 331 6120
Brian ClancySr. Product Manager,
AppScript Analytics
Ph: +1 347 931 4905
32
Questions
33
Next Steps
Next Workgroup Meeting August 17, 2pm
ET
Continue success story interviews and
populate resource center
34
Participate as a Council Member
Join B&C listserv by contacting Claudia at
Seeing expert panel members to respond
to future presentations
35
Thank you!