isli mobile health presentation (5 23 11) c wv2
DESCRIPTION
Presentation on mobile health- patient managemment, clinical decision support, marketing, patient educationTRANSCRIPT
Mobile Health Engagement:
Information, Learning, and
Care Coordination
Steven Peskin, MD, MBA, FACP
EVP and Chief Medical Officer, MediMedia
Associate Clinical Professor of Medicine,
UMDNJ
May 23, 2011
"Every generation needs a new revolution."-Thomas Jefferson
• Mobile technology has become ubiquitous in our consumer
lives…and it’s bridging to other areas
• Today, we are at the leading edge of it, revolutionizing the way
we manage our individual health
• Three major areas of mobile health that will drive this change:
– Health Care Professional: Knowledge building, increased interaction,
and improved clinical actions
– Consumer: Creating excitement and ease to drive engagement and
behavior change with relevant and actionable information and topics
– Connected Care: Integrating all key stakeholders (HCPs, life sciences
companies, payers, consumers) to efficiently achieve desired health care
outcomes
2
Mobile Health and the Health Care
Professional – Part 1
3
Part 1: Mobile Health and the Health Care
Professional
4
(Mobile) Social Community Benefits for Health
Care Professionals
• (Mobile) social communities facilitate sharing of clinical insights
and solutions to practical clinical problems in a way that
promises to hone “best practices”
• Allows physicians to:
– Access dialogue on best practices
– Source and disseminate immediate research
– Solicit useful feedback about preferred treatments, protocols, and
practice tools that yield best health and patient satisfaction
– Build business arrangements
5
Mobile Health Care Professional Communities
• QuantiaMD:
– Founded in 2005, has 140,000+ members
– Education and collaboration platform for physicians and other
clinicians accessible on computers, tablets, and smartphones
• Sermo:
– Founded in 2006, has 220,000 members
– Bills itself as “the world’s largest online community of physicians,
where you can exchange medical insights with colleagues spanning
more than 30 specialties across all 50 states”
• Medscape Mobile Physician Connect:
– Founded in 2008, has 250,000 members
– Invites clinical and nonclinical exchanges through video blogs and
user polls
6
Integrated HCP/Patient Engagement
7
HCPs visit Web/WAP disease state or brand portals driven by
QuantiaMD promotion from peer-to-peer educational initiatives
QuantiaMD
• Link to/from portal
• Access to
>300,000 HCPs
• Engagement &
promotion
• Educational &
resource materials
Clinical Decision Support
• Epocrates
– Founded in 1998, over 400,000 members
– Not strictly a social professional network
– Features immediate formulary checks and drug information, point-of-
care references, discussion topics, and an electronic game on Facebook
called “Diagnose the Disease.”
8
Point-of-Care Mobile Technology
• 87% of physicians who use a
PDA/smartphone said the PDA
channel provides clinical
information that is most
influential in their prescribing
and treatment decisions
• 92% of physicians agree that
“clinical information on my
PDA/S, smartphone improves my
knowledge and capabilities” 87%
2%6%
3% 2% 1%
Most Influential on Prescribing
PDA/Smartphone
Direct Mail
Journal Ad
Rep Visit
e-Detail
Pharma brand web site
9
“Effect of PDA-based information on treatment decisions.”
Mix of 594 primary care and specialty physicians.
Marlborough, MA: Skyscape; March 2008.
The App Revolution: iPhone, BlackBerry, and
Google Android
10
“There’s an App for That”
• Apps for patient information
delivery
• AirStrip Technologies: offers a suite of
HIPAA-compliant apps that collect all
relevant patient information and sends it
to your PDA (including lab results,
cardiology, temperature, etc)
• From QuantiaCare: EatSmart, with
content from Hope Warshaw, RD, MMSc,
CDE, BC-ADM
• Apps for electronic medical records
• The software developer, Epic, just released a
new suite of apps that feature PHR access for
a PDA
11
More Apps for Health Care Professionals
• Apps for medical education and reference
• Krames Patient Education: iPatientED is a quick reference tool for
physicians with 118 animations spanning 22 medical specialty areas,
many with narrations in English and Spanish
• Modality: this company features 120 apps, 55 of which are focused on
medical education
• MedCalc: a medical calculator with a wide array
of medical formulas and scores. Includes
information and bibliographic references for each
formula
• ICD-9 Lite: contains all 13,677 ICD-9-CM
diagnosis codes for quick retrieval by disease
classification in a drilldown format with no typing.
Code to the highest level of specificity every time
12
Mobile Health and the Consumer – Part 2
13
Mobile Technology & Apps Will Redefine the Way
Consumers Manage Their Health…
• 4.7 billion mobile subscribers
worldwide1
• Mobile health apps have grown
by 78% in the United States
• Currently, there are
17,000mHealth apps ̶ 74%
adhere to the paid business
model
• 76% of mHealth market revenue
will come from related services
and products such as sensors
14
…And Address Many of the Challenges Traditionally
Associated with Poor Outcomes
15
ObesityLack of Engagement
Poor Compliance
Boredom Disconnection
Poor Prenatal Care
Pre-diabetes
At-risk Patients
Convergence – The Mobile Answer…
Nike + GPS
• Fitness games are very
popular
• 70% of mobile app
downloads are games
• Wearable sensors are
used by athletes and
nonathletes alike
16
Market Landscape: Wearable Devices and
Biosensors
• By 2014, more than 400 million
wearable wireless sensors are
expected to be in existence
• 90% of the market is in sports and
fitness but demand is increasing in
professional and home health care
markets
• Accelerometer/gyroscope market
forecast to exceed $1B by 2014
• Wearable and at-home biosensors
were a $7B market in 2004, growing
10% a year.1
17
Industry:Health &
Productivity $2.3B2
Consumers:Health
eGames$6.6 Billion1
Health eGames +
Social Media
+ Mobile
+Analytics & Outcomes
=…Superior Health & Performance
Opportunity: Health eGames Bigger than
Disease Management
ExergamingCondition
ManagementNutrition
Brain FitnessProfessional
18
Optimizing the Consumer Experience
Before & After Web Mobilization
Mobilization allows your product to be accessed by more than
6,000 mobile devices in more than 600 countries.
Accessed via SMS keyword, 2-D codes, mobile browser – all with
SEO available, our WAPsite solutions drive visitation, registration,
and segmentation of visitor information for continued engagement
to your mobile patient community.
19
Secure Mobile Community Apps
JoinBind to a community
ComplySecurity = HIPAA Compliance
InteractSecure Mobile “Community”
Subscribe
Download
Interact
Server/Client Security
1. Encryption
2. Authorization
3. Validation
4. Verification
5. Authentication
Service Management
1. Availability
2. Monitoring
3. Alerts
4. Tracking
5. Audit
6. Reporting
Secure Mobile Community
1. Admin Controls
2. Access Mgt
3. Community Outreach
4. Patient Diary Cards
5. Collaborate
6. Upload Data
7. Update
8. Confirm (activity)
9. Remind
10.Educate
11. Alert
20
21
Interactive Mobile In-Office Materials
Connected Care – Part 3
22
Physicians
Associations• Diabetes
• AHA
• Others
mProCare™
Lifestyle RegimensPharmacies
Pharmaceutical
Companies
Analytics
Database
PCP Functions
• Reminders/Alerts
• Education
• Patient Diary Cards
• Patient Data to EMR/EHR
• Mobile Regimens
• Health Coaching
Patient-centric Healthy Lifestyle Engagement
Sponsor Programs
• Opt-in
• Surveys
• Education
• De-identified Analytics
PatientNet™ Portal
• Opt-in
• Outreach
• Education
23
Example: POC Patient Engagement Workflow
24
Other delivery options:– E-mail
– Call Center– IVR
SMS or audio
dosage reminder
with caregiver
monitor
To: 232-132-2076From: 5301603/25/11 8:00am
Sam, remember to take your morning meds on an empty stomach. Dr Katz
To: 232-132-2076From: 5301603/25/11 8:05am
Sam has replied “Yes” to confirm his morning regimen.
To: 232-141-2567From: 5301603/25/11 8:00am
Sam, remember to take your morning meds on an empty stomach. Dr KatzReply “Yes” to confirm.
Sam, remember to take your morning meds on an empty stomach. Dr KatzReply “Yes” to confirm.eRx/EMR point-of-care
HCP interface
Caregiver
alert options
Mobile Pain Care
25
Key Takeaways
26
• Mobile health and social media will
be a part of everyday health care
• Health care professionals will
embrace digital tools/communities
for clinical performance
improvement, time, and $$$
savings/revenue
• Increased availability, accuracy,
“searchability,” and dissemination of
InformationImage from the January 2010
Consumer Electronics Show in
Las Vegas. Note “digitalHealth”
in the center.