open mhealth - legal hackers - may 22, 2014

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Legal Hackers May 22, 2014

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David Haddad gave a presentation at Legal Hackers NYC on May 22nd, 2014 talking about his trials and tribulations about being FDA approved.

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Page 1: Open mHealth - Legal Hackers - May 22, 2014

Legal HackersMay 22, 2014

Page 2: Open mHealth - Legal Hackers - May 22, 2014

Growth in tools

Page 3: Open mHealth - Legal Hackers - May 22, 2014

Chronic disease is on the rise

Page 4: Open mHealth - Legal Hackers - May 22, 2014

An infinite number of questions about our health

Page 5: Open mHealth - Legal Hackers - May 22, 2014

Unlocking data to tell better patient stories

Page 6: Open mHealth - Legal Hackers - May 22, 2014

Open data formatClinical face-value

Products

Page 7: Open mHealth - Legal Hackers - May 22, 2014

Enabling data prescription

1. Clinician prescribe data based on the metrics that matter to them (e.g. 30 minutes of moderate activity, 5 days a week)

2. Patient syncs their favorite app or devices 3. Data from disparate apps are integrated, normalized,

analyzed and visualized to provide context between clinical visits

Page 8: Open mHealth - Legal Hackers - May 22, 2014
Page 9: Open mHealth - Legal Hackers - May 22, 2014

A mobile health tool as a medical device

Is something that is: 1. Used as an accessory to a regulated medical device2. Transforming a platform into a regulated medical device“…intended for use in performing a medical device function (i.e. for diagnosis of disease or other conditions, or the cure, mitigation, treatment, or prevention of disease) it is a medical device, regardless of the platform on which it is run.” (Page 8)

Page 10: Open mHealth - Legal Hackers - May 22, 2014

Enforcement discretion (page 16) ● Help patients self-manage their condition without providing

treatment or treatment suggestions (ex. coaching)● Provide patients with simple tools to organize and track their

health information (ex. our product) ● Provide easy access to information related to patients’ health

conditions or treatments (ex. personal health record?) ● Help patients document, show, or communicate potential

medical conditions to health care providers (● Automate simple tasks for health care providers● Enable patients or providers to interact with Personal Health

Record or Electronic Health Record Systems.

Page 11: Open mHealth - Legal Hackers - May 22, 2014

My questions

1. We are “transforming” data to be actionable to a patient and clinician. Not doing diagnostics, but providing insight that has never been in a clinical visit. Where do we fit?

2. How do we handle devices that are regulated by the FDA? Like an Omron Series 7 blood pressure cuff.

3. How do we develop language as part of our service agreements with partners to ensure trust? Where should that language live (online/in-app)? How do we ensure toolmakers’ T&A work?

Page 13: Open mHealth - Legal Hackers - May 22, 2014