The Importance of mHealth

By Ahmad JubbaweyCEOVensa Health

How it can assist with improving health outcomes

NZ Health Structure

MOH

DHBs 20 DHBsNGOs

PHOs 60 PHOs

GPs 1280 GPs

DHB Map

NZ Health Market

• Public hospitals provide services for free

• Primary care strategy – Subsidised visits / Preventative care

• 99% adoption of eHealth in Primary care

• 100% adoption of eHealth in Secondary care

Government Spending

Currently 20%

By 2026 ≈40%

Unsustainable …Opportunity for mHealth!!!

MOH 6 Health Targets

• Shorter stays in Emergency Departments

• Improved access to elective surgery – By 4000 Discharges

• Shorter waits for cancer treatment

• Increased Immunisation for two year olds

• Better help for smokers to quit

• Better diabetes and cardiovascular services

MOH 6 Health Targets

• Shorter stays in Emergency Departments

• Improved access to elective surgery – By 4000 Discharges

• Shorter waits for cancer treatment

• Increased Immunisation for two year olds

• Better help for smokers to quit

• Better diabetes and cardiovascular services

MOH 6 Health Targets

• Shorter stays in Emergency Departments

• Improved access to elective surgery – By 4000 Discharges

• Shorter waits for cancer treatment

• Increased Immunisation for two year olds

• Better help for smokers to quit

• Better diabetes and cardiovascular services

mHealth Opportunity

• Mobile phone adoption & Text-messaging @ near 100%

• Uptake of the internet. E.g. Email, Social-Networking sites, IM, Etc…

• Traditional Media is increasingly ignored as people move to the mobile world.

• Business across different sectors leverage of this trend

• Motivation to Reduce spending

Adoption Move in mHealth

MOH

DHBs

Patient

PHOs

GPs

What is mHealth

• mHealth - Capability of sending/receiving health messages over a mobile device

• Primarily – To address health challenges

Applications

Figure out the applications:– Appointment Reminders– Lab Results– Breast Screens– Cervical Screen– Immunisation – InFLUenza– HPV Vaccine– Chronic Disease Management– Community Health Services – Behavioral Change Communications, e.g. Smoking – Medication Compliance

Whangauni DHB Case Study

• Whangauni Region Traditionally had poor Immunisations rates. TXT2Remind installed in Jan this year:

1 October 2009 and 1 January 2010 1 January 2010 and 1 April 2010 1 April 2010 and 1 July 2010

Total % Immunised

Coverage % Maori Immunisaed

Coverage %

Dep 9-10

Total % Immunised

Total % Maori Immunisaed

Coverage %

Dep 9-10

Total % Immunised

Total % Maori Immunisaed

Coverage %

Dep 9-10

83% 78% 84% 88% 86% 90% 87% 91% 89%

Whangauni DHB Case Study

• Whangauni Region Traditionally had poor Immunisations rates for 2 year olds. TXT2Remind installed in Jan this year:

1 October 2009 and 1 January 2010 1 January 2010 and 1 April 2010 1 April 2010 and 1 July 2010

Total % Immunised

Coverage % Maori Immunisaed

Coverage %

Dep 9-10

Total % Immunised

Total % Maori Immunisaed

Coverage %

Dep 9-10

Total % Immunised

Total % Maori Immunisaed

Coverage %

Dep 9-10

83% 78% 84% 88% 86% 90% 87% 91% 89%

Brought the region within proximity of national target of 90%.

Counties Manuaku DHB

• Hospital outpatients Surgeries Experience 12% DNA rates

• 25K outpatients per month of which 12% don’t turn up – Costs government 1.2 Million for this DHB alone monthly.

Counties Manuaku DHB

• Hospital outpatients Surgeries Experience 12% DNA rates

• 25K outpatients per month of which 12% don’t turn up – Costs government 1.2 Million for this DHB alone monthly.

From the first month notice of no-shows dropping to 10%. Collectively amounted to 6000 more discharges per year.

Q&A

So

Lets Talk….

Q&A

Screw it, Lets do it!!!

Thank you

Thank you….