Digital Health in Acute Care
-
Upload
megan-ranney -
Category
Health & Medicine
-
view
191 -
download
4
description
Transcript of Digital Health in Acute Care
![Page 1: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/1.jpg)
mHealth in Acute Care:Where are We Now?
Where (Might) We Be Going?
Megan L. Ranney MD MPH FACEPDirector, Brown EDHI
@meganranney / @brownedhi
![Page 2: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/2.jpg)
![Page 3: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/3.jpg)
![Page 4: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/4.jpg)
Our patients want mHealth:
Ranney, Choo, et al Annals of EM 2012
95% have SMS-capable cellphone45% have smartphones (rapidly growing)67% use social media (rapidly growing)90% interested in tech-based platform to improve their health
![Page 5: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/5.jpg)
![Page 6: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/6.jpg)
Patients are trying mHealth:
http://www.pewinternet.org/Reports/2012/Mobile-Health/Key-Findings.aspx
![Page 7: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/7.jpg)
Once enrolled, people use it!
- mHealth interventions have been shown to be acceptable and result in high engagement even in the highest risk groups
• adolescents• Spanish-speaking diabetics seen in the ED• schizophrenics
![Page 8: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/8.jpg)
![Page 9: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/9.jpg)
![Page 10: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/10.jpg)
Monitoring, Surveillance, Dx
![Page 11: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/11.jpg)
Care coordination/delivery
![Page 12: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/12.jpg)
Patient engagement & behavior change
![Page 13: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/13.jpg)
![Page 14: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/14.jpg)
![Page 15: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/15.jpg)
![Page 16: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/16.jpg)
![Page 17: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/17.jpg)
Where is the evidence?
Are they safe and private for my patient?
How does it affect our workflow?
How do I know they’re good?
Do they exist for my OS?
Do they exist for my disease?
She doesn’t even look at my data!
![Page 18: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/18.jpg)
![Page 19: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/19.jpg)
![Page 20: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/20.jpg)
![Page 21: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/21.jpg)
1. Privacy/Confidentiality
https://www.privacyrights.org/mobile-medical-apps-privacy-consumer-report.pdf
![Page 22: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/22.jpg)
prviacy
![Page 23: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/23.jpg)
![Page 24: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/24.jpg)
But….
![Page 25: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/25.jpg)
![Page 26: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/26.jpg)
![Page 27: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/27.jpg)
1. Design well
![Page 28: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/28.jpg)
http://www.imshealth.com/deployedfiles/imshealth/Global/Content/Corporate/IMS%20Health%20Institute/Reports/Patient_Apps/IIHI_Patient_Apps_Report.pdf
![Page 29: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/29.jpg)
Need to use…
![Page 30: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/30.jpg)
![Page 31: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/31.jpg)
![Page 32: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/32.jpg)
2. Create evidence
![Page 33: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/33.jpg)
Emerging evidence in our field…
![Page 34: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/34.jpg)
Emerging evidence in our field…
![Page 35: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/35.jpg)
![Page 36: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/36.jpg)
3. Optimize the ethics
![Page 37: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/37.jpg)
Privacy Security
Trust Autonomy
Justice
![Page 38: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/38.jpg)
![Page 39: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/39.jpg)
4. Make it matter in “real life”
![Page 40: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/40.jpg)
![Page 41: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/41.jpg)
![Page 42: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/42.jpg)
![Page 43: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/43.jpg)
![Page 44: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/44.jpg)
“Brown’s Emergency Digital Health Innovation (EDHI) program exists to facilitate the creation and deployment of effective, evidence based digital health tools in the acute care setting.”
www.brownedhi.org@brownedhi
![Page 45: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/45.jpg)
![Page 46: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/46.jpg)
![Page 47: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/47.jpg)
@meganranney@brownedhi
www.brownedhi.org
![Page 48: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/48.jpg)
• Sheck, A. (2014) Special Report: Putting an End to Super Users Slipping Through the Cracks. Emergency Medicine News, 36(1), 12-13.
• Stokes-Buzzelli, S., Peltzer-Jones, J., Martin, G., Ford, M., Weise, A. (2010) Use of Health Information Technology to Manage Frequently Presenting Emergency Department Patients. Western Journal of Emergency Medicine, XI(4), 348-53.
• Stranges E, Uscher-Pines L, Stocks C. Emergency Department Visits and Hospital Inpatient Stays for Bicycle-Related Injuries, 2009: Statistical Brief #135. 2012 Jun. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. Rockville (MD): Agency for Health Care Policy and Research (US); 2006 Feb-. Available from: http://www.ncbi.nlm.nih.gov/books/NBK99792/
• Unger, L. (2013) Program offers aid to ER ‘super-utilizers’ to cut costs. Courier Journal. April 15, 2013. http://www.courier-journal.com/article/20130413/PRIME01/304140036/Hospitals-target-emergency-room-super-utilizers-cut-down-costs?nclick
• U.S. Department of Health and Human Services, Health Information Technology and Quality Improvement. What is mHealth?
• Ranney ML, Choo EK, Wang Y, Baum A, Clark MA, Mello MJ. Emergency department patients' preferences for technology-based behavioral interventions. Ann Emerg Med. 2012;60:218-27 e48.
• Fox S, Duggan M. Mobile Health. Pew Internet and American Life Project. Washington, DC: Pew Research Center; 2012.
• Kumar S, Nilsen WJ, Abernethy A, Atienza AA, Patrick K, Pavel M, et al. Mobile health technology evaluation: The mHealth Evidence Workshop. Am J Prev Med. 2013;45:228-36.
Bibliography
![Page 49: Digital Health in Acute Care](https://reader036.fdocuments.in/reader036/viewer/2022062706/557c81e8d8b42a9f578b4b86/html5/thumbnails/49.jpg)
• Arora S, Peters AL, Burner E, Lam CN, Menchine M. Trial to Examine Text Message-Based mHealth in Emergency Department Patients With Diabetes (TExT-MED): A Randomized Controlled Trial. Ann Emerg Med. 2013.
• Head KJ, Noar SM, Iannarino NT, Grant Harrington N. Efficacy of text messaging-based interventions for health promotion: A meta-analysis. Social Science & Medicine. 2013;97:41-8.
• Patient Apps for Improved Healthcare: From Novelty to Mainstream. Parsippany, NJ: IMS Institute for Healthcare Informatics; 2013.
• Heron KE, Smyth JM. Ecological momentary interventions: Incorporating mobile technology into psychosocial and health behaviour treatments. Br J Health Psychol. 2010;15:1-39.
• Georgiou A, Prgomet M, Paoloni R, Creswick N, Hordern A, Walter S, et al. The Effect of Computerized Provider Order Entry Systems on Clinical Care and Work Processes in Emergency Departments: A Systematic Review of the Quantitative Literature. Ann Emerg Med. 2013.
• Steventon A, Bardsley M, Billings J, Dixon J, Doll H, Beynon M, et al. Effect of telecare on use of health and social care services: findings from the Whole Systems Demonstrator cluster randomised trial. Age Ageing. 2013;42:501-8.