mHealth 101:A Hopkins Clinical Perspective

Larry William Chang, MD, MPHAssistant Professor, Division of Infectious Diseases

Johns Hopkins School of Medicine

Disclosures

• I am a consultant for, minority equity holder in, and am entitled to royalties from emocha Mobile Health Inc., a company licensing an invention (emocha) from Johns Hopkins University which I helped invent and is described in this presentation.

• I have received grant support from the National Institutes of Health and Bill and Melinda Gates Foundation.

EducationTrainingLogistics

Patient InteractionsDiagnosisTreatmentResearch

BillingMedicolegal

Will I still have a pager?

Feature Text Messaging 1-Way Pager 2-Way Pager PING Inbox

HIPAA compliant No Yes Yes Yes

Supports multiple transmission protocols

No No No Yes

Cost Free $11/month $21/month $7/month

Source: Ping

JHU Plastic Surgery Residency App

The Wired Patientsen· sor noun-

a device that detects or

measures a physical property

and records, indicates, or

otherwise responds to it.

Sources: WisePill, AliveCore, iBGStar, iHealth, Fitbit

The New Patient Social History

• N=105

• Compared to traditional media

• Younger (mean age 31 vs. 42, p<0.0001)

• More sex partners in the previous 14 days (1.88 vs. 1.1)

Source: Grindr.com

Take two apps and call me in the morning.

Source: www.bluestardiabetes.com

Apps for Patients

• Pain Diary Feasibility Study (n=37)

• Target Audience: Patients and Providers

J Med Internet Res 2013;15(12):e287

Apps for Patients

• Personal medical record tracker and alerting system• Target Audience: Patients

Peter Schmidt and POZ

Text Messaging for Patients

Text2quit, George Washington University, Voxiva

Text Messaging for Patients

Log on Location Symptoms Record Submit

New paradigms for patients & clinicians

The Epically ____ EPIC

Technology Innovation Center

• Interactive graphical dashboard designed to analyze over-night workflow productivity

• Mechanism for Clinicians and Radiologists to engage in a tele-consultation session on iPads

• EMR aggregation tool designed to display a patient’s relevant clinical data while minimizing clicks

The Technology Innovation Center is pulls together clinicians, enterprise Health IT systems,

and Johns Hopkins University researchers to create patient-centered medical solutions.

@JHMTIC TIC@JHMI.EDU

Source: Google Play Storerch 7, 2014, Search for Cancer Medical

Apps apps everywhere…

What is Out There?

• 295 smartphone apps– Breast cancer (46.8%, 138/295)

– Cancer in general (28.5%, 84/295)– Raise awareness about cancer (32.2%, 95/295)– Provide educational information about cancer (26.4%, 78/295)

– Fundraising efforts (12.9%, 38/295)– Assist in early detection (11.5%, 34/295)– Promote a charitable organization (10.2%, 30/295),

– Support disease management (3.7%, 11/295)– Cancer prevention (2.0%, 6/295)– Social support (1.0%, 3/295).

– The majority of the apps did not describe their organizational affiliation (64.1%, 189/295).

• Article Search n=594 articles. – 0 reported an evaluation of a cancer-focused smartphone application

J Med Internet Res 2013;15(12):e287

Brave new world.

caveat emptor or“do no harm”.

Thank You!