PatientsBackupBrain
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The Patient’s Back-up Brain A Mobile Health Future mHealth Initiative June 2009 Presented by Edward A, Stern, RN [email protected] mHealth Initiative June 2009 Presented by Edward A Stern, RN Clinical Informatics Lead George Washington University Medical Faculty Associates
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The Patient’s Back-up Brain: A Mobile Health Future presented by resented by Edward A Stern, RN, Clinical Informatics Lead, George Washington University Medical Faculty Associates.Presented at mHealth Initiative's June 4, 2009 conference in Washington, DC.www.mhealthinitiative.org
Transcript of PatientsBackupBrain
The Patient’s Back-up BrainA Mobile Health Future
mHealth Initiative June 2009
Presented by Edward A, Stern, RN
mHealth Initiative June 2009
Presented by Edward A Stern, RN
Clinical Informatics Lead
George Washington University Medical Faculty Associates
About Your Presenter
• Informatics Nurse for GW Medical Faculty Associates
– 500+ Physician teaching practice (plus Residents and Student) with more than 40 clinical specialties in multiple locations, serving the entire Washington DC
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
multiple locations, serving the entire Washington DC metro area
– Treat an estimated 4,600 patients a day
• Developed the “Back-up Brain” education series for Clinical professionals
• Patented consumer “usability” research model
• Former clinical informatics consultant
What is a “Back-up Brain”?
• Any kind of “device” which:
– Helps keeps us in our daily routine
– Allows us to reference complex data
points
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
points
– Enables us to “Think, Process and
Clear”
• “Stream of consciousness” thinking via;
notes, reminders, etc which pop in get
recorded and cleared for the next..
Presented by Edward A, Stern, RN
The Mobile Device Market
• The UN Reports that more than half the world population has a mobile phone– Less than a quarter of the world
population has Internet access
• A mobile phone is by it’s very nature
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
• A mobile phone is by it’s very nature designed to be a “consumer usable” device (so it’s relatively easy to operate)
• The mobile phone market is available to all and tends to level all socio-economic groups and age barriers
Powerful Consumer Centric
Mobile Market in the US• In 2008, 89% of the US population, are mobile phone
subscribers (>270 million), according to a research study– 15 million more than 2007
• 1 trillion text messages during 2008 were sent in the US– Triple the number of texts in 2007
• 620 billion texts were sent during the second half of 2008
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
• 620 billion texts were sent during the second half of 2008
Source: CTIA President Steve Largent,
April 2009, Annual Conference
• Total volume of texting averages 3.5 billion
per day.
– That's 13 messages per person, per day
• Total wireless revenues in 2008 came to
$148 billion
– $9 billion more than 2007
Playin’ the Patient Averages
• The mobile phone has changed how the
“average human” communicates
– 89% of the US population has a cell phone
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
• The “average patient” desires to be an active
participant in their medical care, but the
process is often complex and time consuming
– 96% preferred to be offered choices and to be asked
their opinions– J Gen Intern Med. 2005 June; 20(6): 531–535
Playin’ the Patient Averages• 54% are actively putting effort into learning more
about their personal health”
• 64% say they would be interested in using an ”in-home” medical device that could help them know what to do and when
• 44% express interest in programs and tools such as
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
• 44% express interest in programs and tools such as health diaries and education
• 37% say they are interested in using oniline tools that could help them assess, monitor and manage their health
• 68% are interested in home monitoring devices that enable them to check their condition and send results to their doctor
Source: 2009 Survey of Health Care Consumers – Deloitte Center for Health Solutions
The Mobile Health Opportunity
“mHealth”
Patient
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
Mobile Technology
Provider
3 Point Cycle of
Patient Centric mHealth
Reference and message
solutions for the patient
Growth of the Patient and
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
Applications to remind and engage the patient in
personalized
care
Patient and Provider
relationship; resulting in
improved health
Solutions must be
patient and market driven
• 270 million text enabled phones in the US
– Simple communicator with a great deal of flexibility and versatility
• Almost 10 million Blackberry Users +
• Almost 7 million Windows based phones +
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
• Almost 7 million Windows based phones +
• Approximately 5.4 Million iPhone devices sold +
– Almost 1 billion iPhone applications downloaded
– 38% of mobile internet market share (Source: BusinessWeek 5/26/09)
• Strong presence of market segment for 3rd party vendors
+ (Source; Comscore via Softpedia May 6, 2009)
Where do we start go from here?
• Determine your patient market segment
– Get and classify patient mobile numbers in
practices
• Simply offering help and suggest current 3rd
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
• Simply offering help and suggest current 3rd
party standalone solutions:
– Track your BP, Hgb A1C, blood sugar
– Medication reminder apps
– Diet diaries/trackers/calculators
– Exercise diaries/trackers
Quickly moving forward
• Consider voice options
– Televox to mobile phone with patient care updates as simple entry level solutions
• Text message options
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
• Text message options
– Appointment reminders
– Medication reminders
• Pilot program at GW reminding cardiac patients when to take critical meds
– Text to dB options
• Have patients text their Glucose
Integrated solutions• 3rd party apps directly from phone into MD EMR and patients
PHR– Vitals, Medication reminder and use, home testing reference
numbers
– Appointment scheduling
• MD and EMRs “to” the mobile device (and PHR)– Consults on medication adjustments based on results sent
dynamically from the device
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
dynamically from the device
• Home testing systems using mobile technology direct to the MD (and EMR/PHR)– Hgb A1C, blood sugar, and other home devices
• Integrated devices– Phone “is” the testing device
• Emergency care information access– Break the glass solutions on the patient phone for the
CCR/EMR/PHR
Conclusion The Next Steps
• Patient population is ready and waiting
• Industry moves
– mHealth Initiative
– Move towards HIT (ARRA etc)
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
– Move towards HIT (ARRA etc)
• Start simple and small and move forward
Contact
• Edward A Stern, RN
– www.nothingbetter.com
Presented by Edward A, Stern, RN
Presented by Edward A, Stern, RN
• This presentation is available on SlideShare
– www.slideshare.net/nothingbetter
