mobile health trends
TRANSCRIPT
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MOBILE HEALTH TRENDS
John Sharp, Senior ManagerHIMSS Personal Connected Health AllianceApril 19, 2016
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Millennials as Parents
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Millennials
• Digital Natives• Facebook and beyond• Texting, Instagram, Snapchat• Online Gaming
Time Magazine Survey
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HIMSS Connected Health Survey 2016
http://www.himss.org/2016-connected-health-survey
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Convenience Apps
• Online scheduling• Bill paying• Wayfinding• Prescription renewals (through portal)• Secure messaging to clarify medications, test
results (avoid phone tag, through portal)• eVisits, Telemedicine to avoid ER visits
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Boston Children’s
• DisCo, a Discharge Communication Platform • sends families either a text message or an
email with 3 questions within 24 hours of discharge.
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National Children’sWhy Do Patients Not Use Portals?• “Did not know it was available”• “Physician never spoke to me
about it”• Challenging groups (children,
adolescents, elderly, mental illness)
• Confusing user interface• Not compelling enough
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Children's Health, Dallas, TX
• Remote patient monitoring post-transplant• Using a tablet to connect to devices and
transmit data to the medical team (blood pressure, weight, O2 stats)
• Eliminates visits 2x per week• Also can be used
for patient education
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Geisinger Medical Center
• Using the MyChart portal as the center of the customer experience
• Building/buying tools integrated to reduce the administrative time at appointments– Medication reconciliation by
patients prior to appointments
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Carolinas Health System
• *NEW* View doctor's notes and radiology reports (Open Notes)
• *NEW* Track your health with the new MyCarolinas Tracker app
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Giving patients access to their health data
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Kaiser’s Experience1. Secure Email Supports Improved
Outcomes And Patient-Centered Care2. Patient Portal Use Positively Impacts
Patient Loyalty To The Health Plan And Member Satisfaction
3. Evidence Of A Relationship Between Secure Email And Other Kinds Of Utilization Is Mixed
4. Even With The Best Intentions, E-Health Disparities Can Emerge
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Feedback from Kaiser Patients• more in control over their medical condition;• they had access to information and access to
the people they needed to consult; and,• more confident, less intimidated, and closer
to their physician.
http://healthaffairs.org/blog/2016/04/07/lessons-from-more-than-a-decade-in-patient-portals/
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Use of Texting
Why texting?• Common use among millennials – more likely
to read• Lower income populations may not have
smart phone but do have texting • One-way texting – health reminder messages• Two way texting – ask for a brief response
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Texting examplesText4Baby • free app to pregnant women and new
mothers about health reminders based on the stage of pregnancy or the baby’s age.
• user can set up appointment reminders and watch informative videos.
• Used by almost 1 million moms. • One study showed significant positive
change in attitudes about prenatal health behaviors.
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Texting ExampleMetroHealth Medical Center, Cleveland• Direct Messaging to
Parents/Guardians to Improve Adolescent Immunizations
• TeleVox Software Inc. 39% increase in vaccination rates for adolescents.
• http://www.jahonline.org/article/S1054-139X(14)00764-2/abstract
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Text messages reduce emergency room visits for low income patients with diabetes
• study of 128 patients, published in the Annals of Emergency Medicine
• Self-reported medication adherence did improve significantly in the intervention group, however, and actually got worse in the control group
• 94 percent reporting they enjoyed the messages and 100 percent saying they would recommend them to a friend
• http://mobihealthnews.com/27446/text-messages-reduce-emergency-room-visits-for-low-income-patients-with-diabetes/
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Text2Move for Diabetes - Partners
Significant lowering of HA1c
Kvedar, The Internet of Healthy Things
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Where to find reviews of health apps?
• http://www.imedicalapps.com/ • http://www.nodehealth.org/
Mt. Sinai Asthma App
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http://blog.cincinnatichildrens.org/rare-and-complex-conditions/review-of-epilepsy-and-seizure-tracking-applications/
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Health Apps for Kids
https://www.commonsensemedia.org/reviews/category/app/genre/health-fitness-65
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Games to motivateType 1 Diabetics
• Developing good habits of checking their blood sugar regularly or bolusing insulin with meals
• Rewards and social competition• Creator – Jen Dyer, MD, pediatric
endocrinologist in Columbus
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Social Media
Sample topics• Your Children Not Sleeping? It Might Be YOU• Candy Or Medicine? Safe Medicine Storage• HPV Vaccine Decreases HPV Infections!• Dayton - Dr. Mom Squad – link to this great
content from Facebook
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• Used frequently by new parents to share photos
• Feature videos and your latest blogs, not just events
• Grow numbers by advertising in the hospital and clinics
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HIMSS Book of the year 2014
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New HIMSS Book• Participatory Healthcare: A Person-Centered
Approach to Healthcare Transformation – Available in June
• My chapter – Programs that work to promote partnership and engagement
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Contact me• HIMSS website: www.himss.org• Email: [email protected]• Twitter @johnsharp• LinkedIn: linkedin.com/in/
johnsharp• SlideShare: slideshare.net/
johnsharp