PHARMACY Is there an app for you?

Kevin A. Clauson, PharmD

Objectives

• Define basic terminology for mobile health (mHealth) and applications (apps)

• Review highest utility mobile phone apps for pharmacy

• Discuss apps that can be used with or recommended for patients

mHealth is the use of mobile devices and

global networks to deliver health

services and information

Access to web-based resources

How SmartPhones Are Changing Healthcare for Consumers and Providers 2010

http://vimeo.com/12175855

Remote Monitoring

International Journal of Electronic Healthcare 2007;3(3):303-16.

mHealth

Security &

Privacy

JA

MA

20

09

;30

2(1

1):

11

59-6

0.

Honk if you love Jesus if you’re ready Text to meet Him!

Texting increases crash risk by 23.2 times!

JA

MA

20

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What is the difference between a

“feature phone” and a…

”smartphone”

mHealth Devices

o iPhone

o Android

o Blackberry

o Windows

o iPad/TabletPC

o USB

o Fitbit

o Etc.

Smartphone OS Share

38%

27%

21%

9%

2% 3%

Android

iPhone

BlackBerry

Windows

HP webOS

Other

Source: Nielsen Mobile Insights 2011

Applications (apps)

Native app

Device-specific software designed to run on its OS/firmware (e.g., download Angry Birds from App Store onto iPhone)

Web app

Software in browser-rendered language (i.e., surfing the web from your phone); needs internet connectivity to work

“App” voted 2010 Word of the Year (ADA)

Pharmacy Apps Drug References

• Epocrates Rx (FREE)

• Pro ($99)

• Essentials ($199)

• Available for all platforms below

Pharmacotherapy 2007 ;27(12):1651-8.

Lexi-Comp*

• Lexi-Drugs ($75)

• Clinical Suite ($175)

• Complete ($285)

*all prices for one-year subscription

iPad Interface

• Full drug, dx state & protocol suite

• Linked CME/CE

• FREE

• No native app for HP webOS (e.g., TouchPad)

• Web app is eMed

• App is actually optimized browser for Medscape content

• Needs internet connection to use!

• Micromedex Drug Information – Native app only for iOS

(Apple) [FREE]

• Web browsing/install for other platforms – Clinical Xpert

– mobileMicromedex

– Micromedex Mobile 2.0

• FREE for institutional subscribers (& DI/iOS)

Clinical

Pharmacology

No native app for

any platform/OS

Web browsing ONLY via login

Pharmacy Apps Calculators

• MedCalc (FREE)

• MedCalc Pro ($4.99)

• Over 200 formulas/scores

• Support for English, Spanish, French, and German

Pharmacy Apps A Few Words about EHRs and PHRs…

Pharmacy Apps Professional &

Productivity

• All questions structured to elicit yes/no OR numerical answers

• Spanish, Haitian Creole, Chinese (Cantonese/ Mandarin)

• FREE

Skype & oovoo

• (Digital) peripheral brain

• Articles, web clipping, photos, images, etc.

• FREE

Pharmacy Apps Patient-targeted

82% of American

adults owns a cell phone*

*Range: 57% (65+) to 90% (18-29) Pew Cell Phones and American Adults 2010

Owns

Does not own

87% of blacks and Hispanics

own a cell phone*

Pew

In

tern

et M

ob

ile

Acc

ess

20

10

*Compared to 80% of whites

Hispanics use their phone to go online and to text more frequently than any other

group*

Pew

In

tern

et M

ob

ile

Acc

ess

20

10

*English-speaking Hispanics

Consumers want to use health apps

0 20 40 60 80 100

91.1

58.4

48.5

To keep track ofhealth information

To help managedisease or drug

To gain information

Source: Consumer Health Information Corporation, April 2011 (n=395)

Percent

Consumers would most prefer to receive a medication reminder via:

0 20 40 60 80 100

41.1

20.3

19.5

15.2

2.5

1.3 Phone call

Buzzing drugvial

Email

Phone alarm

App

Textmessage/SMS

Source: Consumer Health Information Corporation, April 2011 (n=395)

Percent

Local Flavor

Florida Department of Health

www.text4baby.org

Text BABY to 511411

Envia BEBE al 511411 para Español

Recommended Resources

iMedical Apps.com

MobiHealthNews.com

Medgadget.com

Palmdoc.net MedicalSmartphones.com

Summary Points

• mHealth may help extend pharmacy services, drive change to the practice model, and reach underserved populations

• Many opportunities for pharmacy exist in mHealth, but we have to seek them out

• Apps offer a low entry point for clinical utility and a way to engage with patients

Images

• http://www.mhealthalliance.org

• http://vimeo.com/12175855

• http://www.nuance.com

• http://www.montesheraldblog.com/jitterbug_senior_citizen_cell_phone.jpg

• http://hipsterjew.com/files/2010/07/einstein_ipod.jpg

• http://www.quickpwn.com/2010/06/iphone-4.html

• http://cdn.pocketnow.com/html/portal/news/0000015324/incredible-s-screen.jpg

• http://www.atakos.com/wp-content/uploads/2011/04/Blackberry-8800.jpg

• http://www.mobirolla.com/wp-content/uploads/Windows-Phone-7.png

• http://www.vidagranola.com/wp-content/uploads/2010/03/fitbit.gif

• http://cowbgonaca.blogspot.com/2011/06/wallpaper-for-android-mobile.html

• http://www.mac-wallpapers.com/Apple-Wallpapers/white-apple-logo-wallpaper/

• http://www.laptopsteria.com/wp-content/uploads/2011/06/blackberry-logo.jpg

• http://bit.ly/mRZIki

• http://www.onestopwebmasters.com/wp-content/uploads/2011/04/hp-logo.jpg

• http://www.epocrates.com

Images

• http://www.imedicalapps.com/2011/03/blackberry-medical-apps-epocrates-essentials-app-review/

• http://itunes.apple.com/us/app/lexicomp/id313401238?mt=8

• http://www.appdiscover.com/iphone/medical/313401238-lexicomp-app/

• http://www.medscape.com/

• https://market.android.com/details?id=com.medscape.android&featur

• http://palmdoc.net/images/emed_2011-02-05_194939.png

• http://www.micromedex.com/2/mobile.html

• http://www.goldstandard.com/pages/CPM-AboutCPM.html

• http://medcalc.medserver.be/

• http://medcalc.medserver.be/profeatures.html

• http://www.applecorelabs.com/products/RxCalc/

• http://www.slideshare.net/JFahrni/how-rounds-reports-and-mobile-computing-support-the-role-of-the-clinical-pharmacist

• http://twitter.com/#!/mobilehealth/status/77747332367646721

• https://market.android.com/details?id=com.bim.pubmed&feature=search_result

• http://www.pharmacytimes.com/mobile

• http://www.medibabble.com

Images • http://www.jeancoutu.com

• http://itunes.apple.com/us/app/ashp-

mobile-midyear-2010/id405949252?mt=8

• http://pharmacistsociety.skipta.com/public/images/1page_img1.jpg

• http://www.pharmqd.com/

• http://www.shownearby.com/press/logos/

• http://www.skype.com

• http://www.oovoo.com

• http://www.evernote.com

• http://www.greatcall.com/AppStore/iphone-apps.aspx

• http://www.diabetesmine.com/wp-content/uploads/2010/09/ibgstar-strip.png

• http://www.diabetesmine.com/wp-content/uploads/2010/09/iphone-ibgstar.png

• http://itunes.apple.com/us/app/tapcloud/id424174431?mt=8

• http://www.pharma.bayer.com/scripts/pages/en/news_room/news_room/news_room97.php

• http://www3.bcbsfl.com/wps/portal/bcbsfl/links/mobile

• http://www.doh.state.fl.us/family/mch/text4baby/text4baby.html

• http://www.sensei.com/

• http://itunes.apple.com/us/app/seaworld-orlando-gps-map/id339963201?mt=8

• http://hopephones.org

• http://www.slideshare.net/about/logos

Expanded slide deck can be found at:

www.slideshare.net/kclauson

clauson@nova.edu www.unhub.com/kevinclauson