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CSC Harnessing the Value of mHealth

CSC Harnessing the Value of mHealth

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Published by: sbepstein on Feb 05, 2013
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12/30/2014

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Executive Summary
The prolieration o next generation smart mobile devices is nothing less thanastounding. More than one-third o U.S. adults own one, and an increasingnumber use their smartphone, iPad, or Blackberry as their primary means oaccessing the Internet. Physicians are adopting smart mobile devices at doublethe rate o the general population. Matching the rapid growth in devices is avirtual explosion in the number o mobile applications (apps). Among the manyapps available are more than 17,000 or healthcare tasks, and the rapid paceo development and adoption will continue thanks to easy-to-use sotwaredevelopment kits (SDKs) oered by device vendors and easy and well-knownvenues or selling them to the public (e.g., the App Store).What makes the new generation o mHealth exciting is the synergisticcombination o smart device value-add capabilities (camera, GPS, video chat,blue tooth connectivity to medical and home devices), combined withinnovative sotware apps. It is already supplementing or even replacingtraditional healthcare tasks or physicians and consumers/patients, and thepossibilities and potential value are signiicant. Case-in-point examples in thereport illustrate the range o possibilities and their value. These include pocket-size diagnostic imaging or busy emergency room physicians, medication reillordering using a smartphone camera, community public health tracking usinglarge population data collected via smartphones, remote data reporting bysubjects in clinical trials and mobile support to health plan members makinginancial decisions at the point o purchase.Dealing with mHealth is a sea change or many healthcare organizations.Though amiliar with implementing large enterprise inormation systems,sometimes with pushback rom end users, Chie Inormation Oicers (CIOs)are being “met at the door” by the same end users eager or, and many timesalready using, mHealth apps. CIOs need to harness mHealth because o thisdemand and use by both physicians and consumers/patients, and moreimportantly because mHealth supported in an enterprise manner can accomplishmany o the organization’s own objectives. Providing an umbrella o governanceand oversight will also protect against misleading or erroneous healthcareinormation and the potential risks o grass-roots solutions.A sound mHealth program should be ounded on a strategy that sets the visionand direction and proactively establishes ground rules or use. With mHealthevolving so rapidly, the strategy to build the oundation should be completedwithin two-to-our months. It establishes the platorm or major decisionsregarding governance, priority setting, device management and security andidentiies the irst immediate need/short timerame projects. However, themHealth program is much more than the technology; it incorporates thetechnology solution into typically new business and care processes, changedroles and responsibilities, and added support services or devices, apps andend users.
HARNESSING THE VALUE OF
mHEALTH
FOR YOUR ORGANIZATION
Authors: Fran Turisco and Mike Garzone
 
| Harnessing the Value of mHealth for Your Organization |
2
Healthcare Information Mobility is not New
Clinicians have been using wireless laptops, tablets and other handheld devices inprovider organizations or more than ten years. In act, it is has become axiomaticthat, like any highly mobile worker, physicians require, and are more likely to use,electronic health records (EHRs), online reerence resources, messaging, and otherrequently-accessed applications when they can access them rom anywhere.The earliest mobile devices, connected to sotware applications via wireless localarea networks (WLAN), mainly provided a mobile access alternative to hard-wireddevices or clinician users o the clinical inormation system or EHR and thenlater also or Internet access.
1
The use o cellular communication technologiesor purposes in addition to telephone conversations started in the early 2000’s,mostly employing short message service (SMS) to transmit inormation andreminders to both patients and providers. Early examples include using cellphone text messages to remind children with asthma to take their medicationsin 2002.
2
A 2005 industry report listed more than 100 health-related tasks thatcould be accomplished using a mobile device. Collectively, this broader use omobile communication devices in healthcare has come to be known as mHealth.
The New Generation of mHealth Has Matured on All Levels
The technical oundations or mHealth have matured considerably since theyirst emerged: the actual user devices, communications inrastructures and thehealthcare applications (apps). As a result, the scope o what mHealth encompassestoday and the types o end users have mushroomed.mHealth is similar to telemedicine in that solutions can be used or the directprovision o care, but mHealth allows or many o the telemedicine interactionsto be done virtually anywhere, with technologies including cellular (3G and 4G),broadband, GPS and others actually providing the communication link. Applicationsare also much broader as they include the use o mobile devices to collect andtransmit patient clinical and community data to providers, patients, consumersand researchers, and support real-time monitoring o vital signs and other healthstatus metrics.
Today’s Devices Are a Game-Changer Because Everyone IsUsing Them
Consumer devices, such as smartphones and iPads (and iPad-like devices),signiicantly add to the scope o what can be done with mHealth because theyare becoming universally available. For example, in a recent Pew InternetResearch Study, 35 percent o U.S. adults now own a smartphone.
3
Adoption osmartphones by physicians is more than double the adoption by the generalpopulation. A recent survey by Manhattan Research showed that 81 percentnow use smartphones, an increase rom 72 percent in 2010.
4
For physicians, thethree market leaders are Apple’s iPhone, Research in Motion’s Blackberry andGoogle’s Android platorm, with Apple having a substantial lead. Twenty-sevenpercent o primary care providers and specialists own an iPad or similar device,a rate ive times higher than the general population, indicating that the ease ouse is the leading reason or adoption.
5
 
mHealth Is Currently a Grass-Roots Movement
The number and variety o mHealth apps is also growing on a steep curve.Healthcare alone has currently more than 17,000 apps with 43 percent primarilydesigned or healthcare proessionals.
6
There is a wide range o application typesor both providers and consumers/patients — those that promote continuoushealth and wellness monitoring, provide quick access to medical content andclinical data and promote care interactions between patients and providers asa means to deliver care outside the oice setting. With the multitude o appson the market and many more in development, there are even apps to help indthe right solution. The search engine Mobilewalla, or example, provides search-and-sort capabilities through their numerous oerings. Another app calledAppitalism.com combines a social community with an online store, enablingconsumers to identiy, discuss and download apps rom a catalog.
7
 
Mobility or healthcareinormation or mHealth is theability to access healthcare-related applications usingwireless consumer devices suchas cell phones, smartphonesand tablets, using a range ocommunications technologies.
 
| Harnessing the Value of mHealth for Your Organization |
3
An estimated 200 million health-related applications are already in use globally.
8
 In addition, baby boomers will likely expand the mobile health IT market to $4.6billion by 2014 and to $12 billion by 2020, according to research rom the EnterpriseForum o the Northwest. This group is interested in tech-enabled health andwellness products or personal use, and smartphones may represent the bestopportunity since boomers already represent one-third o all smartphone users.
9
 
Today’s mHealth Is a Multifunctional, Multimedia Environment
What is exciting (and dierent) about this generation o mHealth is thesynergistic combination o smart device value-add capabilities (camera, GPS,video chat, blue tooth connectivity to medical and home devices, high deinitionand larger screens, advanced processing capabilities, etc.) matched withinnovative sotware applications that can supplement or even replace traditionalhealthcare processes. The possibilities and potential value to healthcare aresigniicant. A recent research report,
The Future of Healthcare: It’s Health, thenCare
, described numerous examples o mHealth innovations — ranging romwellness tracking to earlier diagnosis and treatment monitoring — all supportinga growing healthcare ecosystem that promotes improved health outcomes orindividuals, communities and medical research.
10
 For care providers there are two emerging app trends: apps that much moreeasily extend and enhance access to their clinical inormation systems and thosethat provide niche unctionality that incorporates smart mobility technology andmedical attachments in some cases. These solutions take delivery o inormationto a new plateau o utility. For example, they can push content based oncustomized proiles, substitute 3D images and animation or text and still imagecontent, and enhance e-mail with video. They also support new, more eicientand eective ways o delivering care (e.g., mobile ultrasound, mobile radiologyviewers). Both “extender” and niche apps can reside on the same device and,with appropriate integration and security, they can work in concert to bring caresupport to a new level. Table 1 provides an overview o the care providerapplication categories with examples o currently available apps.
Table 1: mHealth Application Types and Examples or Providers
Application Type for CareProvidersExamples
Medical inormation, images andnews
News Content
: QXMD
11
— release o medical researchwith mobile app; Medpage
12
— research and medicalnews push
Medical Images
: Blausen’s medical Human Atlas with 3Danimation and illustration, 3D4 Medical muscle systemwith ability to view dierent muscle layers
13
Diagnostic tools usingsmartphone capabilities andmedical device attachmentsto diagnose patient healthproblems
Ultrasound
: Mobisante
14
 
Radiology Image review
: ResolutionMD Stroke DX
15
,MIM sotware
16
and palm-sized MRI developed atMassachusetts General Hospital
17
 Visit and communication tools
Dictation
: Dragon Nuance or iPhone
18
Video Interactions
: iPhone FaceTime
19
and AndroidVideo Chat
20
 
Provider messaging in hospital
: Voalte
21
Application suites and EHRs
Physician clinical inormation system
unctionalitywith mobile apps that can be interaced to EHRs:PatientKeeper
22
EHR Mobile Extension
: EPIC’s Haiku
23
Mobility platorm with EHR integration capability
: CSCPatient In Your Pocket™ (view only)
24
Physician practice EHR built or mobile devices
:Drchrono
25
and Clear Practice Eden
26
(using cloudcomputing)
Today’s mHealth or consumers also oers a rich mix o apps and deviceattachments that can address a spectrum o health management issues, romitness to urgent care and disease monitoring. Blue tooth-enabled pedometers,scales, blood pressure cus and glucose readers are just a ew examples oattachments that expedite accurate data capture. Educational content is made
“The smartphone with its appsis the disruptive technology orpatient-sel management.” Forexample, using a smartphonebased diabetes monitoring app,patients’ A1C levels dropped bynearly 2.0 points.
(Source: LEF The Future of Healthcare: It’sHealth, then Care, LEF, 2010.)

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