#hcsd10 Bump your Prescription - Creating the virtuous circle of PHR adoption

This week saw a vibrant HealthCamp San Diego (#HCSD10) go in to the history books as the Inaugural South West Health Un-Conference. HealthCamp San Diego took place the day before the mHealth conference. There are a lot of mHealth events scheduled. It is THE hot topic in healthcare at the moment.

I was just reading Chilmark's review of: 

"Is the mHealth Hype Justified?"

One comment caught my eye: 

"the story from Stanford Medical School where new med students this year have been issued an iPad in the hopes of replacing mounds of paper that are typically distributed to students for a course over a semester. The students seem to like it and even one of the doctors is quoted as saying towards the end of the article that the iPad is in an ideal form/function factor for a busy physician." [my bolding]

This made me think. We have a brilliant opportunity to create a virtuous circle of ePHR adoption amongst consumers. When the iPad launched a survey showed that 60% of physicians were purchasing or showing an interest in the device. 

Imagine the situation where Doctors are using an iPad in their surgery to record the notes from a patient visit. When they issue a prescription the patient could pull out their iPad or smartphone and "bump" to collect the prescription and any notes from the visit. Gone would be the days where the patient forgets most of what they are told within five minutes of walking out of the Doctor's office. The hyperlink truly becomes a prescription.

The technology for this is already available:

A Bump Application

QR Codes could handle prescription data - just like airline boarding passes. We used the United Airlines Mobile Boarding Pass on the return trip. No need for paper as we passed through the TSA checkpoints and the boarding gate.

Smartphones can read QR Codes. Therefore a major scanner infrastructure is not essential but can be implemented in high volume locations. This means that adoption at even the smallest pharmacy is possible. The prescription can be "held" at a web site and once used is no longer available. This is exactly how online boarding passes work.

A mobile PHR application can be used to collect the information and store the data securely on Google Health or Microsoft HealthVault where it can be integrated with other data to create a complete view of our health.

The same bump application could be used to securely pass data collected from the patient - from their PHR to the doctor's iPad as part of the consult.  

 

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Reflecting on #hcsd10 - HealthCamp San Diego

I am traveling back from another very successful HealthCamp event. Thanks to the hard work of Gregg Masters (@2healthguru), Mike Kirkwood (@mikekirkwood) and their team of volunteer organizers (especially the crew from Kaiser Permanente) HealthCamp San Diego proved tk be another high energy event, this time preceding the second mHealth networking conference. HealthCamp San Diego attracted bloggers, mobile experts, physicians and entrepreneurs who all shared a common passion - improving healthcare. The association with the mHealth conference placed a strong emphasis for the day on mobile health and the engaged consumer/patient. This made for some great conversation. What can we learn from the discussions?
- information needs to be actionable
- we need to be able to provide personalized filters to manage the data flow
- devices and sensors need to adapt to users and not force the user to adapt to them
- physicians, clinicians and patients are all mobile and mobile devices need to support them
- physicians are adopting smartphones and iPads rapidly
- we need to build trust between patients and the medical community.
- As consumer telemedicine devices are adopted the Data needs to be collected in the patient's PHR and the medical community needs to become comfortable with using the information that is collected
- when the patient and their PHR are put at the center issues like HIPAA become a lot simpler.

One thing that seemed clear to me as I reflect on HealthCamp San Diego....

There are a lot of great technologists thinking about what mHealth means for better healthcare - but no one has a lock on what that really means.

Now is the time for consumers to voice their opinions by joining this conversation. Both doctors and patients need mobile solutions to provide actionable information, in context (of both time and place) in a way that the information can flow to and from others applications and be openly but securely shared ( under the direction of the patient - or their nominee) in a trusted relationship that leads to better outcomes for the patient.

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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The Missing Link in mHealth at HealthCamp San Diego (#hcsd10)

Robert Furberg and I led a session at HealthCamp San Diego (#hcsd10) this morning. Here is the deck we used to generate discussion:

 

The Missing Link in mHealth

View more presentations from Mark Scrimshire.

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#hcsd10 Palm 3 Track 4 - What's working and What's not in mHealth

Sean Vacellaros - Ignite Health leading a session at HealthCamp San Diego on what is working and what is not working in mHealth.

Here are some realtime notes from the session...

Aetna have an app for Medical Cards. The iPhone App provides a simple medical card that can be show to providers.

What works in HealthCare:

- ID and Eligibility

- Transfer of Information

- Geo-Location

- Edu-tainment

- Drug interactions and other tools such as PillBox, PillPhone (for dosage compliance)

- Information

For Physicians:

- Formularies

- Transcription

- Disease Management

- Sensing and Tracking

- iStethoscope

- Drug Guide 

- 5 Minute Clinical Consult

- Medical Dictionary

Clinical Trials

Incentives:

Incentive Programs

Geo incentives (e.g Foursquare)

13-18 year olds - Don't use email. But they have phones with them at all times.

Points are big. Social Gaming comes in to play.

We have to incentivize the Physicians and clinicians. We need filters.

Doctors in Emergency Care. 10% or less of patients are invested in their own health. 

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HealthCamp San Diego (#hcsd10) - via CoverItLive

HealthCamp San Diego kicks off at 9am Pacific Time. The hashtag for the event is #HCSD10. 

We have enabled CoverItLive for the event. Check out the stream from HealthCamp San Diego below.

For a preview of the event check out the video from YouTube (http://www.youtube.com/watch?v=SMcO62oAn4g)

 

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#hcsd10 is tomorrow 9/7

Mark Scrimshire
B: http://ekive.blogspot.com
....Sent from my iPhone

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#appletv - the next must have gizmo in my bag?

Brent Schlenker on the Corporate eLearning Strategies and Development blog generated some interesting ideas for using AppleTV. For years now the Apple Airport Express has been a must have gadget in my travel bag. It has so many uses from creating an instant network, to stream audio to a hi-fi system, to freeing you from the 3 foot long ethernet cable in your hotel room. 

Now that Apple has shrunk the Apple TV to a quarter the size and added an upgrade to AirTunes - AirPlay. This might become the next must have addition to my travel bag. The thing to check out when the AppleTV arrives next month, or when iOS4.2 arrives next week, is this: Does everything have to be delivered via iTunes? I am hoping not. If we gain the ability to stream a Keynote presentation directly from Keynote to an AppleTV that will be a major win for Apple. It will help boost sales of the iPad and the AppleTV.

If we find out that the implementation depends upon iTunes then all is not lost. Rogue Amoeba produce some great audio software.  I have used their AirFoil software on my Macs for a long time. Their software allows you to re-route audio to another machine. I use it to send music to the old powerbook connected to my hi-fi. They also provide a video player that allows you to play video and syncs the audio to allow for the transmission lag. I am wondering if Rogue Amoeba will upgrade their software to interface with Apple's AirPlay.

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#hcsd10 @kblucy asked for 25 words on Health in 2050

Kirsten Broadfoot (@kblucy) sent me (and many other visionaries more capable than I) a request:

"@ekivemark - got 25 words on a vision of health in 2050? Writing a blog featuring visionaries and would love to include you!"

A tough assignment. Not so much the vision - but fitting it in to 25 words or less. But, I am willing to take on the challenge. So here goes...

2050: Lifelong vitality - the focus of personalized medicine. Whole self monitoring, supersedes episodic treatment. My medical support team evaluating via my PHR. Controlled by me.

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#apple Did the Nano lose Video?

Just saw the Apple Keynote. Did anyone notice the lack of reference to Video in the Nano. Is this part of a plan to keep promoting the Touch?
It will be interesting to see if the Nano does Video. It has lost the Video Camera hasn't it???

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