Tuesday, December 06, 2011

#MHS11 Basic Building Blocks of mHealth - Role of Patient Education and Monitoring of their medical compliance

This is a live blog post from the mHealth Summit. The summit is taking place from December 5-7th at the Gaylord National Convention Center, National Harbor, MD.

This is a live blog post, as such the notes are made in real time and posted with minimal editing. I am sharing these via Facebook, Twitter and my blog to help others get a snapshot of the activities at the conference. You can follow the tweet stream at #MHS11 or follow the mHealth Summit's twitter account @mhealthsummit.

Day 2: 

As patients better understand the use of applications for remote monitoring technologies, adoption of these applications may increase, bringing with it an increase in compliance. This panel discussion explores patient education in remote monitoring technologies, including education of specific disease states and how data is gathered and used.


Tuesday, December 6th
11:15 AM–12:15 PM

Michael O'Neil

Founder & CEO

John de Souza
MedHelp International Inc.

Ryan McWhorter

Eric Schultz

mHealth is an opportunity to change the game in patient engagement.

Eric Schultz - CEO QuantiaMD

We need practical ambition. People have too many distractions. Lack of compliance comes from multiple sources. 

Just more reminders don't work. You have to overcome the distractions. Media and life distractions, cognitive impairment.

Fight fire with Lorum Ipsum..... No wonder we lose. 

mHealth services not apps - not download and forget.

Apps - 6% of apps are downloaded and still used after 4 weeks.  There is an engagement issue.

Nurses and clinicians are a critical ally.

Educate them to be comfortable so they will prescribe the service/app to the patient.

Quantia's DAibetesIQ - described by iMedicalApps.com as Angry Birds: Diabetes Edition.

Ryan McWhorter - Logistimo

The intersection of patient and inventory management. 

Logistimo works off-grid in remote locations. Doesn't mean disconnected. Use classic mobile phones plus the cloud (GPRS or SMS). 

10,000 new HIV cases in Congo (due to rape)

PEP Kit needs to be received within a few days to be effective.

A project was developed to track episodes of rape, where a PEP Kit is located and whether a PEP Kit was administered.

Mobile Phones used to record data. Web used to manage.

Project is ready to go in January.

John de Souza - MedHelp

MedHelp - 12M monthly uniques.
longest established community.

Bring Data, Communities and Data together.
350 different communities.

mobile traffic is 30% of traffic. Set of mobile apps. 

Can also pull data from devices (eg. Withings scale)
Able to aggregate data across the country.

People want to communicate with their doctors. 

Doctors want an extract of PHR by specialty - addresses Doctor's liability concerns.

People don't care about data or devices - they care about their health. 

Q & A Session

What business models will stick?

John de Souza - if you have a bad solution making it mobile just makes it a mobile bad solution. 
You need to deliver real value. It needs to be compelling so you get continued use.
Employers need solutions. 

In place contextual sponsorship is a viable business model.

Convenience in a model that scales is financially viable with a low cost payment model.

Will clinicians be comfortable operating in a sponsor model.

Clinicians are more concerned in finding a viable patient education solution that gets the patient out of the office and doesn't take them more effort to operate. It needs to have good value for patient and not run counter to care guidelines. 

The danger in the USA is the slowness with which we move. We are and will be lagging what is happening in the rest of the world.

An unintended outcome is an increase in personal accountability. People are more engaged and motivated.

What are top 2 or 3 criteria to create a healthy angry birds:

1. Interoperability and integration of data
2. Health is not one dimensional
3. Don't make me work.
4. Speak to me in my own language. We need a simple vocabulary.
5. Fit the lifestyle 
6. Use indirection - use other actions to infer data.

We don't want to care for our health - we want to enjoy our life.

What barriers would the panelists like to remove:
1. Reduce the number of decision makers/voices in international projects. no clear lead
2. Simplification
3. understandable language

1. FDA guidance
2. HIPAA (used as a barrier to sharing)

1. Misalignment of incentives. Healthcare is done to patients as a disengaged bystanders. Align to outcomes.

Major companies have challenges understanding where things are in the supply chain. These are same challenges for health care. Coke and Tobacco are leading on the cutting edge. 

((tag: mHealth, mHealth Summit, Mobile))

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