Analyst briefing presentation by Frost & Sullivan Technical Insights Industry Analyst Prasanna Vadhana Kannan
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mHealth technologies: mHealth technologies: Applications can Radically Applications can Radically CChange Chronic hange Chronic
Disease ManagementDisease Management
Mobile technologies hold great promise to transform healthcare organizations by bringing clinical workflow, patient vitals, and
healthcare delivery to the point of care.
Prasanna Vadhana Kannan, Industry AnalystMedical Devices and Imaging
• Emerging Opportunities for mHealth application scenarios
Key Trends and Future Outlook
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• Key Trends and Future Outlook
Poll Question
According to you, what could be the most important issue holding out healthcare practices and clinicians from adopting smartphone-enabled management tools and medical apps?
• Physicians having own perceptions around mHealth technology utilization and adoption
• Concerns revolving around the costs of mHealth tools setup
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• Concerns revolving around the costs of mHealth tools setup
• Healthcare facilities taking reliability of patient health data delivered via mHealth platform as a concern
Backgrounder on Mobile Healthcare Technologies
Why should we start thinking about mobile healthcare solutions?
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Why mobile healthcare solutions?• Myriad constraints are being experienced by healthcare systems of developing nations. These constraints include high
population increase, high burden of disease incidence, limited healthcare workforce, low financial resources to supporthealthcare infrastructure and health information systems.
• Recent rapid growth in mobile communications usage in developing countries to large segments of the healthcare work forceis contributing towards reduction in healthcare costs.
• The adoption of mobile healthcare technologies speedens up the process of delivering healthcare information and outcomes.More advanced mobile phone technologies are enabling the prospects for further healthcare delivery.
Picture Credits: Multi-Tech Systems Inc. (Minneapolis)
Through usage of mobile phone or personal digital assistant(PDA)
servers :
• Patients have immense possibilities for adequate recordings of
biomedical signals at home that includes: Glucose analysis, Respiratory
parameters, Blood pressure measurements, and
electrocardiogram(ECG) recordings.
• The measuring equipment being mobile facilitates the biomedical
recordings to be stored as a fragment of the electronic health record(EHR)
in a database.
• Many mobile medical devices are now connected to medical
Through usage of mobile phone or personal digital assistant(PDA)
servers :
• Patients have immense possibilities for adequate recordings of
biomedical signals at home that includes: Glucose analysis, Respiratory
parameters, Blood pressure measurements, and
electrocardiogram(ECG) recordings.
• The measuring equipment being mobile facilitates the biomedical
recordings to be stored as a fragment of the electronic health record(EHR)
in a database.
• Many mobile medical devices are now connected to medical
Mobile health: Geared towards better healthcare management
6
• Many mobile medical devices are now connected to medical
information technology networks and information technology(IT) networks
are these days remotely accessible through the medical devices--This
stands out as a desirable developmental trend.
• The storage capacity, faster computing speeds, ease of use, and
portability render mobile devices an optimal solution in terms of diagnosis
and monitoring of chronic conditions.
• With mobility being discussed as a prominent theme and a top
takeaway from health IT conference (HIMSS12’), many vendors are
focused upon an iPhone or an iPad app. design and healthcare providers
are realizing the need to manage the ‘BYOD’ (bring your own device)
trend in hospital settings.
• Many mobile medical devices are now connected to medical
information technology networks and information technology(IT) networks
are these days remotely accessible through the medical devices--This
stands out as a desirable developmental trend.
• The storage capacity, faster computing speeds, ease of use, and
portability render mobile devices an optimal solution in terms of diagnosis
and monitoring of chronic conditions.
• With mobility being discussed as a prominent theme and a top
takeaway from health IT conference (HIMSS12’), many vendors are
focused upon an iPhone or an iPad app. design and healthcare providers
are realizing the need to manage the ‘BYOD’ (bring your own device)
trend in hospital settings.
BodyMedia FIT system on-body monitoring systemPicture Source: BodyMedia Inc.(Pittsburgh, PA)
Measurement of Data
Measurement attributes used include blood glucose meters, Holter Monitors, scales.
Monitoring of information:
Monitoring attributes include telehealth systems, tele-monitoring units.
Knowledge Management:
Management attributes include time-based analysis, patient behavior change, clinical decision support tools, predictive analysis, closed loop ROI analysis.
Chronic Disease Management:Transitioning beyond just “Data”
7
Picture Credits: WaveSense diabetes manager, AgaMatrix Inc.
Picture Credits: Complete Telehealth + Telecare solution, Numera
Business Accelerators
Widespread end user adoptionIncreased
acceptance of mHealth solutions by
Government influence in
uptake of mHealth solutions is high
8
mHealth solutions by physicians
Source: Frost & Sullivan.
Business Challenges
Data security poses challenge
Lack of trained healthcare-IT staff to
support mHealth systems
Competing health system
priorities
9
Source: Frost & Sullivan.
priorities
Informational mobile health solutions----Sustainable ImpactPenetration Rate---MatureVitality GlowCaps; Great Call Medication Reminder Service; Vitaphone,Medicall phone consultation
Mobile data collection tools for mapping incidences and diseasesurveillance--Moderate impactPenetration Rate---MatureEpisurveyor; ChildCount+; mDHIL tool
• Wireless devices as personal emergency response systems(mPERS
• Wireless fall prevention devices and geriatric support
Self-management of diabetes, cardiovascular, and asthma conditions• Mobile phone-based
calendars for improved
medication adherence
• Drug safety and healthy eating awareness mobile apps.
• Mobile access to medical databases
consultations• SMS-based data
review and diagnosis Primary Diagnosis of Medical Conditions
EmergencyResponse
Long-TermDisease
Management Solutions
Wellness Informational
tools
• The growing coverage of mobile networks and the increasing number of active subscribers emerges to be a major drivingforce for mHealth interventions and the plethora of applications continues to increase in diversity with new innovations.
• Significant advancements in mobile phone technologies are enabling prospects for improved healthcare delivery, which inturn speedens up the process of delivering healthcare information and outcomes.
• Automated real-time blood glucose recording and diabetes management through mobile phones and software networks is anactive area of research these days. Clinical findings revealed till date pinpoint towards mobile diabetes management systemsas the highest growth potential sector presently and for the next four years.
• Amongst the most promising mobile diabetes intervention systems designed, Telcare Inc.’ cellular-enabled blood glucose
meter; AgaMatrix Inc.’ WaveSense diabetes manager; and WellDoc Inc. Diabetes Management platform are noteworthy to
Mobile Diabetes Management
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meter; AgaMatrix Inc.’ WaveSense diabetes manager; and WellDoc Inc. Diabetes Management platform are noteworthy to
mention.
WellDoc Diabetes Manager system
Picture Credits:
WellDoc Inc. (Baltimore, Maryland)
• MHealth (Mobile health) is an exciting area of opportunity for healthcare growth and will provide innovative solutions for
stakeholders, both providers and patients alike, across the spectrum.
• With complexity increasing in chronic disease management on a daily basis, solutions which can improve outpatient careare becoming vital components of healthcare delivery. Mobile cardiac management is one area in which newer productofferings can make a true difference in the strengthening efforts geared towards public health surveillance with respect tocardiac diseases incidence worldwide.
• Mobile cardiac monitoring solutions involving wireless cardiac telemetry systems targeting arrhythmic events and mobileelectrocardiogram recorders(ECGs) have been demonstrated to significantly improve patient outcomes as a result ofchanges in patient management.
• Prominent players working towards bringing forward mobile cardiac monitoring tools as a valuable diagnostic tool ensuring
Mobile Cardiac Management
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• Prominent players working towards bringing forward mobile cardiac monitoring tools as a valuable diagnostic tool ensuringpatient safety includes: AliveCor Inc.’ mobile ECG; SHL Telemedicine’ Smartheart technology; Aventyn Inc.’ Vitalbeat patientmonitoring system, to name a few…
NUVANT cardiac telemetry system
Picture Credits:
Corventis. Inc. (San Jose, CA)
• Smartphone mobile applications that will allow people with asthma, their family, caregivers, and physicians to accuratelyand effortlessly manage their breathing distress symptoms is increasingly preferred. Mobile acoustic respiratorymonitoring platforms that use mobile sensors and signal processing software to monitor changes in lung function andtreatment response are sought-after platforms for ongoing asthma monitoring needs.
• Wireless sensors attached to the inhalers, mobile applications, advanced analytics and feedback, all are observed to aidin achieving improved collection and interpretation of large amounts of patient data.
• Key mobile asthma interventions that can remotely monitor asthma symptoms and improve adherence with controllermedications are listed herewith: iSonea Limited’ AsthmaSense app. for smartphone users; Asthmapolis Inc.’ mobilesensor and mobile app. ; AsthmaWin’ digital mobile application for day-to-day management.
Mobile Asthma Management
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Asthmapolis sensor
Picture Credits:
Asthmapolis Inc. (Palo Alto, California)
Poll Question
Which of the following mHealth applications holds a bright potential for improved patient care?
• Intelligent medication adherence support tools
• Health and fitness-related smart phone apps
• Sensors as peripherals for smartphones, which enable personalized
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• Sensors as peripherals for smartphones, which enable personalized disease monitoring
Key Trends and Future Outlook
• Existing mHealth applications have shown that the
combined use of a mobile network and connected
device can greatly extend the reachability of
healthcare platforms, and the potential for further
development is huge.
• The development of low-cost sensors as peripherals
for smartphones is actively being pursued as it allows
improved diagnosis outcomes to be achieved closer to
the patient without the need for commuting to imaging
center.
• In the event of outbreaks of infectious diseases,
• Existing mHealth applications have shown that the
combined use of a mobile network and connected
device can greatly extend the reachability of
healthcare platforms, and the potential for further
development is huge.
• The development of low-cost sensors as peripherals
for smartphones is actively being pursued as it allows
improved diagnosis outcomes to be achieved closer to
the patient without the need for commuting to imaging
center.
• In the event of outbreaks of infectious diseases,
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Source: Frost & Sullivan analysis.Mobile communications at the heart of hospital transformation
Picture Credits: Livewire Limited(Cambridge, UK)
• In the event of outbreaks of infectious diseases,
mobile monitoring tools can enable patients to receive
due medical assistance without the need to travel.
• Within the next three to four years, remote diagnosis
could begin to encompass prescription delivery on the
basis of remote consultation. Scope to employ SMS-
based review and authentication of prescriptions is
promising.
• Healthcare data collated from remote diagnosis can
be combined with data interpreted from physician’
office consultation to augment epidemiological
research findings.
• In the event of outbreaks of infectious diseases,
mobile monitoring tools can enable patients to receive
due medical assistance without the need to travel.
• Within the next three to four years, remote diagnosis
could begin to encompass prescription delivery on the
basis of remote consultation. Scope to employ SMS-
based review and authentication of prescriptions is
promising.
• Healthcare data collated from remote diagnosis can
be combined with data interpreted from physician’
office consultation to augment epidemiological
research findings.
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