MOBILE HEALTH TRENDS John Sharp, Senior Manager HIMSS Personal Connected Health Alliance April 19, 2016
MOBILE HEALTH TRENDS
John Sharp, Senior ManagerHIMSS Personal Connected Health AllianceApril 19, 2016
Millennials as Parents
Millennials
• Digital Natives• Facebook and beyond• Texting, Instagram, Snapchat• Online Gaming
Time Magazine Survey
HIMSS Connected Health Survey 2016
http://www.himss.org/2016-connected-health-survey
Convenience Apps
• Online scheduling• Bill paying• Wayfinding• Prescription renewals (through portal)• Secure messaging to clarify medications, test
results (avoid phone tag, through portal)• eVisits, Telemedicine to avoid ER visits
Boston Children’s
• DisCo, a Discharge Communication Platform • sends families either a text message or an
email with 3 questions within 24 hours of discharge.
National Children’sWhy Do Patients Not Use Portals?• “Did not know it was available”• “Physician never spoke to me
about it”• Challenging groups (children,
adolescents, elderly, mental illness)
• Confusing user interface• Not compelling enough
Children's Health, Dallas, TX
• Remote patient monitoring post-transplant• Using a tablet to connect to devices and
transmit data to the medical team (blood pressure, weight, O2 stats)
• Eliminates visits 2x per week• Also can be used
for patient education
Geisinger Medical Center
• Using the MyChart portal as the center of the customer experience
• Building/buying tools integrated to reduce the administrative time at appointments– Medication reconciliation by
patients prior to appointments
Carolinas Health System
• *NEW* View doctor's notes and radiology reports (Open Notes)
• *NEW* Track your health with the new MyCarolinas Tracker app
Giving patients access to their health data
Kaiser’s Experience1. Secure Email Supports Improved
Outcomes And Patient-Centered Care2. Patient Portal Use Positively Impacts
Patient Loyalty To The Health Plan And Member Satisfaction
3. Evidence Of A Relationship Between Secure Email And Other Kinds Of Utilization Is Mixed
4. Even With The Best Intentions, E-Health Disparities Can Emerge
Feedback from Kaiser Patients• more in control over their medical condition;• they had access to information and access to
the people they needed to consult; and,• more confident, less intimidated, and closer
to their physician.
http://healthaffairs.org/blog/2016/04/07/lessons-from-more-than-a-decade-in-patient-portals/
Use of Texting
Why texting?• Common use among millennials – more likely
to read• Lower income populations may not have
smart phone but do have texting • One-way texting – health reminder messages• Two way texting – ask for a brief response
Texting examplesText4Baby • free app to pregnant women and new
mothers about health reminders based on the stage of pregnancy or the baby’s age.
• user can set up appointment reminders and watch informative videos.
• Used by almost 1 million moms. • One study showed significant positive
change in attitudes about prenatal health behaviors.
Texting ExampleMetroHealth Medical Center, Cleveland• Direct Messaging to
Parents/Guardians to Improve Adolescent Immunizations
• TeleVox Software Inc. 39% increase in vaccination rates for adolescents.
• http://www.jahonline.org/article/S1054-139X(14)00764-2/abstract
Text messages reduce emergency room visits for low income patients with diabetes
• study of 128 patients, published in the Annals of Emergency Medicine
• Self-reported medication adherence did improve significantly in the intervention group, however, and actually got worse in the control group
• 94 percent reporting they enjoyed the messages and 100 percent saying they would recommend them to a friend
• http://mobihealthnews.com/27446/text-messages-reduce-emergency-room-visits-for-low-income-patients-with-diabetes/
Text2Move for Diabetes - Partners
Significant lowering of HA1c
Kvedar, The Internet of Healthy Things
Where to find reviews of health apps?
• http://www.imedicalapps.com/ • http://www.nodehealth.org/
Mt. Sinai Asthma App
http://blog.cincinnatichildrens.org/rare-and-complex-conditions/review-of-epilepsy-and-seizure-tracking-applications/
Health Apps for Kids
https://www.commonsensemedia.org/reviews/category/app/genre/health-fitness-65
Games to motivateType 1 Diabetics
• Developing good habits of checking their blood sugar regularly or bolusing insulin with meals
• Rewards and social competition• Creator – Jen Dyer, MD, pediatric
endocrinologist in Columbus
Social Media
Sample topics• Your Children Not Sleeping? It Might Be YOU• Candy Or Medicine? Safe Medicine Storage• HPV Vaccine Decreases HPV Infections!• Dayton - Dr. Mom Squad – link to this great
content from Facebook
• Used frequently by new parents to share photos
• Feature videos and your latest blogs, not just events
• Grow numbers by advertising in the hospital and clinics
HIMSS Book of the year 2014
New HIMSS Book• Participatory Healthcare: A Person-Centered
Approach to Healthcare Transformation – Available in June
• My chapter – Programs that work to promote partnership and engagement
Contact me• HIMSS website: www.himss.org• Email: [email protected]• Twitter @johnsharp• LinkedIn: linkedin.com/in/
johnsharp• SlideShare: slideshare.net/
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