mHealth 101:A Hopkins Clinical Perspective
Larry William Chang, MD, MPHAssistant Professor, Division of Infectious Diseases
Johns Hopkins School of Medicine
Disclosures
• I am a consultant for, minority equity holder in, and am entitled to royalties from emocha Mobile Health Inc., a company licensing an invention (emocha) from Johns Hopkins University which I helped invent and is described in this presentation.
• I have received grant support from the National Institutes of Health and Bill and Melinda Gates Foundation.
Will I still have a pager?
Feature Text Messaging 1-Way Pager 2-Way Pager PING Inbox
HIPAA compliant No Yes Yes Yes
Supports multiple transmission protocols
No No No Yes
Cost Free $11/month $21/month $7/month
Source: Ping
The Wired Patientsen· sor noun-
a device that detects or
measures a physical property
and records, indicates, or
otherwise responds to it.
Sources: WisePill, AliveCore, iBGStar, iHealth, Fitbit
The New Patient Social History
• N=105
• Compared to traditional media
• Younger (mean age 31 vs. 42, p<0.0001)
• More sex partners in the previous 14 days (1.88 vs. 1.1)
Source: Grindr.com
Apps for Patients
• Pain Diary Feasibility Study (n=37)
• Target Audience: Patients and Providers
J Med Internet Res 2013;15(12):e287
Apps for Patients
• Personal medical record tracker and alerting system• Target Audience: Patients
Peter Schmidt and POZ
Technology Innovation Center
• Interactive graphical dashboard designed to analyze over-night workflow productivity
• Mechanism for Clinicians and Radiologists to engage in a tele-consultation session on iPads
• EMR aggregation tool designed to display a patient’s relevant clinical data while minimizing clicks
The Technology Innovation Center is pulls together clinicians, enterprise Health IT systems,
and Johns Hopkins University researchers to create patient-centered medical solutions.
@JHMTIC [email protected]
What is Out There?
• 295 smartphone apps– Breast cancer (46.8%, 138/295)
– Cancer in general (28.5%, 84/295)– Raise awareness about cancer (32.2%, 95/295)– Provide educational information about cancer (26.4%, 78/295)
– Fundraising efforts (12.9%, 38/295)– Assist in early detection (11.5%, 34/295)– Promote a charitable organization (10.2%, 30/295),
– Support disease management (3.7%, 11/295)– Cancer prevention (2.0%, 6/295)– Social support (1.0%, 3/295).
– The majority of the apps did not describe their organizational affiliation (64.1%, 189/295).
• Article Search n=594 articles. – 0 reported an evaluation of a cancer-focused smartphone application
J Med Internet Res 2013;15(12):e287