GigaOM: If you want to get consumerization right, get emotional

Google has launched Currents, a Pinboard competitor. Here is one article  that is worth reading. If you want to help your employees be productive then get passionate and embrace consumer technology. 

This is a message that the healthcare industry should take to heart for both employees and customers. 

If you want to get consumerization right, get emotional

If there’s one thing Claudia Kotcha will tell you about building apps that employees want to use, it’s to think about your employees really want. Kotc...

Source: http://goo.gl/mag/COi7b

Shared via Google Currents

Mark Scrimshire

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#MHS11 Wil Yu (@HlthInnovation) introduces Qualcomm CEO for last keynote

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.

Wil Yu (@HlthInnovation)introduces the last Keynote of #MHS11

Wednesday, December 7, 2011

9:30–10:00 AM — Morning Keynote

 

	Paul E. Jacobs, Ph.D. Chairman of the Board and CEO Qualcomm
	Sangita Reddy Executive Director, Operations Apollo Hospitals Group

Paul Jacobs:

More people use cell phones than toothbrushes (5.6B)

Smartphones out shipped PCs.

Next year the installed base of mobile phones will surpass PCs.

Mobile broadband has passed fixed broadband in 2010.

Consumers expect the amazing in mobile. 

Mobile will see more lightweight instant on devices. The weight of accessories will also drop.

The Internet of Things - Everything will be connected - and it will be wireless.

The phone will be the personal mediator for the internet of things.

Chronic Disease is a critical issue. 300M chronic disease sufferers in North America and Europe.

By 2020 160M americans will be remotely monitored for a chronic disease

88% of physicians want patients to be able to self monitor at home.

Wireless enabled CRTs and ICDs halve mortality rate in clinical trials of 100,000 patients.

Qualcomm have announced QualcommLife  and the 2Net platform.

$100M investment in wireless health.

Telcare, Alivecor, Duofertility, sotera, worksmartlabs.

We are entering the era of connected health. We need open connected health and not a bunch of walled gardens.

Next up....

Sangita Reddy

Giving thanks to those propelling change in health care.

We are now at base camp in the use of technology.

In India there are 870M mobile users. 

Apollo Hospitals Group - a transformation of the organization that looks at the circle of life.

"India - Islands of excellence in an ocean of inadequacy."

Innovation is the key - Quality, Accessibility and Equity.

The hospital is the last stop and not the first. ie. preventative care.

Perfect timing for mHealth. Wireless Carriers are interested and engaged. "Two birds with one phone"

"Are we there Yet?"

Pricing model - one of most powerful levers for behavior change.

Complex stakeholder matrix - cooperate and not compete. 

Lack of integrated services. Multiple Chronic diseases are common. We can't silo care.

How do we incentivize the doctor for change. 

Biology - Bytes and Bandwidth. The 3 Bs of Change

Are we ready for 24x7 Ubiquitous Health Care.

mhealth deliver care and information to the point of action.

Bricks and Mortar and mHealth is not an absolute choice. Just like retail we need brick and click health care

The Health Ecosystem - Each of us will not be a passive recipient but rather an active partner

Directproject.org gets a shout out and BlueButton will be used by Apollo.

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

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#MHS11 Day 3 - Discussion group - Diet and Physical activity

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.

This is the last day of the conference. It is wet and dreary in Washington but the discussions are buzzing. 

Great discussion around Diet and Physical Activity.

How can researchers get data.

Can we create a BlueButton file for Fitbit. Then add it to RainbowButton.com and allow researchers to have data donated to them.

Motivation - we need to think about design.

How do we engage the 85% that are not motivated - to engage in healthier practices.

Inter-disciplinary studies. We need usability, visualization, health promotion, User Experience etc. 

I heard a plea for HealthCamp. Involve people from across disciplines in conferences. We have done that for three years with HealthCamp.

Create a database of measurement tools. Identify which are validated products and tools.

Just gave my mantra of:

"Health may be private, Exercise is solitary but wellness is social."

Two year olds can unlock an iphone and find their favorite videos or games - how do we harness that for wellness.

Food fights - socially healthy eating games.

Challenge your own assumptions about Obesity. All the motivation in the world will not make a difference if the options are not there.

Don't just think about the individual - think about their social networks. Look at the community. Look at policy.

Per Carol Torgan - @ctorgan - there is a national physical activity plan

Research mapping Seattle points to no linkage between food desserts and dietary intake.

Okay - yes I did pitch for HealthCa.mp as a venue for the brainstorming sessions that were suggested.

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

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#mhs11 FDA regulations around medical devices and apps mHealth regulatory coalition recommendations

Notes from mhealth summit.

Today if you connect to a medical device you are a medical device.

Now everything is connected.

Medical device data is:
Storage,
Conversion, transfer,
Display.

Not:
Active patient monitoring
Device control
Modify
Analyze

Mobile medical apps guidelines. Three tier pyramid.

1. Connects to a medical device
2. Transforms the mobile device I'm to a medical device
3. algorithm that output a patient specific result

It is not:
Medical text books
Providing clinicians with training
General health and wellness apps
Automate general office operations
Generic aids eg. Word processor
Electronic health records

Manage weight = wellness
Manage obesity = disease

Latter is medical device

The middle group that is undetermined:
- automate common medical knowledge
- self manage their disease
- automate common clinicians diagnostic ad treatment tasks

The mHealth regulatory coalition proposes changes to FDA proposed rules for mobile medical apps.
This is what FDA proposed:

Type A - aid in the use of parent device. Class 1 device
Type B - extends intended use - same level as parent device
type C - created a new intended use - bass on new risk.

Framework needed more clarity

Near term solution:

Type A - general purpose - unregulated Type B- not reasonably expected to directly affect safety and effectiveness - class 1
Type C - changes fundamental intended use- based on new risk

Type D - regulated products that are not toe a-c. Same as connected device.

We need new classification regulations. Need to clearly define categories.

Propose software modularization - use standard desin principles to create functional independence and reduce inherent risk of discrete modules.

Other agencies like FAA have embraced modularization for regulatory purposes.

Consider evolution of technology. Redefine fda's original manufacturer definition:

1. Mobile medical app manufacturer
2. Mobile platform manufacturer

In 1. The distributor is excluded. Eg. ITunes apps store.

In 2. Component manufacturers are excluded. Their platform is produced with no intended use.

Alternative:

Medical device manufacturers are exactly that.

Don't regulate distributor and component manufacturer categories.

MRC suggests: 1. Promoting investment and innovation
2. Clarify scope of FDA jurisdiction
3. Recognize current approach is an intrusion on the practice of medicine.
4. Recognize global nature and harmonization of regulation
5. Create an mHealth division in CDRH
6. Define regulatory state of EHR and HIE. 7. Consider CDS software software separately (clinical decision support)

Mark Scrimshire
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#mhs11 raj shah CEO of CTIS

Raj is managing chronic care through mobile.

100M Americans have 1 chronic disease.
MHealth value proposition: comfort, clinical, collaborative, convenience.

Mark Scrimshire
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#MHS11 Open Standards for mHealth Interoperability in Severely Resource-Constrained Environments

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.

Session 5

2:15–3:15 PM

Open Standards for mHealth Interoperability in Severely Resource-Constrained Environments
Many of the world’s funders of mHealth programs are interested in seeing international standards adopted by tools providers in order to expand the reach of programs they are currently supporting. To identify and decide on the appropriate standards is one of the key focus areas for the funders and implementers of national scale mHealth deployments. NetHope is undertaking a study for PEPFAR on this topic and they are interested in using the findings to initiate a broader discussion with industry stakeholders. Preliminary documentation will be published on HealthUnbound.org for review prior to this panel discussion.

Moderator
Fredrik Winsnes Healthcare Working Group Lead NetHope	Alice Borrelli Director Intel	Michael Gehron PEPFAR HIS Coordinator Deapartment of State	Jonathan Jackson CEO Dimagi, Inc.	Derek Ritz Principal ecGroup Inc.

Good News / Bad News.

- Good: Projects are proliferating

- Bad: Projects do not interoperate

Discussion group on mhealth alliance web site. This session is to start a discussion.

NetHope doing a study for Department of State in the use of open standards.

Michael Gehron: 

mHealth Apps are like piles of bottles of water rather than a reservoir

Info systems are developed as part of wider initiatives

Assistance is provided in an emergency setting that over rides long term needs.

Derek Ritz: 

Deliverable: A design Specification onhow selected interoperability standards may be adopted.

NO NEW STANDARDS!

Leverage and extend artefacts from MNCH Framework and active projects.

Use Case Story defined business need. Processes were defined using UML.

Use cases based on maternity community care event in Africa - A real requirement from an active project.

Check out HUB on mHealth Alliance. Provide feedback to design team.

Jonathan Jackson: 

Dimagi founded in 2002 at Harvard and MIT Media Lab. An Open Source software company.

Co-Developed national medical record system for Zambia Smartcare.

Co-founded: OpenROsa and JavaRosa, RapidSMS, CommCare, Coded in Country Initiative.

Tend to integrate more than interoperate.

See little demand for plug and play interoperability.

Little capacity to consume interoperability standards.

Better to focus on open and available data than standards

But... they still think standards are great.

Contracts should demand vendors provide one-click download of data. 

Facebook and Twitter do not follow standards but they are massively consumed. 

Alice Borrelli:

Personal Connected Health

www.continuaalliance.org

244 companies that have developed and adopted inter connected devices/systems.

40+ products certified.

Established 5 years ago and now starting to see solutions hit the market.

Personal Connected Healthcare can:

- reduce mortality: 35-56%

- hospitalization: -47%

- 6 day reduction in hospital stays

- 40-64% reduction in physician time performing checks.

Continua does not create standards.Depend on standards bodies to do so.

[This seems to be an odd statement since they are developing a standard for interoperability with EHR platforms.]

Singapore and Japan are adopting Continua as requirement for devices interoperating with national health record platforms.

Special pricing for non-profits and emerging market companies.

Generic interoperability can lead to us missing the problem. Trade-off between functionality and interoperability. 

Confusion between interoperability and the ability for applications to work together. e.g. Google Maps, Twitter, Facebook APIs.

Point to Point strategies perish with scale. 

Did this panel really address the issue of "Severely-resource constrained environments"

We need to make sure standards are Open and light weight. If not this will limit adoption in end user devices and increase their cost.

Simple, Lightweight, Open. That will make easy adoption. Simple on the Internet wins.

1 in 10 medical procedures result in an error that is medically adverse. Standards help us drive towards the levels seen in Aerospace and other high reliability industries.

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

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#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

Moderator

Michael O'Neil

Founder & CEO
GetWellNetwork

John de Souza
CEO
MedHelp International Inc.

Ryan McWhorter
President
Logistimo

Eric Schultz
CEO
QuantiaMD 

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:

Logistimo:

1. Reduce the number of decision makers/voices in international projects. no clear lead

2. Simplification

3. understandable language

MedHelp;

1. FDA guidance

2. HIPAA (used as a barrier to sharing)

Quantia:

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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