workshop - mobile health apps - pam yoder

Why am I on mHealth app panel?• Physician• Psychologist• Caregiver• Early adopter from

eHealth to mHealth• Startup strategist who

can guide, advise, invest through growth and scaleout

Pamela R. Yoder, MD, PhD, FACOGQui est le Docteur Pam Yoder?

La première et la seule femme en tant qu'éditrice pour le site WebMD.com concernant la santé.A fondé la chair de santé et de bien-être pour les femmes Revolution Health Group (now EverydayHealth)Cadre chef pour le site de healthTap.comGuider, Conseiller, s'investir, et diriger des étudiants et des startups dans une optique de croissance:

L'Université de l'IllinoisLa Silicon ValleyInde

Wer ist @DrPam Yoder?

Die erste und einzige Frauengesundheitsredaktuerin auf WebMD.com

Gründerin des gesundes Leben und Frauens Gesundheits Posten, RHG

Leitende Bindungsbeauftragte für healthTap.com

Globale und interaktive Leiterin von Gesundheitsgedanken

Herausgeberin von #hcsm und mHealth Seiten und Apps

Beraterin für Studenten und Neugründungen, die berät, anleitet und investiert

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Innovator in Interactive Health for Providers-Patients

http://www.healthTap.com/DrPam

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Apps in the Mobile Health Environment

Pamela R. Yoder, MD, PhDand TEAM

What Providers Want

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mHealth for Providers

A mobile app must:•Be helpful •Satisfy a basic need •Have great graphic user interface •Be efficient and save time

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mHealth for Providers

A mobile app must:•Be “lightning fast”•Be easy to use•Offer practical clinical information • “Really speed [of apps] is key, because if

they’re slow/unreliable I'd [rather] log on to the desktop 10 feet away....”

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What Patients Want

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mHealth for Consumers

• Function• Cost• Quality• Ease of use• Accessibility• Privacy, confidentiality

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Here is where mHealth gets messy.

• There are many stakeholders.• Team is needed to take an idea of doctor or

innovator to the patient or user.

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mirror.me/DrPam

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What Mobile App Developers Want

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mHealth Apps for ePatients

• “A tree of pages that back reference one another simplifying the user experience”

• Best practices • www.w3.org/TR/mobile-bp

Courtesy of Ling Jong

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mHealth Apps for ePatients

• Give haptic feedback through touch, vibration• Identify clearly any buttons, targets of link (eg,

PDF)• Ensure user content is applicable to mobile

device and to EHR if possible

Courtesy of Ling Jong

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What Behavior Managers Want

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mHealth Behavior Management

• “Gamification”• Rewards for appropriate behavior• Lack of reward for incorrect or absent

responses• “Recording” behavior increases probability of

that behavior occurring• Sharing accomplishments through SoMe

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Quantified Self:A Pathway to Personal Health

intherough

Ernesto RamirezDHCX | 2.16.12

globevisions

Kevin Kelly

Gary Wolf

Makers + Users

Global Collaboration

Your Health

Just in TimeJust in PlaceJust for You

1.usa.gov/MHEALTH

Awareness

A framework for self-tracking

Awareness

Attention

A framework for self-tracking

Awareness

AttentionAcknowledgement

A framework for self-tracking

Awareness

Attention

AcknowledgementProjection

Self-EfficacyExperimentation

A framework for self-tracking

Awareness

Attention

Acknowledgement

Projection

Self-Efficacy

Experimentation

ReflectiveLoop

A framework for self-tracking

But what about Public Health?

I We Our

THANK YOUAll icons courtesy of The Noun Project: thenounproject.com

erramirez@ucsd.edu

e_ramirez

ernestoramirez.org

What Biz Dev Wants

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By: Josh Seidenfeld, JD, MBAseidenfeldj@gmail.com

Partnering for Growth:

Integrated Strategies for mHealth Companies

The Opportunity is Ripe

*mHealth has created over 5 billion touch-points throughout current healthcare delivery systems.

*Opportunities for social innovation and commercial ventures are abundant due to increased access, quality and availability of information.

*mHealth has enabled a shift in focus from patient-centric care to consumer oriented delivery models.

* Collaboration and partnerships will be a key tool for mHealth success.

* Shared Vision;

* Organizational Capacity;

* Subject Matter Expertise;

* Complimentary Assets and Collateral; and

*Market Reputation.

*Partnership Fundamentals

If all of these aspects are not aligned you should reconsider if this is a relationship your organization can afford to invest in.

Clearly Defined Project Plan:

•Roles and responsibilities must be pre-defined

•A Project “Champion” should be identified

•Multi-Period or Milestone planning is central for future success

•Project coordination and timelines

•Encourage transparency

•Institute “Learning Mechanisms” for organizational growth

* Constructing the Partnership:

Built to Scale or Fundamentally Flawed?

What Legal Wants

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Allow for Opportunity to Pivot:•Provide for specific termination scenarios and include market-based time dissolution procedures;•Consider eliminating any notification requirements, especially for third-party suppliers;•Service Levels must be predetermined, including security, data-storage and HIPAA compliance, including notification requirements;

Consider the role of governmental agencies•Marketing material and promotions can lead to FDA involvement…

* Constructing the Partnership:

Legal Considerations

*Questions? Comments? Want to Connect?

*Josh Seidenfeld

*seidenfeldj@gmail.com

What Marketing Wants

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Surthriving in the Digital Media Landscape

Akash Agarwal

Be Disruptive@akagarw

• The term disruptive is thrown around quite a bit today

• To qualify as disruptive a company doesn’t just make something great, they change the way consumers use it

• For example, just saying “we use the cloud” doesn’t equal disruptive, there needs to be some key benefit associated with the switch

@akagarw

Innovate how you Innovate

@akagarw

• Think about what you do to get the best out of your people

• Many startups struggle in execution because differing ideas are never addressed

• Keep an eye on the future in your plans, remember next year’s products start today

@akagarw

@akagarw

• Understand your key benefit to consumers and OWN it

• Companies die because they over-extend their focus, start somewhere and slowly integrate

• Weekly all-hands-on-deck meetings are important in keeping everyone focused on primary goals

@akagarw

ENGAGE

@akagarw

• Anything important in the digital media space has to be engaging

• Even in the health information business, people have to want to use it

• You’ll find yourself competing for people’s time against online tools like Twitter, Pinterest, Facebook, etc.

@akagarw

Be Valuable@akagarw

• There are plenty of other services out there that do wonderful things for people online, what do you offer that’s different?

• How do you show users? &

• Why is it better than what they do now?

• Ask yourself the hard questions, often the best ideas start as round pegs in square holes

@akagarw

Finally...

@akagarw

It’s not about technology, it’s about

solving a problem

@akagarw

A Great Example…Windows 7 Hackathon

1st Place WinnerRxReminder

mHealth for Consumers

Microsoft Mobile App Winners

Windows Phone 7 Hackathon competition

Sahil Handa - Software Development Engineer at LinkedIn in Security

Karan Uppal - Graduate School at Columbia

University in Electrical Engineering

Ravi Theja Yada - Program Manager at

Microsoft

mHealth for Patients

• RxR is a prescription reminder mobile application

• Allows people to port all the information related to a medication to their mobile phone

• Also keeps track of reminders, refills and information associated with that medication

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mHealth for Patients

• RxR imports prescription data to app using QR codes on medicine bottles

• Saves patients’ preferred times for waking, going to bed and eating meals to customize the reminder timings

• Associates a photo with each medicine• Permits viewing of upcoming reminders

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mHealth for Patients

• RxR sets reminder clock so the phone automatically pops up an alarm when time to take a dose

• Tracks quantity so you can reorder. (Every time the patient takes a dose, the quantity is reduced.)

• Allows viewing of directions, quantity, image of medicine and frequency on ONE page.

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mHealth for Caregivers

• RxR connects the patient’s app to family’s app so that they can be informed about dosages and whether adherence attempted

• Also allows messaging family by sending a text• Provides a caregiver mode with multiple-

patient support that can be used by nurses, aides in centers to keep track of meds for all patients.

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What Do YOU Want from an APP?

Cast your vote for the name you prefer:

•RxR•Rem-Med-e•Other?

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What Do You Want from an APP?

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CONTACTDrPam4Women@gmail.com, @DrPam, @DrPam4Women

The Yoder Network Doctors 2.0 Team • Akash Agarwal• Ernesto Ramirez• Josh Seidenfeld• Karan Uppal• Ling Jong• Sahil Handa

akash@agarwalhome.com

erramirez@ucsd.edu

seidenfeldj@gmail.com