mHealth Technologies that are Working and Obstacles to Innovation by Jim Bloedau
1. Session 3
Derek Wong, Ph.D., Associate,
Burrill & Company
•Technologies that are working today
& obstacles to innovation
Kabir Kasargod, Director, Business
•Integration, engagement, and
actionable information
Deleys Brandman, MD, MPH,
•The upcoming decade of redesign:
what are the unmet needs and what
is needed from mHealth to design
healthcare for the coming decade
Michael Blum MD, CMIO and
Development at Qualcomm Life
Texas A&M Innovation Center
Associate Vice Chancellor for
Informatics Center for Digital Health
Innovation, University of California
Medical Center, San Francisco
Moderator: Jim Bloedau,
Information Advantage Group, San
Francisco
Information Advantage Group, San Francisco
GMIC San Francisco 2013
2. There’s A Lot To Know
DIY
PCMH
Clinician
Engagement
Policy
MU
Education
Reimbursement
BAA
Sensor Technology
Economic Return
Personalization
Technology
Visibility
Workflow
Patient
Virtual
Care
HRA
Participatory
Proof
Payer
Health
Navigator
MLR
HIX
HIE
Quantified Self
Minimize Risk
Competitiveness
Economic Return
Networks
BYOD
EHR
PSO
PP
S
Collaboration
ACO NFC
BYOID
HIPPA
HIO
LT
E
Information Advantage Group, San Francisco
GMIC San Francisco 2013
8. One Percenters
1% consumes 21% of healthcare
costs.
5% of patients accounted for 50
percent of all health-care
expenditures.
By contrast the bottom 50% of
patients accounted for just 2.8%
of spending.
Source: Federal Agency for Healthcare Research and Quality (AHRQ) 2012
Information Advantage Group, San Francisco
GMIC San Francisco 2013
9. Chronic Disease and Care Will Escalate
Information Advantage Group, San Francisco
GMIC San Francisco 2013
10. Post acute care spending has been
shifting to transitional care and home.
Slide: Courtesy of Rick Beberman, source: 2011 Medicare Trustees Report
Information Advantage Group, San Francisco
GMIC San Francisco 2013
11. Shortage of Family Caregivers
Family members provide
the vast majority of support
for people over age 80 in
the United States
Currently: 7 potential family
caregivers available for each
frail elderly person.
By 2030: 4 caregivers per
frail elderly person
By 2050: 3 per frail elder by
2050
Information Advantage Group, San Francisco
GMIC San Francisco 2013
13. FDA Approved Apps Growth
Information Advantage Group, San Francisco
GMIC San Francisco 2013
14. Lab On A Chip
Printables
Multi-Sensor
Ingestables
Microfluidics
Information Advantage Group, San Francisco
Optical -Sensing
GMIC San Francisco 2013
16. Six Billion Cell Phones
Information Advantage Group, San Francisco
GMIC San Francisco 2013
17. Growth and Promise of mHealth
• 6X growth in mHealth apps by 2018 as
there are today – 15 up to 96 million users
(45% CAGR).
• 5% to 9% CAGR for consumer medical
devices industry revenue reaching $10.6
billion by 2017.
Sources: Juniper Research and Consumer Medical Devices Production Yearbook - 2013, IHS,
both September 2013
Information Advantage Group, San Francisco
GMIC San Francisco 2013
Notes de l'éditeur
House Cleaning Announcements Introductions
There’s a lot to know. A main challenge and “Must” is to be “Buzz Word Compliant” Example: Formula The secret is to say it “hard, strong and fast” and people will think you know what you are talking about. But seriously, these terms are important ….and my favorite is…
OR …
But seriously… Take this type of enthusiasm out of today’s discussion and put a real face on what the problem. What’s worked and what can we plan on doing to meet the next decade of healthcare’s unmet needs. …An the best way I know how to do that is….put a face to it.
A 64-year-old Mississippi man with severe COPD and kidney disease is repeatedly hospitalized for worsening heart, lung and kidney failure; Doctors don't know that his utilities have been disconnected, leaving him without air conditioning or a refrigerator in the sweltering summer heat.
A young woman with severe bipolar disorder spends more than 300 days in a Los Angeles hospital and nursing home because she can't afford a special bed or arrange services that would enable her to live at home.
A very sweet 66-year-old hypertensive woman with CHF breaks her ankle, develops a blood clot and, unable to find a doctor to monitor her blood-thinning drug, winds up in an emergency room 30 times over the next year. ….who says that healthcare can’t be fun?
These patients are among the 1 percent that fills our hospitals and ICU Nearly $1.3 trillion Americans spent on health care in 2010, at a cost of nearly $88,000 per person. Five percent of patients accounted for 50 percent of all health-care expenditures. By contrast, the bottom 50 percent of patients accounted for just 2.8 percent of spending that year, according to a recent report by the federal Agency for Healthcare Research and Quality.
No one is denying that the challenge to care for those with chronic diseases will not lesson. Cancers, Mental Disorders and Diabetes are the “growth areas.” Pulmonary, Hypertension, Mental Disorders and Heart Conditions hit the greatest number of people
80% of patients go home and get better by themselves. To control costs for the rest, we’ve shifted more to post acute care and the home. It’s cheaper. Growth in acute care spending has flattened some . This has pushed care to the home, caregivers, and family members - theywill carry more of the load.
The good news is that we have seen an increase in multi generational household since about 1980. Even a higher percentage of younger people living at home –tech savvy. Problem smaller families and decreasing caregivers will drive needs for greater efficiencies in the home care arena.
Another important trend is Providers as Developers Started branding their own apps around 2009 Very basic, mostly CRM, disseminating news and events, offering patient education, soliciting feedback or non-clinical communication, navigations and directions, some scheduling, physician directories and appointment booking. Scant health trackers of various stripes, medication reminders, Rx refills, and secure messaging.
FDAstarted looking at Apps in 2009 “..to start a conversation.” 75 Class II devices – mobihealthnews study 1973 first wireless phone demonstrated at Motorola. 1983 “The Brick” was the first commercial mobile phone, half hour talk time, 2.5 pound, $3,995.00
In a healthcare world where cost is everything, how do we use mobile as we move toward “zero cost diagnostics.?” Printable chips, like nicotine patches Rubbery polyester that can wrinkle & stretch John Rogers U of Ill. Could be powered by body heatMicrofluidic chips – displace expernsive lab equipment, portabilityIngestables, implantables Proteus 1st FDA approved powered by stomach fluids
Paper: George Whitesides Research Group, Dept Chemistry and Chemical Biology, Harvard..1 cents to make using an $800 wax printer, running 24x7 making about 10 Million test a year.Will in five years, the phone disappears into the background and becomes as “significant as dial tone.”
More mobile phones than toilets. Worldwide sales of smartphones exceeded those of feature phones in early 2013 Much of the world has limited oversight like FDA China has a goal of 1 million iOS engineers
Factors driving the growth include: Increasing demand for lifestyle consumer apps, Greater variety of attachments, Motivated target demographics, Greater chronic disease awareness, Increased smartphone adoption, Persistent financial pressures.