Be sure to check out the audio archive: http://healthworkscollective.com/33447/audio-archive-healthcare-access-through-mobile-technology

1. Healthcare Access Through
Mobile Technology:
How does mHealth Improve Patient
Access to Better Care?
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2. How to Participate
• Submit your questions in the GoToWebinar presentation
window
• Follow along and share your thoughts on Twitter at
#HWClive
• This webinar will be recorded and available for
download a few days after the webinar

3. About the Moderator
Brian S. McGowan, PhD
Brian S. McGowan, PhD, is a research scientist who has
worked as a medical educator, mentor, commercial grantor,
consultant, and author.
r. McGowan’s first book comes out this summer:
#SOCIALQI:
Simple Solutions for Improving Your Healthcare.
ou can follow him on twitter ( @BrianSMcGowan )
or on his blog www.socialQI.com

4. About The Panel
Herb Rogove, DO, FCCM, FACP, President & CEO of C3O Telemedicine
Dr. Rogove is President/CEO of C3O Telemedicine, which is a multispecialty virtual practice
that solves the problem of quick and affordable access to specialists in Tele-ICU, Tele-
Neurology/Neurocritical Care and Tele-Psychiatry. With over thirty years of experience both in
clinical and hospital administrative functions he has started and directed three onsite critical
care programs as well as Emergency Medicine and Hospitalist programs. He has had clinical
appointments at the University of Southern California, University of Pittsburgh, and the Ohio
State University.
Alex Blau, MD, Medical Director at Doximity
Alex Blau, MD, Medical Director at Doximity, is a graduate of the University of California San
Francisco School of Medicine and trained in emergency medicine at Stanford Hospital and
Clinics. He has been working in the emerging mobile health space since he was a senior
medical student, when he founded MediBabble, an iPhone-based medical language
interpretation tool now in use by over 15,000 health care professionals.
Marc Mitchell, MD, MS, Founder & President of D-tree International
Dr. Marc Mitchell, MD, MS founder and president of D-tree International, is a pediatrician and
management specialist who has worked in over 40 countries in Africa, Asia, and Latin America
on the design and delivery of health care services. He is a Lecturer on Global Health at Harvard
School of Public Health. Dr. Mitchell is a world leader in the use of mobile technology to
improve the quality of and access to health care and has written widely on these topics. D-tree
International was founded in 2004 in order to demonstrate the impact that mobile technology
can have on improving health outcomes for the world’s poor.

5. Facts About Mobile Technology - US
Coordinated a meeting or get-together
Solved an unexpected problem
Found a business to visit (restaurant)
Found information to settle an argument
Looked up sports scores
Gotten directions or public transit information
Gotten help in an emergency situation
Done one or more of the above

6. Facts About Mobile Technology - Global
In many developing countries there is greater access to mobile
phones than clean water or functional toilets

7. mHealth:The Hospital Based
Model
Herb Rogove, DO, FCCM, FACP
Founder and President

8. Philips e-ICU system

9. InTouch Health

13. Vidyo

15. Mobile MIM

16. AirStrip Cardiology

17. AliveCor

19. GE Vscan

20. UCLA RDT

21. herb.rogove@c3otelemedicine.com

22. m H e alth fo r th e
H e alth c are P ro fe s s io n al

23. B u s y m H e alth
M ark e tp lac e
• 5 0 + c iclp s
,0 0 l aa p
in
• 8 0 + p tn a p
,0 0 a t p s
ie
• M l la ps rs
uip p t e
te o
• 8 % o M s ae
1 f D hv
s ath n s
mr oe
p

24. C o m m u n ic atio n
H ave s an d H ave -N o ts
Medicine Rest of the world

25. C o m m u n ic atio n
H ave s an d H ave -N o ts
• Average PCP interacts with • 15 billion faxes / year • HIPAA compliance rules out
270 specialists/year in US healthcare traditional email and social
• PCP spends 40 min / day networks
• Only 1/3 of patient visits
have info sent in advance phoning other MDs

26. H e alth c are C o llab o ratio n
in th e C lo u d
• I poe cr
m rvd ae
c od a n
o rin tio
• T ec s eic n y
im /ot f ie c
f
• P tn sf y
a ta t
ie e
poetn
rt io s
c
• C nin in m d a
o tu g e icl
e ua n
d ct io

27. Using Mobile
Technology to
Improve
Health
Marc Mitchell, MD
D-tree International
&
Harvard School of Public Health

28. The Problem
“[There is] an estimated
shortage of almost 4.3
million doctors, midwives,
nurses and support
workers worldwide. The
shortage is most severe in
the poorest countries,
especially in sub-Saharan
Africa, where health
workers are most needed. “

29. Our Mission . . .
. . . is to develop and support
electronic clinical protocols that
that enable health workers
worldwide to deliver high quality
care

30. What we do
1. We promote standards of
care;
2. We put these protocols
on a phone;
3. We help implement;
4. We make sure these tools
are safe and effective;
5. We promote scale up.

31. Develop clinical protocols that enable better quality

32. Design software to support correct use of
protocols

33. Develop clinical protocols that improve quality
chronic disease reproductive
health
child health
preventive
care
 HIV/AIDS
 antenatal
 Diabetes  pneumonia  post natal
 Hypertension  diarrhea  family plan.
 TB  malaria  safer
 newborn deliveries
 nutrition
 antenatal
 immunizations
 care and support

34. Child Health
Correct Diagnosis (compared to expert)
Correct Diagnosis paper eIMCI
pneumonia 90.6 % 93.3 %
diarrhea 98.5 % 99.8 %
dehydration 98.8 % 100 %
severe pneumonia 22 % 64 %
severe diarrhea 67 % 91 %
severe dehydration 50 % 100 %
Performance
Avg. Time paper 8.98 min eIMCI 9.06 min
= + 5 seconds
Improvement in Integrated Management of Childhood Illness (IMCI) Implementation through use of Mobile Technology:
Evidence from a Pilot Study in Tanzania Authors: Marc Mitchell, Bethany Hedt, Daniel Msellemu, Oscar Mukasa, Melania
Mkaka, Neal Lesh

35. Maternal Health
• Screening pregnant mothers
for danger signs
• Establishing community-
based referral systems to
transport women
 Coordinating payment of transport to health
facilities and hospitals using mobile banking
 Following up with the family within 2-5 days after
delivery to ensure a continuum of care, including
post-partum and post-natal care

36. Results: Facility Deliveries

37. Results
One mother gave
birth to twins via
caesarean section at
the hospital. She told
D-Tree that without
the project she would
have delivered at
home and she and
her babies might not
be alive today.

38. How to Participate
• Submit your questions in the GoToWebinar presentation
window
• Follow along and share your thoughts on Twitter at #HWClive
• This webinar will be recorded and available for download a
few days after the webinar

39. About The Panel
Herb Rogove, DO, FCCM, FACP, President & CEO of C3O Telemedicine
Dr. Rogove is President/CEO of C3O Telemedicine, which is a multispecialty virtual practice
that solves the problem of quick and affordable access to specialists in Tele-ICU, Tele-
Neurology/Neurocritical Care and Tele-Psychiatry. With over thirty years of experience both in
clinical and hospital administrative functions he has started and directed three onsite critical
care programs as well as Emergency Medicine and Hospitalist programs. He has had clinical
appointments at the University of Southern California, University of Pittsburgh, and the Ohio
State University.
Alex Blau, MD, Medical Director at Doximity
Alex Blau, MD, Medical Director at Doximity, is a graduate of the University of California San
Francisco School of Medicine and trained in emergency medicine at Stanford Hospital and
Clinics. He has been working in the emerging mobile health space since he was a senior
medical student, when he founded MediBabble, an iPhone-based medical language
interpretation tool now in use by over 15,000 health care professionals.
Marc Mitchell, MD, MS, Founder & President of D-tree International
Dr. Marc Mitchell, MD, MS founder and president of D-tree International, is a pediatrician and
management specialist who has worked in over 40 countries in Africa, Asia, and Latin America
on the design and delivery of health care services. He is a Lecturer on Global Health at Harvard
School of Public Health. Dr. Mitchell is a world leader in the use of mobile technology to
improve the quality of and access to health care and has written widely on these topics. D-tree
International was founded in 2004 in order to demonstrate the impact that mobile technology
can have on improving health outcomes for the world’s poor.

40. Thanks for Joining Us
• This webinar will be available on-demand at
www.HealthWorksCollective.com. Stop by to learn more and
share your comments.
• Connect with our panelists on HealthWorks Collective using the
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