Diseases of the Respiratory System (J00-J99),.pptx
Next Gen Pharmacy: mHealth, Wearables, and Invisibles
1. Kevin A. Clauson, PharmD @kevinclauson
Next Gen Pharmacy
mHealth, Wearables & Invisibles
2. I have more
optimism about
the future of
pharmacy than some
people feel is
merited
3. Objectives
1. Describe the mobile health (mHealth) arena
and its relevance to pharmacy practice.
2. Contrast the paternalistic and participatory
medicine models as they relate to mHealth.
3. Discuss the use of mHealth applications (apps)
and wearables to enhance patient self-care.
4. Summarize hurdles associated with mHealth
in pharmacy.
5. Am J Health Syst Pharm 2013;70(15):1348-52.
mHealth is the use of mobile devices
and global networks to deliver health
services and information
6. Kairos
Fogg BJ. Persuasive Technology: Using Computers
to Change What We Think and Do, 2002.
Καιρος: Greek god of the favorable moment
Leveraging
mobile
technology to
facilitate
behavior change
7. Dimension Factor mHealth tool(s)
Social and economic Limited English language
proficiency
Medical encounter app (MediBabble); Mobile
medical translator (Jibbigo)
Health care system Lack of positive
reinforcement
HealthPrize; Mango Health; Memotext
Condition-related Depression Mobilyze
Therapy-related Complexity of medication
regimen
AdhereTech; eMedonline; eTect; Helius;
Pillboxie
Patient-related Alcohol or substance abuse Alcohol–Comprehensive Health
Enhancement Support System (A-CHESS
Mobile Platform)
mHealth tools to address factors in
medication non-adherence by dimension
Chapter 33. mHealth and Pharmacy in Healthcare.
mHealth Multidisciplinary Verticals, 2014.
8. Wearables are an accessory that
enable personalized mobile
information processing
Conf Proc IEEE Eng Med Biol Soc 2014;2014:4155-8.
15. Participatory Medicine
“Movement in which networked patients
shift from being mere passengers to
responsible drivers of their health, and in
which providers encourage and value them
as full partners.”
www.participatorymedicine.org
16. Source: The Accenture Connected Health Pulse Survey, 2012 (n=1,100).
Prescriptions
Appointments
Patients want to refill Rxs via digital channels:
Patients want to manage via digital channels:
73%
72%
72%
68%
Mobile
Mobile
Website
Website
90% of patients want online
access to health information
and education
17. Consumers want to use health apps
Source: Consumer Health Information Corporation, April 2011 (n=395)
Percent
32. Kids’ activity can be
converted into:
– coins
– ibitz game points
– Device unlock time
App compliant with Children’s Online Privacy and Protection Act
(child’s activity information cannot be shared with anyone besides the parent)
35. Comparison of steps taken measured using hand counting
compared to steps taken from the activity devices
Devices Treadmill
Walking
Treadmill
Running
Elliptical Agility
Actual 2425+/-177.9 3182+/-173.9 2631+/-371.5 805+/-51.9
Jawbone UP 2403+/-176.6 3186+/-171.5 2627+/-359.0 783+/-110.1
Nike
Fuelband
2273+/-154.8* 3169+/-171.2 2580+/-458.7 533+/-70.4*
Fit Ultra 2425+/-177.2 2990+/-313.0* 2630+/-370.6 645+/-90.0*
NL-2000i 2425+/-178.0 2869+/-247.1* 2477+/-471.1* 671+/-106.9*
www.acefitness.org/certifiednews/images/article/pdfs/ACE_ActivityTrkr_Study.pdf
Values represent means +/- standard deviation
*Significantly different than actual steps (p<0.05)
36. Device Observations
Galaxy S4 Moves App 28
iPhone 5s Moves App 28
iPhone 5s Health Mate 27
iPhone 5s Fitbit App 27
Nike Fuelband 28
Jawbone UP24 28
Fitbit Flex 28
Fitbit One 26
Fitbit Zip 27
Digi-Walker SW-200 28
JAMA 2015;313(6):625-626.
500 1000 1500 2000
App
Mean number of steps
Device outcomes for 1500 step trials
41. “…what I, as a CIO, need to do is gather the
data on your… devices in your home, and
understand what I can do to keep you well.”
“You will, through the device that you have,
your mobile phone, be able to use
middleware integration to the various
kinds of telemetry in your home, and
therefore [have] a single point of
interaction between your phone and the
EHR.”
– John Halamka, M.D.
Chief Information Officer of Beth Israel
Deaconess Medical Center
mobihealthnews.com
56. By 2017, 30 percent of
wearables will be invisible*
*invisible = unobtrusive to the eye
Predicts 2015: New Business Opportunities and Complexity on the Rise in Consumer Devices Market
59. 83%
!
83% of consumers
have difficulty using
their intelligent
devices
22% said their wearables
didn’t set up properly
24% said the devices were
too complicated to use
21% said the devices
didn’t work as advertised
Accenture. Engaging the Digital Consumer in the New Connected World, 2014.
66. Summary points
1. mHealth and wearables offer pharmacy the
potential to engage patients and enhance
positive health behaviors
2. Data from wearables can help fill in the
blanks for the (majority of) health that
happens outside the health care system
3. It is early days for wearables and invisibles
and there is a paucity of effectiveness data