Healthcare Access Through Mobile Technology

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Healthcare Access Through Mobile Technology:How does mHealth Improve Patient Access to Better Care?

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

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.

Dr. McGowan’s first book comes out this summer:

#SOCIALQI: Simple Solutions for Improving Your Healthcare. 

You can follow him on twitter ( @BrianSMcGowan ) or on his blog www.socialQI.com

About The Panel

Herb Rogove, DO, FCCM, FACP, President & CEO of C3O TelemedicineDr. 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 DoximityAlex 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 InternationalDr. 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.

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

Facts About Mobile Technology - Global

In many developing countries there is greater access to mobile phones than clean water or functional toilets

mHealth:The Hospital Based Model

Herb Rogove, DO, FCCM, FACPFounder and President

Philips e-ICU system

InTouch Health

Vidyo

Mobile MIM

AirStrip Cardiology

AliveCor

GE Vscan

UCLA RDT

herb.rogove@c3otelemedicine.com

mHealth for theHealthcare Professional

• 5,000+ clinical

apps• 8,000+ patient

apps• Multiple app

stores• 81% of MDs have

smartphones

Busy mHealthMarketplace

Rest of the worldMedicine

CommunicationHaves and Have-Nots

• Average PCP interacts with 270 specialists/year

• Only 1/3 of patient visits have info sent in advance

• 15 billion faxes / yearin US healthcare

• PCP spends 40 min / day phoning other MDs

• HIPAA compliance rules out traditional email and social networks

CommunicationHaves and Have-Nots

Healthcare Collaborationin the Cloud

• Improved care coordination

• Time/cost efficiency

• Patient safety protections

• Continuing medical education

Using Mobile Technology to

Improve Health

Marc Mitchell, MDD-tree International

&Harvard School of Public Health

“[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. “

The Problem

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

Our Mission . . .

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.

What we do

Develop clinical protocols that enable better quality

Design software to support correct use of protocols

chronic disease

child health

reproductivehealth

preventivecare

HIV/AIDS Diabetes Hypertension TB

pneumonia diarrhea malaria newborn nutrition

antenatal post natal family plan. safer deliveries

antenatal immunizations care and support

Develop clinical protocols that improve quality

Child Health

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

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 %

Avg. Time paper 8.98 min eIMCI 9.06 min= + 5 seconds

Performance

• 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

Maternal Health

Results: Facility Deliveries

ResultsOne 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.

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

About The Panel

Herb Rogove, DO, FCCM, FACP, President & CEO of C3O TelemedicineDr. 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 DoximityAlex 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 InternationalDr. 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.

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