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Medical Apps in Clinical PracticeDavid Lee Scher, MD, FACP, FACC, FHRS
DLS Healthcare Consultants, LLCSr Medical Advisor, Happtique
Website: Digitalhealthconsultants.comBlog: Davidleescher.com
@dlschermd
Digital Health Technologies: Superconvergence into Individualized Medicine
• Wireless sensors• Genomics• Information systems• Mobile connectivity• Internet/social networking• Computing power + data universe
Topol, E. The Creative Destruction of Medicine, 2012
WHY APPS?
Which Mobile Capabilities Patients Want Their Doctor to Have
• 42%: An app to see their test results.• 33%: Remote monitoring devices.• 30%: Access to patient health records via
mobile device.• 13%: Didn’t think apps would help improve
care at all.
Source: Ruder Finn mHealth Report
Five Pitfalls of Designing a Medical App
• The motivation for the app development is misguided
• Lack of clinician involvement• Poor attention to usability• Not knowing the healthcare landscape• Not building to regulatory specifications
http://davidleescher.com/2013/01/31/five-pitfalls-of-designing-a-medical-app/
Barriers to mHealth Adoption: Physician Perspective
• Lack of awareness• Lack of faith in safety, reliability• Lack of quality apps• Fear of increased work, workflow disruption
Barriers to mHealth Adoption: Patient Perspective
• Reasons for not using them:– 27%: Didn’t have a need to. – 26% Preferred in-person communication with
doctor. – 11%: Privacy concerns.– 9%: Didn’t find them useful.– 7%: didn’t know they were available.
Source: Ruder Finn mHealth Report
Happtique Moves into app Testing, Certification
By Joseph CohenPosted: February 27, 2013 - 2:15 pm ET
10
Certification Program
BLUE RIBBON PANEL
APP CERTIFICATION REVIEW BOARD
NURSE REVIEWERS
PHYSICIAN REVIEWERS
OTHER PROVIDER
REVIEWERS
Set Standards for App Certification
Implement Program and Oversee Reviewers
Review AppsDave deBronkartePatient DaveLeading Patient Advocate
Shuvo Roy, PhDLeading biomedical scientist and researcher
Franklin A. Shaffer, EdD, RN, FAANHead of the Nursing Advisory Council
CHAIR: David Lee Scher, MDFormer Cardiologist and mHealth Authority
Happtique App Certification
• Standards:*– Safety– Operability– Privacy– Content
*Available for download at Happtique.com
DYNAMIC CONTENT BASED ON USER TYPE
Apps
Documents
Videos
Pinnacle Apps & Content
Neurology Documents
My App Formulary
SECURE PRESCRIBING AT THE POINT OF CARE
Browse FilterBack
mRx Prescription Pad
Prescribe
Glucose Buddy
Add anItem
Apple Device
Android Device
Comments:
Patient Name:
Patient Name:
Clear
Clear
Pediatrics Formulary
Other Formularies
Favorites
All Catalogs
Amazing BabyFreeiOS Rating
Prescribe
WebMD BabyFreeiOS Rating
Prescribe
Similac Baby JournalFreeiOS Rating
Prescribe
Healthy ChildrenFreeiOS Rating
Prescribe
AsthmapolisFreeiOS Rating
Prescribe
Shots by STFMFreeiOS Rating
Prescribe
Carb Counting with Lenny US FreeiOS Rating
Prescribe
ADHD Tracker 1.0 FreeiOS Rating
Prescribe
1 Search Apps
2
3
PROTOTYPE ONLY
Patients mRxBack
Search
Catherine Davidson [email protected]
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Abby Edwards [email protected]
Steven Finch [email protected]
Timothy Fredrickson [email protected]
George Gibbs [email protected]
Ron Jaworsky [email protected]
James Stuart Korsokov [email protected]
Seth Manning [email protected]
Brenda Perez [email protected]
Leslie Stephenson [email protected]
Bubba Watson [email protected]
Brandee Younger [email protected]
Leslie Stephenson [email protected]
Billy Zaks
AmazingBabyPrescribed on 12/31/2012 Clicked to fill on 1/2/2013
WebMD BabyPrescribed on 1/12/2013 Not Filled
Resend
Catherine Davidson [email protected]
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PrescriptionHistoryPatients Screen
PROTOTYPE ONLY
Challenges
• Need filtered actionable data• Full connectivity with EHRs• Clinical efficacy studies• ? Reimbursement• Interoperability among apps and platforms
QUESTIONS?
