Connected Care
Exchange Conference Presented by Welch Allyn
November 4, 2014
Thank You to Our Sponsors
Joseph C. Kvedar, MD
Founder and Director
Center for Connected Health
Partners HealthCare
2015: mHEALTH’S COMING OUT PARTY… OR IS IT?
Joseph C. Kvedar, MD
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Apple
Samsung
Microsoft
Intel
But is it irrational exuberance?
RECENT ENTUSIASM FOR mHEALTH…
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• mHealth: $1.95B in 2012, predicted to be$49B by 2020
• Wearables: Predicted to be $12B by 2018
• 75% of consumers believe wearableswill positively impact wellness
MARKET ESTIMATES
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PAYMENT REFORM –AN OPPORTUNITY
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• How is HealthKit different than now-defuntGoogle Health?
• Samsung’s S Health (on its 3rd generation) –adoption not strong
•Aetna discontinues CarePass August 2014
• Microsoft, Samsung, Apple betting that theSmart Watch will be the difference
THOSE WHO CANNOT LEARN FROM HISTORY ARE DOOMED TO REPEAT IT (GEORGE SANTAYANA)
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TYPICAL APP STRATEGYGive The People What They Want
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In Health Care That Can Result In
MISPLACED RESOURCES
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The People We’d Really Like To Have As mHealth Users
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HEALTH APPS ARE DIFFERENT
Although 1 in 10 U.S. adults over the age of 18 owns an activity tracker, within 6 months one-third stops using them.
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HEALTH APPS ARE DIFFERENT
More than 80% of health apps that are downloaded are abandoned within 2 weeks.
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Even though we know people need these apps, they don’t always want them
HEALTH APPS ARE DIFFERENT
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WE CHECK OUR SMARTPHONES >100 TIMES A DAY!
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BUT PUSHING A BUTTON FOR HEALTH IMPROVEMENT IS TOO HARD.
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The Bottom Line
DON’T CONFUSE EDUCATION WITH INSPIRATION
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ENGAGEMENT IS KING
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TOOLS FOR ENGAGEMENT
Frictionless Technology
Social
Personalization
Relevance to Everyday Life
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FRICTIONLESS
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FRICTIONLESS
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FRICTIONLESS
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TOOLS FOR ENGAGEMENT
Social
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GET SOCIAL RIGHT
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MULTIPLE DIMENSIONS TO SOCIAL
Camaraderie
Competition
Visibility
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SOCIAL - Camaraderie
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SOCIAL - Competition
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Average drop of HbA1c: 1.5
69% achieved a drop in BP
SOCIAL - VisibiltyDIABETES & BLOOD PRESSURE CONNECT
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TOOLS FOR ENGAGEMENT
Personalization
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Customized
Program DesignReadiness
To Change
Connected
Health Data
Practice
Location
Analytic
Engine
PERSONALIZATION: TEXT 2 MOVE
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PERSONALIZATION: TEXT 2 MOVE
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0.36
1.08
0.62
Low engagement High Engagement All
HbA1c Change
Mean change in HbA1c by engagement level
*
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RELEVENCE TO EVERYDAY LIFE
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RELEVENCE TO EVERYDAY LIFE
Subconscious Triggers
Go Where the Consumer Is
Focus on Near Term Goals
State of the Art Design
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-10%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Week 1 Week 2 Week 3 Week 4 Week 5 Week 6
% A
dh
ere
nc
e
Study Period
Weekly Adherence Rates (mean +/- SEM)
Reminder group
No Reminder Group
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SUBCONSCIOUS TRIGGERS: SUNSCREEN REMINDERS
Arch Dermatol. 2009;145(11):1230-1236.
GO WHERE THE CONSUMER IS
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FOCUS ON NEAR TERM GOALS
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STATE OF THE ART DESIGN
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BIG DATA, BIG OPPORTUNITY
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BIG DATA
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BIG DATA
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BIG DATA
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IMPLICATIONS
• The “give the people what they want” strategy for consumer apps does not translate
• If we don’t get engagement right, mHealth will godown in history as yet another tech bubble
• Some companies are doing some things rightsome of the time
• This will be hard but worth the effort
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WAYS TO CONNECT
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The cHealth Blog:
chealthblog.connectedhealth.org
www.connectedhealth.org
Annual Symposium:
October 23-24 2014; Boston
LinkedIn Group:
Connected Health Community
Twitter:
@connectedhealth
@jkvedar
Contact Me: