Mobile Technology Impact on the Physician-Patient Relationshipand Vice Versa

John Sharp, MSSA

AGA Tech

March 20, 1014

Take Aways

• Mobile technology is becoming pervasive for the consumer/patient

• Mobile tools for engaging patients are in early phase development

• Changing workflow to utilize mobile engagement

• Future holds promise for transforming patient care and enhancing outcomes

Forces of change

Meaningful Use

Patient ExpectationsPhysicians

Mobile technology is becoming pervasive for the consumer/patient

80% of internet users own a smart phone

50% use mobile device to lookup health information

50% have access to their medical records online

Consumers Using Health Apps

• 40M smartphone owners actively use wellness apps• Opportunity – moving toward collaborative care

Source: Power to the patient: How mobile technology is transforming healthcareThe Economist

Mobile tools for engaging patients are

in early phase

development

Patient Portal Basic Features

Future appointments, request appointment

Medication list and request a refill

Test results

Health summary, problem list

Secure messaging

Bill paying

Advanced Features of Portals

Imaging and pathology results

Discharge instructions and summary

After visit summaries

Open Notes

Ability to transmit data to another provider

Customized/personalized patient education

Patient-Generated Health Data

Ability to request corrections in the record

What about Apple Healthkit?

• Innovative health systems (Mayo, Duke, etc.) are developing solutions

• Data moves from mobile device to EMR, not back

• Can enable collection of patient-generated health data

Changing workflow to utilize mobile engagement

• How does this impact ongoing care of chronic GI conditions?

• How does this impact specialty practice?

Workflow – Chronic GI care• Encourage use by patients with chronic conditions

– Confirm that their medications are correct and being filled

– Help them understand key lab results

Workflow – Chronic GI Care

– Provide condition-specific education

– Provide graphs on weight, BMI, BP, etc.

– Secure messaging – Triage

Workflow – Specialty Practice

• Utilized pre-procedure mobile education tools –videos, images

• Provide results of procedures

• Encourage patients to share their data with their primary care physician

Workflow –Patient Education Opportunity

through Mobile

• Colonoscopy prep app

• Geisinger Medical Center

Workflow – Inpatient

Inpatient tablet use at New York Presbyterian

• medications they are receiving

• lab results

• photos of their care team

• call for the nurse directly from the tablet

• electronically record their pain levels

• questions to their care team

Workflow – impact on outcomes

• Increased patient awareness of condition through lab results, vitals

• Patient involvement in medication reconciliation

• Improved patient education, literacy

• Communicate More Effectively - Reduce the Number of Phone Calls

Future holds promise for

transforming patient care and

enhancing outcomes

• Source: The Economist, 2015

Future

• Telemedicine including video visits common

• Sensors and monitors used in the home, remotely – Internet of Things

• Open notes the default

• Patients more

– engaged

– activated

– literate

Take Aways

• Mobile technology is becoming pervasive for the consumer/patient

• Mobile tools for engaging patients are in early phase development

• Changing workflow to utilize mobile engagement

• Future holds promise for transforming patient care and enhancing outcomes

Contact Me

• LinkedIn.com/in/johnsharp

• Twitter @JohnSharp

• Website: www.himss.org