About usHealthphone Solutions Limited is a global provider of software for the community and population health industriesFounded in 2004 in Auckland, NZ – Global HQ in SeattleTeams in Australia, Canada, NZ, UK, USA and SingaporeHealthphone software is delivered as Software-as-a-Service through major global and regional partnersHealthphone’s integrated solutions platform is designed to improve outcomes for people with chronic conditions – especially those involving behavior modificationHealthphone’s goal is to become the platform standard for personal health management, chronic disease management and long term condition management worldwide

What is HME-STOMP?HME-STOMP is a second-generation SMS-based smoking cessation program built on the Healthphone Messaging Engine

STOMP is clinically proven:– Random-controlled trial of 1,705 New

Zealand smokers over age of 15 years conducted by the Clinical Trials Research Unit at The University of Auckland, New Zealand

– Clinical trials showed a two-fold increase in self reported quit rates at 6 months (28% vs 13%) with results consistent across age, income, sex, and geographical location

What does STOMP do?Personalized smoking cessation service

– Creates a text message based program for a participant based on their demographic and smoking cessation information

– Automatically sends smoking cessation messages to participants

– Automatically processes and sends responses to text messages received from participants

Text messages processed and responded to as part of the core STOMP Program :

– Join

– Opt-In

– Slip Up

– Crave

– Relapse

– Opt-Out

What Does HME do?HME is Healthphone’s Messaging Engine that supports Clinical Interventions and Programs:

– Interactive SMS/Text messaging – Participant Management– Message Scheduling

– Multi Lingual

– Time Zone Aware

– Blackout

– Demographic Tags

– Ad Hoc Messaging– Able to incorporate external Program content– Admin reporting and analytics– Benchmark data for research

Roadmap Programs and Interventions include:– Depression/Anxiety– Diabetes Management – Fitness/Nutrition– Medications Management– Obesity/Weight Management

The PortalsSTOMP Administration Portal: – Participant Management

– Program Management

– Text Message Content

– Website User Management

– Demographic Tags

– Polls

– Ad Hoc Messages

– Reports

STOMP Participant Portal:– Self -Enrollment

– Profile Management

– Program Management

– Linked to your website

Why is it important? – Key influences

~80% of the world's population had mobile phone coverage as of 2006. ~90% estimated

by 2010.

Smoking is the number one preventable cause

of premature death

Public Health Impact=

Efficacy x Reach

STOMP showed two-fold increase in reported

quit rates

More than 85% of young New Zealand adults now have a

mobile phone

Smoking typically begins in adolescence

100 million smoking deaths in the 20th

Century

~70% of smokers want to quit

Healthphone – Enabling Productive Interactions

Community CarePublic / Health

Acute Care

Primary Care

HIS

CCMS

EMR

Con

sum

er I

nter

actio

ns

Wagner EH. Chronic disease management: What will it take to improve care for chronic illness?

Effective Clinical Practice. 1998;1(1):2-4

Patient and/or Caregiver Interactions

Clinical Interactions

High Level Processes

Supporting Chronic Disease Management

9

Patient Education and consumer interaction via Patient Portal (www) or intelligent SMS messaging

High-Level Architecture (Now)

HME-STOMP - Stand-Alone

11

HME (Future)

Healthphone Platform - Vision

13

Supporting Assessments at point of care

14

Customer configurable assessments using CCMS (via desktop www) or on-line or store/forward off-line PDA. Including specialized Wound Management mobile assessment

Supporting Care Planning & Delivery

15

Create Protocolised (configurable) care Plans for each patient.

Assign track and update tasks to internal staff, external specialists and directly to the patent and their familiies.

Track via www, PDA (real time or offline store/forward) or via patient portal

PDA Clinical Note 2.2.0

PDA My Tasks 2.2.2

ConclusionWe see mobility and mobile devices as having increasing utility in the healthcare sector

User interface considerations range from ….– creating/ factoring text content into usable chunks (160 characters)

– creating MMS and downloadable content for mobile devices

– Creating WAP Sites optimised for mobile viewing

– Developing downloadable apps across a range of mobile platforms (Symbian, Android, Windows Mobile, RIM etc)

– Optimising UI components for healthcare specific requirements

– Optimising mobile UI to allow better patient interaction (eg traumatic brain injury)