Am I healthy now? Achieving the promise of mobile health technologies Harry Greenspun, M.D. Senior Advisor for Health Care Transformation and Technology

Am I healthy now?Achieving the promise of mobile health technologies

Harry Greenspun, M.D. Senior Advisor for Health Care Transformation and TechnologyDeloitte Center for Health Solutions

Context

Device sales

Mobile data usage

Context: exponential growth is expected

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mHealth – it’s in the hands of usersLeveraging the power and reach of mobile communications to enable health services provision, mobile offers great versatility and utility for health care

Health care CONSUMERS

Health care PROFESSIONALS

Health care INDUSTRY

• Fitness, healthy living & wellbeing

• Home monitoring

• Remote monitoring

• Physician connectivity• Clinician driven bedside tools• Diagnostics & decision

support

• Health facilities

• Life sciences companies

• Health plans

• Social health networks for information, motivation & support

• Communication with health providers

• Self-directed health care

• Track/record bio-metric data

• M2M remote monitoring

• Look up health information

• Apps to maintain or improve health status & wellbeing

• Diagnostics & decision support

• Big data – smart dashboards

• Track/record bio-metric data

• Imaging & monitoring tools at the “bedside”

• Data integrity & error reduction through centralized digital records

• Digitalized information for exchange between providers

• M2M remote monitoring

• Billing

• Scheduling

• Administrative simplification

• Claims processing

• Purchasing

• Asset management

• Clinical trials enrollment


Downloadable health apps for smart devices are a rapidly growing component of mHealth


3 trends have been shown to make users skeptical of mHealth apps

Privacy and security concerns

Skepticism about the accuracy of the apps

Gap in what some users say they want and the health care industry’s current capabilities

mHealth check-up


8% virtually sent or received a health-related

picture with provider

25% used technologiesTo monitor & manage fitness & health goals

11% used technologies to receive alerts to take medication or treatment

19% downloaded a mobile app totrack their health

Text

Text Text

Status update: how Millennials currently use mHealth

Although uptake remains limited to early adopters, the interest in future use is strong

Millennials


Primary diagnosis: concerns around privacy, security, and accuracy in mHealth

Seniors serve as the core group of skeptics that believe mHealth is not risk-free

Concerned that the privacy and security of their personal information might be at risk when using a mobile device to access health records or tests online)

Suited only to fitness and wellness purposes, not for managing serious health conditions

Likely to have potential errors

Not likely to greatly assist them in improving their health or managing a health condition.

Not likely to be highly accurate and very reliable22%

23%

31%

31%

35%

Survey respondents feel that mobile apps are…


Consumer demand for mHealth is already here

•

13% have accessed, stored, or transmitted personal health information or records in the past year

48% are interested in doing so

23% have used a mobile device to pay a medical bill

52% say they would like access to tools or websites that enable them to review quality rankings, satisfaction rankings, and patient reviews for specific doctors and hospitals


Consumers are comfortable sharing personal information using mHealth

62% of consumers are comfortable using a video, computer program, or mobile device app to learn more about or choose between different treatment options for a particular condition

62% of consumers are comfortable addressing a health concern through an email or text with their health care provider

52% of consumers are comfortable consulting with their health care provider through a video connection

Health care CONSUMERS

Health care PROFESSIONALS

Mobile Information Sharing


ChallengesSome key questions remain unanswered:

Is a mobile device used to manage patient care and extract data from patients a medical device that should be regulated? If so, how?

How do mobile devices used by clinicians interface with the Meaningful Use program?

How will the mHealth industry respond to its maturing role as part of the medical device industry?

Will the health care industry be able to successfully monetize mHealth?

How will an industry plagued by a slow rate of behavior change adapt amid the fast-paced shift being witnessed elsewhere?


OpportunitiesOpportunities for developing new mHealth apps, content, products, and services are emerging daily

11

Shift toward a patient-centered and value-based delivery model

Transition to a more diverse, integrated, and seamless system of care no longer dominated by episodic acute care treated at a brick-and-mortar hospital is evident

New fields of opportunity emerge everyday: personalized health care; population health; diagnostics; utilization management; management of infectious diseases and global epidemics

Four critical quadrants must to align properly in order for mHealth to become a reality in various markets

Our view: four dimensions of mHealth

Infrastructure

Demographics

Political landscape

Disease dynamics

• National investment in and from telecommunications

• Emerging and developing markets

• Health care system infrastructure: bricks and mortar or mobile-grown

• Mobile penetration

• Economic factors such as median income of the population, strong middle class

• Rural or urban population centricity

• Regulatory burden and innovation factors in telecom, health care, government

• Privacy and security compliance

• Taxation via tariffs

• Payment incentives or disincentives

• Health disparities

• Communicable disease vs. non-communicable disease burden


• As providers and payers increasingly turn to mobile-enabled health care, the tools for deployment are already in consumers’ hands.

• Consumers are ready, willing, and able to use mHealth – once convinced of the accuracy, value, and security of technologies.

• When these hurdles to adoption are overcome, mobile technology will be poised to transform health care.

What do these mHealth views mean for you?

Q & A

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Am I healthy now? Achieving the promise of mobile health technologies Harry Greenspun, M.D. Senior Advisor for Health Care Transformation and Technology