Mandl app store for health

Intelligent Health Lab

Kenneth D. Mandl, MD, MPH

Director, Intelligent Health LaboratoryChildren’s Hospital Informatics Program

Center for Biomedical Informatics, Harvard

The App Store for Health: Co-opting the Point of Care

in the Era of the Affordable Care Act


US Spending per capita vs. Life Expectancy


Learning Health System: Evidence Generated from a Well-Instrumented Health System


? How do we learn from

“All the Patients . . .All the Time?”

(Instead of Some of thePatients All of the Time . . . ). . . or really, just a couple ofthe patients, not that often.



Dr. Collins discussing theRapid Learning Network


WITHOUT ACCESS TO THE POINT OF CARE, EVERYTHING IS A ONE-OFF


Intelligent Health Laboratory | Children‘s Hospital Informatics Program


Returning Genomic Medicine Results



The App Store for Health

ONC Funded Research $15M Project under the “SHARP” program


Can EMRs behave like iPhones or

Androids in that innovators

readily create and widely distribute

apps across thousands of

installs?


Our vocabulary

Data SourcesManaged by containers

ContainersPresent data from data sources to apps in a uniform fashion

AppsCompletely substitutable


18.12 Issue


State-of-the-Art ???



1 Design + 1 Developer + 1 Week


1 SMART App in 3 SMART Systems


Well-publicized



SMARTBP Centiles AppRunning on Cerner



Medication adherence

JAMIA 2011




26



Decision Support Integratione.g., Immunization Forecasting


Monograph appe.g., Diabetes


Mashups:e.g., Genomic Medicine: There’s an App for that

Linkage to external decision support services Pharmacogenomic

rule sets Decision support

for doctors—associations


Collaborators and Implementers

EMR Vendors Payors Pharma Major tech companies complementing or competing

in the EHR space Large-scale health systems


Health & Medicine

Mandl app store for health