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03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
m-Health Trends in the USA
Yuri Quintana, Ph.D.Director, Global Health Informatics
November 2014
An Academic Division of the Dept of Medicineat Harvard Medical Faculty Physicians at BIDMC, Inc.
TM
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
AGENDA
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� Global Health Trends
� Consumer Trends in USA
� m-health Marketplace Trends in USA
� Clinical m-health Trends in USA
� Healthcare IT Enterprise Trends
� Road Ahead
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Global Health Trends
• Aging population• Rising chronic diseases• Lack of strategies for home care• Poor coordination of healthcare delivery services• Rising costs of healthcare
mhealth needs to be integrated into healthcare systems, not stand alone silos, and show measurable cost & benefit metrics
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Source: SCIENCE VOL 333 29 JULY 2011 www.sciencemag.orgIDF 2013 World Atlas http://www.idf.org/sites/default/files/EN_6E_Atlas_Full_0.pdf
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
USA Consumer Trends
• Consumers move frequently from employers and insurance providers
• Collecting and tracking personal health records is still a challenge for most consumers
• Most m-health apps are used only a few times
• m-health needs to be interoperable and optimized for usability
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03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
mhealth Opportunities
mHealth New horizons for health through mobile technologies Global Observatory for eHealth series - Volume 3 – WHO –ISBN 978 92 4 156425 0 http://www.who.int/goe/publications/goe_mhealth_web.pdf
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
mhealth Opportunities
Source: mHealth New horizons for health through mobile technologies Global Observatory for eHealth series - Volume 3 – WHO -ISBN 978 92 4 156425 0 http://www.who.int/goe/publications/goe_mhealth_web.pdf
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
m-health Marketplace in the USA
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• 247 million Americans have downloaded a health app
• In 2013, 95 million Americans are using mobile phones as health tools
• 77% of U.S. seniors own a cell phone and their smartphone ownership has increased 55% in
the past year
• 42% of U.S. hospitals are using digital health technology to treat patients
• Mobile remote patient monitoring expected to save the U.S. $36 billion in health care
costs by 2018
• Wireless pill bottles helped increase medication compliance
• Mobile health is a $1.3 billion industry and by 2018 is expected to reach $20 billionSources: Mobile Health Tools Make Big Impact by Jonathan Spalter http://mobilefuture.org/mobile-health-tools-make-big-impact/http://electronichealthreporter.com/mhealth-stats-mobile-apps-devices-and-solutions/http://mobilefuture.org/resources/mobile-health-tools/
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Growth of m-health Marketplace
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• New technologies (m-health, cloud, wearable) are driving change in the way physicians, payers, patients and stakeholders interact
Source: mHealth in an mWorld - Delloitte Center for Health Solutionshttp://www.deloitte.com/view/en_US/us/Industries/life-sciences/2545b66b8dc4b310VgnVCM2000003356f70aRCRD.htm
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Market Trends
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Source: Gartner's 2014 Hype Cycle for Emerging Technologies Maps the Journey to Digital Businesshttp://www.gartner.com/newsroom/id/2819918
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Innovation – m-health and Wearables
Source: NPR Sit. Stay. Call 911: FIDO Vest Gives Service Dogs An Upgrade, January 17, 2015 . Photo: Rob Felt/Courtesy of Georgia Tech http://www.npr.org/2015/01/17/376198998/sit-stay-call-911-fido-vest-gives-service-dogs-an-upgrade
A dog named Schubert activates the "bite sensor." The FIDO vest can call 911 or send a GPS signal to handlers, among other things.
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Clinical m-health in the USA
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Source eClinicalworks Survey 2013
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Clinical m-health in the USA
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Source eClinicalworks Survey 2013
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Growth of M2M in the USA
Source: More than 40 Million Smartphone Owners Actively Use at least One Wellness or Fitness App http://www.parksassociates.com/blog/article/pr-jan2015-mobile-health-opps
• connected health devices accounted for approximately 4% of all M2M (machine-to-machine) connections in the U.S. in 2014.
• Parks Associates estimates that portion will double over the next five years as the healthcare vertical catches up to other, more mature M2M verticals, such as automotive and industrial telematics.
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
FDA – Draft Policy for Low Risk Devices
Sources: FDA clarifies the line between wellness and regulated medical devices http://mobihealthnews.com/39775/fda-clarifies-the-line-between-wellness-and-regulated-medical-devices/
FDA – Draft Policy for Low Risk Devices http://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/UCM429674.pdf
1. a. Does the product make only general wellness claims?Yes – Go to b.No - Not general wellness, outside the scope of this guidance’
b. Does the product’s intended use include a claim relating to a disease or medical condition? Yes - Go to cNo - Go to 2
c. Is the disease or medical condition a chronic one for which it is well understood that healthy lifestyle choices may play a part in helping to reduce its risk or impact, as discussed in this guidance?
Yes Go to d.No. Not general wellness, outside the scope of this guidance
d. Does the claim use language that the product may help to reduce the risk of, or may help living well with, a chronic disease or condition, as discussed in this guidance?
Yes - Go to 2No - Not general wellness, outside the scope of this guidance
2. Does the product present inherent risks to a user’s safety (i.e., Is the device Low risk)? Is the product invasive, involve an intervention or technology that would pose a risk to the user’s safety if device controls are not applied, such as risks from lasers, radiation exposure, implantation procedures, raise novel questions of usability, or raise questions of biocompatibility? In answering this question, consider whether CDRH actively regulates products of the same type as the product in question.
Yes- Not general wellness, outside the scope of this guidanceNo - General wellness product.
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Healthcare IT Enterprise Trends
• Poor or no integration of health IT systems
• Privacy, Security and Compliance concerns
• Too much data being generated for health providers
• Not enough smart filtering
• Lack of trained healthcare workers for dealing with m-health initiatives
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More training is needed to effectively design, implement, sustain and evaluate m-health initiatives
03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Road Ahead
• Chronic diseases are growing worldwide
• Coordinated care is an opportunity
• Need integrated solutions with existing health infrastructure
• Need more outcome evaluations of implemented systems
• Need training for effective m-health design, implementation and outcome evaluations
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03/04/15 m-health in the USA – Yuri Quintana, Ph.D.
Thank you!
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Yuri Quintana, PhD
Director, Global Health Informatics
An Academic Division of the Dept of Medicineat Harvard Medical Faculty Physicians at BIDMC, Inc.
TM
