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eHealth 2008: 3G Doctor Connecting Care and eHealth Records

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David Doherty, 3G Doctor \"Connected Care: Adding Value to the Electronic Health Record\"

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    1. Slide 1: TURN ON BLUETOOTH TO RECEIVE MY VCARD Connected Care: Adding Value to the David Doherty Electronic Health Record Business Development eHealth 2008, City University London © 3G Doctor Ltd
    2. Slide 2: Connected Care: Adding Value to the EHR > Why a disconnect in care is holding back EHR adoption > The Mobile Phone – the optimal device for Connecting your Health > Why health information and devices will converge to the Mobile > Unique benefits of Mobile for personalized delivery of connected care > Some examples of how the Mobile is Connecting Care > How 3G Doctor is Connecting Care > How a mobile connected care would enhance care services today > Summary eHealth 2008, City University London © 3G Doctor Ltd
    3. Slide 3: Why is EHR adoption languishing? Financial Consumer owned Mass produced Ubiquitous Security & Privacy Mobile Personal & unshared Connectivity Always on & connected Biometric authentication Legal Liabilities Patient Owned & Managed Up-to-the-minute eHealth 2008, City University London © 3G Doctor Ltd
    4. Slide 4: How should Patients carry their Health Information? eHealth 2008, City University London © 3G Doctor Ltd
    5. Slide 5: Convergence to the Mobile Device we have already seen Video Player Camera /Recorder Calculator/ Answer machine Converter Internet Calendar/ Browser Diary GPS/Altimeter/ NFC/ Barcode Navigator Reader Clock/Alarm Pager Games Music recorder Console Office Software /player eHealth 2008, City University London © 3G Doctor Ltd
    6. Slide 6: The inevitable convergence of personalised Connected Care to the Mobile Temperature/ Weighing Scales Touch Exercise Coach Sleep Monitors /trainer Food Holter Monitor Diary Connected Medication Point of Care Reminders Testing Games & Cognitive BioSensors Monitoring Blood Pressure Blood Sugar Monitors Carer-Ping eHealth 2008, City University London © 3G Doctor Ltd
    7. Slide 7: Unique benefits of the Mobile Phone for Personalized Delivery of Connected Care > Completely personal device Facilitates highly personal health services Can help to ensure fidelity of patient > Always turned on and carried or within arms reach Facilitates Wireless Body Area Networks Facilitates the gathering of contextual info Ensures it's there in unexpected emergency scenarios Provides assurance that care is at hand Facilitates push services as well as pull > Built in micropayment means Enables lower costs to deliver services Supports low cost pay-as-you-use health services eHealth 2008, City University London © 3G Doctor Ltd
    8. Slide 8: Early successes in Mobile Healthcare… > In 2004 London Ambulance service began locating callers following EC Directive 2002/22/EC requiring MNOs to provide data to EMS > Today 80% of the 30 million UK Emergency 999 calls are made from a Mobile Phone - up from only 25% in 2004. > 8 million NHS Direct calls - again most were made from Mobile Inevitably a lot of these are happening within the vicinity of a fixed-line phone. eHealth 2008, City University London © 3G Doctor Ltd
    9. Slide 9: Early successes in Mobile Healthcare… I Case of Emergency\" \" n Number programmed into your phone memory under the name “ICE” In case of emergency the 24/7 service will provide Medics with information and inform family and friends Annual subscription based service eHealth 2008, City University London © 3G Doctor Ltd
    10. Slide 10: Early successes in Mobile Healthcare… Mobile Health Promotion for over 36 NHS Primary Care Trusts (Islington CS) Fully automated appointment reminders and targeted group messaging. Started by using SMS to reduce GP missed appointments the services are now used to support: Smoking cessation Child immunization CVD Breast Screening Obesity Flu-Jab Hypertension eHealth 2008, City University London © 3G Doctor Ltd
    11. Slide 11: Early successes in Mobile Healthcare… eHealth 2008, City University London © 3G Doctor Ltd
    12. Slide 12: Early successes in Mobile Healthcare… eHealth 2008, City University London © 3G Doctor Ltd
    13. Slide 13: Early successes in Mobile Healthcare… eHealth 2008, City University London © 3G Doctor Ltd
    14. Slide 14: Early successes in Mobile Healthcare… BLOOD BANK eHealth 2008, City University London © 3G Doctor Ltd
    15. Slide 15: Early successes in Mobile Healthcare… Nokia Wellness Diary Free to download application for Symbian S60 Mobile Phones Enables the collecting, Storage & analysis of Wellness-related data collected from everyday life. Over 150,000 downloads per month from Nokia website eHealth 2008, City University London © 3G Doctor Ltd
    16. Slide 16: Early successes in Mobile Healthcare… eHealth 2008, City University London © 3G Doctor Ltd
    17. Slide 17: Early successes in Mobile Healthcare… Samsung MiCoach Partnership between Samsung & Addidas Provides an on-the-go real time coaching system comprised of a connected stride sensor & heart rate monitor. By fusing music, sports, fashion & mobile technology the service MiCoach.com connects through the website to enable fitness planing, tracking and analysis. Contrast with Apple/Nike+ eHealth 2008, City University London © 3G Doctor Ltd
    18. Slide 18: Early successes in Mobile Healthcare… eHealth 2008, City University London © 3G Doctor Ltd
    19. Slide 19: Early successes in Mobile Healthcare… Medical Intelligence – Columba bracelet Safety Device for those with advanced stages of cognitive impairments & for peace of mind for their families and caregivers. Permanently wrist worn, waterproof, shock resistant and requires a special key to be removed. 24/7 accurate GSM & GPS location & exit detector. eHealth 2008, City University London © 3G Doctor Ltd
    20. Slide 20: Early successes in Mobile Healthcare… eHealth 2008, City University London © 3G Doctor Ltd
    21. Slide 21: Early successes in Mobile Healthcare… Interactive health management & remote patient monitoring for populations with conditions including asthma, diabetes, COPD, cardiovascular disease, obesity as well as general wellness. eHealth 2008, City University London © 3G Doctor Ltd
    22. Slide 22: Early successes in Mobile Healthcare… eHealth 2008, City University London © 3G Doctor Ltd
    23. Slide 23: Early successes in Mobile Healthcare… Integrated Technology and Service Ambulatory Cardiac Monitoring with realtime beat-to-beat analysis, automatic arrhythmia detection & wireless ECG transmission. Benefits over 24-48 hour Holter Monitoring or event recorders include the fact that some arrhythmias may occur too infrequently or be asymptomatic presenting difficulties triggering the alarm. eHealth 2008, City University London © 3G Doctor Ltd
    24. Slide 24: Early successes in Mobile Healthcare… LifeCOMM US Based Mobile Virtual Network Operator (MVNO) set to launch 2008 \"Targeting women aged 40-65 because they are influencers when it comes to health\" \"15 million U.S. women look after 2 sets of parents - an unserved market\" \"Today we primarily use our phones for communication, information gathering & entertainment, but LifeCOMM wants to transform our phones into 'in-the-hand' tools that can help us maintain our good health or manage a condition we may already have\" eHealth 2008, City University London © 3G Doctor Ltd
    25. Slide 25: Early successes in Mobile Healthcare… Tuvi orbach screenshots eHealth 2008, City University London © 3G Doctor Ltd
    26. Slide 26: Early successes in Mobile Healthcare… eHealth 2008, City University London © 3G Doctor Ltd
    27. Slide 27: Early successes in Mobile Healthcare… eHealth 2008, City University London © 3G Doctor Ltd
    28. Slide 28: How we're Connecting Care at 3G Doctor Ability to Create, Manage and Share your important health information. Questions & Answers handled by remotely Distinct servers and SSL encryption Data stored remotely and not on the Device so no issues with loss/theft. Can be referred to when Video Consulting with 3G Doctor from registered mobile Can be electronically transmitted to official authority with Name, Mobile Number, IMEI, Address, Photo or NHS Number etc. eHealth 2008, City University London © 3G Doctor Ltd
    29. Slide 29: How we're Connecting Care at 3G Doctor 24hr x 365 day 3G Video access to an informed General Medical Council registered Doctor for non-urgent help and advice. Video Call is made to the patient after the completion of an interactive Medical History Questionnaire and the review of this by the consulting Doctor. Following the Video Consultation the Patient receives a 3G Doctor Consult Report including their Medical History and the Doctors advice. Charged at £35 per consultation inclusive. eHealth 2008, City University London © 3G Doctor Ltd
    30. Slide 30: 3G Doctor Future Developments Medication management program using low cost NFC sensory technologies Connection of Point of Care Testing to Video Education and 1-2-1 Advice Support of secure Mobile Care Communities International multilingual 3G Video Advice Informed Doctor triage of Emergency calls eHealth 2008, City University London © 3G Doctor Ltd
    31. Slide 31: What can happen when we Connect Care to the EHR through the Mobile… d ge na ily ma am nt ce lly & f rge Advi a rm ds nu l ral No frien No iona efer by l R lts ess na esu Prof o ssi t R ofe . Tes Pr eg nc y erge Em Community Critical Telephone/online Dermatology Emergency On scene at Home Help Telephone advice referral emergency eHealth 2008, City University London © 3G Doctor Ltd
    32. Slide 32: Home Help 80% of all care is delivered by unqualified friends and family Growth of ever more sophisticated home health technologies will continue to impact on this particularly as 9 in 10 of US 60+ claim that they want to stay in their home & community as they age*. The need for remote access to informed care is increasing and the ability to access anytime anywhere care means that patients aren't discouraged from leading out going lives by fixed systems. And can benefit from physical and social benefits of this additional mobility. * American Association of Retired Persons eHealth 2008, City University London © 3G Doctor Ltd
    33. Slide 33: Telephone/online advice Authenticated Connected Care would: > Enhance the Continuity of Care and reduce repetition > Improve the speed and quality of decision making > Prevent misuse and privacy breaches > Enable the international support of patients. > Increase access to quality care and ensure it is current > Better support new medical technologies and POC tests The NHS itself is leading by example in this area with Healthspace Push instead of pull… eg. Drug recalls and seasonal advice Epidemic awareness: by knowing who is reporting we can make more informed decisions. Eg. Profiling of diseases and patients Strengthening the carer' ability by giving them more information and better tools which will lead to better decisions and less burden. eHealth 2008, City University London © 3G Doctor Ltd
    34. Slide 34: Dermatology referral Mobile Connected Care Current Store & Forward Practice Book appointment & attend Clinic Questions asked by Mobile Device Questions asked by Nurse Images uploaded by patient Images taken by Nurse Consultant Reviews Case A B A B Patient receives Patient contacted by Nurse receives Report Nurse receives Query report Consultant Clinic arranges for Patient attends appointment patient to attend Nurse Queries patient Patient attends Consultant Review case appointment Nurse receives report Patient attends appoint Referral / Treatment eHealth 2008, City University London © 3G Doctor Ltd
    35. Slide 35: Emergency Telephone Which service would you like, Police, Ambulance, Fire or Coastgaurd? 3G Video Connected Care would offer the Who, Where, Next of Kin, Doctors Name, Condition(s) and Identity enabling more appropriate and timely referral to staff with appropriate skills Future enabled eg. \"I understand you have a device called an ABC that is reporting XYZ\". 75% of the 30 million UK annual 999 calls are hoax & more than 17,000 per day originate from inadvertent key pressing. eHealth 2008, City University London © 3G Doctor Ltd
    36. Slide 36: On scene at emergency As the device that is always with us, always connected. In the event that it is not data and informed care can be retrieved using any other means of connectivity Identification uses every patients unique mobile phone number but can be extended to IMEI number, SIM Card Number, Name, Address, Biometric Recognition. Ultimately the provision by the patient of important information in a timely and electronic way will let us start to utilise the most underutilised person in todays healthcare system. eHealth 2008, City University London © 3G Doctor Ltd
    37. Slide 37: Summary EHR and Connected Care present a classic chicken and egg scenario: because the value of either is dependent on the other. The value in health records cannot be realised until they are connected. The value of remote care cannot be realised until it is connected to information. Advanced consumer Mobile devices and networks are placed uniquely to be the means by which this can be delivered. 3G Mobiles provide additional ubiquity, future proofing, location data, higher speed data transfers (both up and down link) and multimedia abilities. The healthcare industry should build to exploit consumer 3G technologies and Always Best Connected principles eHealth 2008, City University London © 3G Doctor Ltd

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