1. Jennifer Shine Dyer M.D., M.P.H . Chief Medical Advisor eProximiti Duethealth.com Columbus, Ohio May 2011 'What Really Works': Diabetes and Mobile Health in Medical Practice
36. The United States of Diabetes? Half the Country Could Have Diabetes or Prediabetes by 2020 Predicted cost of $3.35 trillion (10% of total healthcare spending) The United States of Diabetes: Challenges and Opportunities in the Decade Ahead , UnitedHealth Group’s (NYSE: UNH) Center for Health Reform & Modernization, November 23, 2010: http://www.unitedhealthgroup.com/newsroom/news.aspx?id=36df663f-f24d-443f-9250-9dfdc97cedc5
37.
38. External Internet Services: Facilitate initial programming, Facilitate operations of SMS texting delivery and storage
Reduced mindfulness, diabetes happens every meal and there isn’t a choice about it. It sucks.
Frequent contact (intensive) as evidenced by DCCT trial and more physiologic basal bolus therapy.
A lot of visits (good doc patient relationship) but they weren’t helping as noted by skipped bolues. I’m an academic and have removed some details of methods.
One app with 20-30 specialty modules within it so duet becomes an educational software platform. Giving me an automated platform that I needed.
Good patients record/engage, and bad patients don’t record/engage. Not checking glucoses.
Motivation, Ability, Trigger….engagement theory
In conclusion…
If your not solving a problem, you’re irrelevant.
At the current rate, it is projected that by 2020 that 40% of nation will be obese. One in five health dollars will be spent to address the consequences of obesity.
Email – too passive
The Fitbit accurately tracks your calories burned, steps taken, distance traveled and sleep quality. The Fitbit contains a 3D motion sensor like the one found in the Nintendo Wii. The Fitbit tracks your motion in three dimensions and converts this into useful information about your daily activities. You can wear the Fitbit on your waist, in your pocket or on undergarments. At night, you can wear the Fitbit clipped to the included wristband in order to track your sleep. Anytime you walk by the included wireless base station, data from your Fitbit is silently uploaded in the background to Fitbit.com. Integrates with Google Health, Facebook, Twitter
15-20% of total inpatient discharges ~1000 in the year
Rate limiting factors: physician time and overhead. Incentives determine how time is spent. Average salary ~$200,000 per year (senior and junior faculty).