2. • Disruption is not easy
• You could classify us as
“Start Up”
3. HIMSS/mHIMSS
• HIMSS is a 52 y/o not-for-profit
– 50k members
– Over 570 corporations
– Goal: Work towards the optimal use of information
technology to improve healthcare
• mHIMSS is the mobile focused initiative- 1 y/o
– 3500 members
– Growing number of corporate members
8. mHIMSS Stakeholders
• NIH, PEW, AHRQ
• National Academies
• HIMSS Analytics
• Universities, I2 &
NLR
• R&D Telecom &
Pharma
• Congressional
• State & local
• ONC, FDA, FCC
• Department of Commerce
• Payers – CMS & Private
• Industry & Federal Leases
• OECD, WEF
• Venture Capital
• Federal Grants/Subsidies-BTOP
• mFinance & Revenue Cycle
• Patient advocacy groups
• Consumer groups
• Not-for-profits
• Clinical Research / Pharma –
CTIS, CEA
• Telecom Infrastructure
• Health IT
• Mobile Aps & vendors
• Device manufactures
• Security Technology Vendors
• RTLS/RFID vendors
• ISO,I TU, ANSI,
• NIST, ONC,
• IEEE, MITA, WiFi
Alliance
Technology
Academia
& Research
Finance Clinical
Providers
Policy
Patient/
Consumer
Federal
Agencies
HC Industry
Organizations
Telecom
Community
Standards
Development
Organizations
• FCC, FDA,
• CMS, ONC,
• HRSA, HHS Secr
• ACT, ATA, TIA, CTIA, Continua ,
Health 2.0, West Wireless, mHealth
Alliance, SHLBC, I2, GSMA, WLSA,
FNIH, NIH
• Hospitals & Providers
• Federal Health – DOD, VA, TATRC
• Public Health & FQHCs
• Lab/Pharmacy
• CAIs
• EMS Community
• HIMSS, CHIME,
• AMA, AHA, ATA, ACCE,
• AMIA, AHIMA, MGMA,
• HCTAA, Rural & Hospice
9. MOST CONSUMERS WANT THEIR PHYSICIANS TO
MAKE BETTER USE OF INFORMATION TECHNOLOGIES, BUT FEW
WILL SWITCH PHYSICIANS IF THE TECHNOLOGIES ARE
UNAVAILABLE
• Two in three consumers say
they are interested in seeing
physicians who use information
technologies in their practice
• When asked if they would like
to have a self-monitoring
device if they had or developed
a condition that required
regular checks, 61% of
consumers say they would
want such a device to remotely
send information to their
doctor
• Source: Deloitte Development LLC
22
%
15
%
23
%
14
%
9%
7%
2%
2%
2%
3
%
Not interested
Moderately
Interested
Interested
61%
Note: A 10 point rating scale where 1 equals 'not at all interested' and 10 equals 'extremely
interested'
1 2 3 4 5 6 7 8 9 10
10. PERCENT OF CARE PROVIDED BY NON-PHYSICIAN
CLINICIANS FACILITATED BY MOBILE TECHNOLOGY
4%
2%
12%
11%
13%
35%
23%
Don't Know
All
75 to 99 Percent
50 to 74 Percent
26 to 49 Percent
Less than 25 Percent
None
N=180 2012 HIMSS Mobile Technology Survey, sponsored by
Qualcomm Life
11. CLINICIAN USE OF APPS
TOP 10 RESPONSES
34%
34%
38%
38%
38%
45%
45%
46%
52%
64%
65%
Monitor Data from Medical Devices
Secure Communications Regarding…
Analysis of Patient Data
E-Prescribing
Use Bar Code Reader on Mobile…
Collect Data at the Bedside
Education/Training Purposes
Tracking Worklists
Clinical Notifications
Look up non-PHI Health Information
View Patient Information
N=180 2012 HIMSS Mobile Technology Survey, sponsored by
Qualcomm Life
12. TYPES OF APPS PROVIDED TO
CLINICIANS
3%
8%
14%
58%
61%
Don't Know
Apps Not Used
Apps Developed Internally
Apps Developed by HIT Vendor
Apps Developed by Third Parties
N=180 2012 HIMSS Mobile Technology Survey, sponsored by
Qualcomm Life
13. BARRIERS TO USE OF MOBILE
TECHNOLOGY
3%
18%
19%
30%
32%
39%
42%
42%
43%
49%
52%
71%
Don't Know
Lack of Executive Support
Doesn't Fit Into Workflow
Clinician Resistance to Technology
Challenges Regarding Wireless…
Lack of Expertise on Staff
Limited Incentives for Use
Lack of Standards
Inadequate Privacy/Security
Immaturity of Vendors
Lack of IT Staff
Lack of Funding
N=180 2012 HIMSS Mobile Technology Survey, sponsored by
Qualcomm Life
14. INTEGRATION CHALLENGES:
• Privacy & Security- Policies may be outdated
• Infrastructure – new & co-existence
• Reimbursement- limited incentives
• Workflow
• Consumer & care providers demand access
• Regulatory Requirements
– Federal, State, Local and Institutional
– FDA & FCC RF wireless & medical App
guidelines for HC
– Spectrum capacity & allocation policy (US)
15. MHIMSS
• Focus on mobile and wireless technologies to
promote health, improve the quality, accessibility
and safety of care, and increase the cost-
effectiveness of care.
• mHIMSS builds on existing HIMSS strengths
• HIMSS created mHIMSS as a platform for all
stakeholders in the mobile space
16. mHIMSS AT A GLANCE
• Launched December 2011
• Corporate and individual membership
• Non-profit partnerships
• Advisory Council, taskforce, and workgroups
• News & resources @ www.mhimss.org
• Largest global mHealth event www.mhealthsummit.org
• Linked In & Twitter
• mHIMSS app for iPhone & Android
• Annual healthcare delivery mobile survey powered by
HIMSS Analytics
• Selecting and App for your practice and other resources
17. • Major Areas of mHIMSS mHealth
Engagement:
– New and Disruptive Care Models
– Privacy and Security
– Standards and Interoperability
– Policy
– Technology
– ROI/Finance
18. BENEFITS OF MEMBERSHIP:
• Engage in Shaping the mHealth Industry
– Support Major Industry Trends
– Speaking Opportunities
– Contribute to the Shaping of Policy
• Contribute to Workgroups:
– Policy Workgroup
– Health Disparities Workgroup
– Blog Workgroup
– Case Study Groups
• Networking
• Discounts on Global Educational Events
19. mHIMSS ADVISORY COUNCIL
• Chair: Daniel Lubin, Radius Ventures
• Purpose is to:
– Provide strategic focus, guidance and goals for mHIMSS
that result all stakeholders embracing and harnessing
the power of mobile health to improve care and control
costs.
– Influence policy issues of importance to all mHIMSS
stakeholders
– Create thought leadership and guidance
– Enable the creation of valued research, tools and
education
– Suggest partnerships and alliances necessary to
accomplish our mission
20. mHIMSS CORPORATE ROUNDTABLE
• Chair: Michelle Mosolgo, VREE a subsidiary of Merck &
Co.
• Purpose is to:
– Provide strategic recommendations to the mHIMSS
Advisory Council
– Influence policy issues of importance to corporations
– Identify strategic opportunities for mHIMSS: thought
leadership, alliances, guidance, education, tools, and
partnerships
– Identify strategic needs for research and outreach into
the mHealth community
21. mHIMSS TASKFORCES: DIGITAL MEDIA
TASKFORCE
• Digital Media Taskforce Chair: Jonathan Levoy
• Purpose is to: Develop information and content for the
mHealth community
Workgroups include: Blog workgroup, policy workgroup, UI/UX
workgroup, Case Study Workgroup, Health Disparities
Workgroup
• Goals blog, tweet, and post to LinkedIn important
workgroup created deliverables
• Address Hot Topics in mHealth including Apps, standards,
privacy and security, policy
22. mHEALTH ROADMAP: WHAT IS IT?
• Mobile strategy & guidance for hospital, health systems &
providers.
• “Live” document
• Equip providers with knowledge of the current and future
mHealth market trends
• Provide practical guidance & steps they must take to
successfully embrace the use of mHealth inside and
outside their institutions.
• On mhimss.org-some gated content, some not
23. MHIMSS ROADMAP TASKFORCE PURPOSE
• Chair Dr. Mohamed Arif Ali
• Update sections of the roadmap
• Reporting work groups include: Care Models, Technology,
Policy, Standards and Interoperability, Privacy and
Security, ROI/Payment
• Create and present information on roadmap topics at
various events
24. HIMTA
• Rep. Mike Honda
– 15th Congressional District
• Provide resources for the developer community
• Establish an office of “wireless health”
• Foster innovation and opportunities for things “not EHR
centric”
25. WHAT WE NEED FROM YOU
• Consider membership: Corporate or Individual
• Visit booth at HIMSS13
• Download the mHIMSS App
• Encourage newsletter sign up on mHIMSS.org
• Follow @mhimss
• Join our linked in group
• HIMSS13 Events-Knowledge Center, Roadmap
Workshop, mHIMSS reception at HIMSS13
26. TRANSFORMING CARE MODELS
• Mobility brings order and chaos
…opportunities and challenges
• Changes the patient - health care provider
relationship
– Services once available only at a provider location will
become available on demand at the patient’s location
through low tech affordable solutions
• Changes when and how data is accessed
and used
– Right data, right time, right place
27. DISRUPTION IS NOT EASY
PLEASE REACH OUT TO US TO ENGAGE YOUR
COMMUNITY
• Medicine at it’s basic level is about
communication, improve this and we improve
the system
• David Collins, Senior Director dcollins@himss.org
• Tom Martin, Manager tmartin@himss.org
• Tim Castallo, Coordinator tcastallo@himss.org
• We would appreciate the opportunity to speak with any of your
communities, please feel free to email us.
Notas do Editor
Mhealth, like the Smartphone, is still in the early stages of adoption
Rapid adoption of tablet computing and rapid public acceptance of the technology in health applications.
Clinicians and hospitals purchasing tablets and Smartphone's and utilizing them to support clinical scheduling and eprescribing.
Based upon evolutionary convergence the last few years saw music players and smartphones become one. High resolution still and video cameras tightly integrated have changed the use of photography and video forever. Consumers equipped with always on cameras have documented world events, misbehaving public officials and have brought down tyrants.
Global positioning Systems combined with Internal Positioning Systems will provide location based services throughout the world. Combined with mult-band communication, we can find a lost device, detect when a nurse enters a room, or track the movements of a delusional patient.
Every day entrepreneurs, research scientist and universtiy labs are producing a myriad of connected accessories that will change everything… the way we work, educate our children and most certainly care for our patients and our families
Before we talk about the devices, let’s talk about how they fit in the patient’s world, and in a broader healthcare context.
FDA & FCC to publish guidelines for handheld medical applications in order to determine if they will be considered medical devices
Provide bridge between telecom and healthcare industry by collaborating with a wide array of stakeholders
Video conferencing previously done with significant infrastructure will be replaced by 4&5G networks
Patient Engagement