Medical apps in clinical practice

Medical Apps in Clinical PracticeDavid Lee Scher, MD, FACP, FACC, FHRS

DLS Healthcare Consultants, LLCSr Medical Advisor, Happtique

Website: Digitalhealthconsultants.comBlog: Davidleescher.com

@dlschermd

Digital Health Technologies: Superconvergence into Individualized Medicine

• Wireless sensors• Genomics• Information systems• Mobile connectivity• Internet/social networking• Computing power + data universe

Topol, E. The Creative Destruction of Medicine, 2012

WHY APPS?

Which Mobile Capabilities Patients Want Their Doctor to Have

• 42%: An app to see their test results.• 33%: Remote monitoring devices.• 30%: Access to patient health records via

mobile device.• 13%: Didn’t think apps would help improve

care at all.

Source: Ruder Finn mHealth Report

Five Pitfalls of Designing a Medical App

• The motivation for the app development is misguided

• Lack of clinician involvement• Poor attention to usability• Not knowing the healthcare landscape• Not building to regulatory specifications

http://davidleescher.com/2013/01/31/five-pitfalls-of-designing-a-medical-app/

Barriers to mHealth Adoption: Physician Perspective

• Lack of awareness• Lack of faith in safety, reliability• Lack of quality apps• Fear of increased work, workflow disruption

Barriers to mHealth Adoption: Patient Perspective

• Reasons for not using them:– 27%: Didn’t have a need to. – 26% Preferred in-person communication with

doctor. – 11%: Privacy concerns.– 9%: Didn’t find them useful.– 7%: didn’t know they were available.

Source: Ruder Finn mHealth Report

Happtique Moves into app Testing, Certification

By Joseph CohenPosted: February 27, 2013 - 2:15 pm ET

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Certification Program

BLUE RIBBON PANEL

APP CERTIFICATION REVIEW BOARD

NURSE REVIEWERS

PHYSICIAN REVIEWERS

OTHER PROVIDER

REVIEWERS

Set Standards for App Certification

Implement Program and Oversee Reviewers

Review AppsDave deBronkartePatient DaveLeading Patient Advocate

Shuvo Roy, PhDLeading biomedical scientist and researcher

Franklin A. Shaffer, EdD, RN, FAANHead of the Nursing Advisory Council

CHAIR: David Lee Scher, MDFormer Cardiologist and mHealth Authority

Happtique App Certification

• Standards:*– Safety– Operability– Privacy– Content

*Available for download at Happtique.com

DYNAMIC CONTENT BASED ON USER TYPE

Apps

Documents

Videos

Pinnacle Apps & Content

Neurology Documents

My App Formulary

SECURE PRESCRIBING AT THE POINT OF CARE

Browse FilterBack

mRx Prescription Pad

Prescribe

Glucose Buddy

Add anItem

Apple Device

Android Device

Comments:

Patient Name:

Patient Name:

Clear

Clear

Pediatrics Formulary

Other Formularies

Favorites

All Catalogs

Amazing BabyFreeiOS Rating

Prescribe

WebMD BabyFreeiOS Rating

Prescribe

Similac Baby JournalFreeiOS Rating

Prescribe

Healthy ChildrenFreeiOS Rating

Prescribe

AsthmapolisFreeiOS Rating

Prescribe

Shots by STFMFreeiOS Rating

Prescribe

Carb Counting with Lenny US FreeiOS Rating

Prescribe

ADHD Tracker 1.0 FreeiOS Rating

Prescribe

1 Search Apps

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3

PROTOTYPE ONLY

Patients mRxBack

Search

Catherine Davidson catherinedavidson1984@gmail.com

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Abby Edwards abby.p.edwards@gmail.com

Steven Finch finchfam@happtique.com

Timothy Fredrickson tjr49382@hotmail.com

George Gibbs warshington@gmail.com

Ron Jaworsky jaworsky777@aol.com

James Stuart Korsokov rimskykorsokov@hootsuite.com

Seth Manning other_manning_brother@aol.com

Brenda Perez bperez1296@gmail.com

Leslie Stephenson stephensonL@hotmail.com

Bubba Watson therealbubba@aol.com

Brandee Younger nycharpist@gmail.com

Leslie Stephenson stephensonL@hotmail.com

Billy Zaks

AmazingBabyPrescribed on 12/31/2012 Clicked to fill on 1/2/2013

WebMD BabyPrescribed on 1/12/2013 Not Filled

Resend

Catherine Davidson catherinedavidson1984@gmail.com

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PrescriptionHistoryPatients Screen

PROTOTYPE ONLY

Challenges

• Need filtered actionable data• Full connectivity with EHRs• Clinical efficacy studies• ? Reimbursement• Interoperability among apps and platforms

QUESTIONS?