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Unleash the Power of mHealth
Aug 2011
Hosted by TELUS     1
Today’s agenda
•
    Welcome and today’s objectives
    •   Terry Nemeth, Vice-President, TELUS
•
    Lessons learned in mHealth from around the world
    •   David Doherty, mHealth Expert and Co-Founder, 3G Doctor
•
    The power of mHealth in Ontario
    •   Heidi Wilson, mHealth Expert, TELUS
•
    mHealth tradeshow
TELUS’ value to your healthcare
organization team
 Dedicated health
 •
     TELUS’ dedicated health teams understands the challenges our
     clients face. Our team, consisting of clinicians, healthcare consultants
     and technology experts, is passionate about unleashing the power of
     technology for our clients.
 Unparalleled breath of solutions
 •
     TELUS has an unparalleled breadth of industry leading technology
     solutions, outsourcing solutions and consulting services that enable
     healthcare organizations to reduce operational costs, increase
     efficiency and improve access and quality of care from hospital to
     home.

 Over two decades of experience in healthcare
 •
     TELUS is a trusted advisor to healthcare organizations across
     Canada. With over 26 years of experience in delivering results across
     the continuum of care, TELUS’ healthcare clients turn to us to help
     them overcome their unique challenges.
                                                                3
Today’s objectives

1  Provide you with the opportunity to engage with
innovative thought leaders and subject matter experts


2 Share experiences and innovative approaches to
mHealth from around the world


3 Discuss best practices to leverage the power of
mHealth in Ontario
mHealth in action
around the world

David Doherty
Mhealth Expert and
Co-Founder 3G Doctor




            5
1995
1995
INTRODUCTION
NOKIA DECADE 2000 - 2010




2000                              2010
                 YEARS
NOKIA DECADE 2000 - 2010




2000                              2010
                 YEARS
NOKIA DECADE 2000 - 2010




2000                              2010
                 YEARS
What next?




2010                2020
          YEARS
Registration & Payment
Registration & Payment

Interactive Patient History Taking
Questionnaire
Registration & Payment

Interactive Patient History Taking
Questionnaire

Remote Video Consult
Registration & Payment

Interactive Patient History Taking
Questionnaire

Remote Video Consult

Comprehensive Written Report
PATIENT REPORTED HISTORY
 Past, Family, and Social History
He denied: Diabetes mellitus. Alcoholism.
 Heart disease. Cancer. Treatment for
 Schizophrenia. Colon polyps.
 Epilepsy. High blood fats. Stroke.
 Thin bones. Mental retardation.
Anxiety disorder. Manic depressive illness.
  He denied: Depression. Attempted
  Suicide. Drug problems.
    With significant DELAY and STRESS
What is
mHealth?
MOBILE =
  newest
Mass Media
mHealth =

    newest
 USE OF

 Mass Media
FOR   HEALTHCARE
8 Unique Abilities of Mobile as the newest Mass Media:

                      1st – mobile is personal
               2nd – mobile is permanently carried
                     3rd – mobile is always on
           4th – mobile has a built-in payment channel
    5th – mobile is available at the point of creative impulse
    6th – mobile is most accurate at measuring its audience
7th – only mobile can capture the social context of consumption
          8th – only mobile can offer augmented reality
3 Hallmarks of mHealth success


1) What should be connected will be connected
3 Hallmarks of mHealth success


1) What should be connected will be connected

2) mHealth is similar to all other successful Mobile Content
     and Services – it can be adapted to work Everywhere
3 Hallmarks of mHealth success


1) What should be connected will be connected

2) mHealth is similar to all other successful Mobile Content
     and Services – it can be adapted to work Everywhere

3) There will always be successful analogies
THE BIGGEST OPPORTUNITY WE HAVE TO CONTAIN
FUTURE HEALTHCARE COSTS CAN BE ACHIEVED BY
  TEACHING YOUR PATIENTS TO USE SMS TODAY
Vitaphone
CARDIONET
ALIVECOR
Worlds biggest iPad
 deployment started out
as a small medical school
  educational initative
“text books don’t have to be text and they don’t have to be books”
50 0M
              $
Mobile content generates $50 Billion per annum for Mobile Carriers
Used today by 7,000 Caregivers in Canada
£5 a month                 £0 a month

Have to help advertisers   Have to help advertisers
MOBILE FIRST DESIGN
Thank you
Making mHealth work
for Ontario

Heidi Wilson
mHealth Expert
TELUS




            73
Where were we 10 years ago?
Google was a great idea
“e-tickets” were highly suspect
Where are we now?
16.9 billion searches…



               …in March 2011
Unexpected winners.

Facebook is king.             Paper tickets?!.
(surpassed Google in 2010).   (mobile boarding passes).
Technology is now personal
   •
       152 million – The number of blogs on the Internet (as tracked by BlogPulse).
   •
       25 billion – Number of sent tweets on Twitter in 2010
   •
       100 million – New accounts added on Twitter in 2010
   •
       175 million – People on Twitter as of September 2010
   •
       7.7 million – People following @ladygaga (Lady Gaga, Twitter’s most followed
       user).

   •
       600 million – People on Facebook at the end of 2010.
   •
       250 million – New people on Facebook in 2010.
   •
       30 billion – Pieces of content (links, notes, photos, etc.) shared on Facebook per
       month.

   •
       70% – Share of Facebook’s user base located outside the United States.
   •
       20 million – The number of Facebook apps installed each day.
Your mom is on Facebook.




Fastest-growing Facebook
demographic.      Women 55 +



Source: Flowtown,
…and healthcare is still largely
paper-based.
Why so slow?
•
    Fragmented (so is travel and banking)
•
    Highly mobile
•
    Stakes are high (regulation)
•
    Misaligned incentives
•
    Change is hard (it always is)
When demand > supply
…you
fall
behind.
care ??
                  hea   lth
      bly   -line
A ssem
Mobility = new possibilities
1.   Improve workflow with mobile apps
                                              (Easier)
2.   Decision-support & clinical reference
3.   One-to-many remote care models (Harder but transformative)
4.   Self-care
So why isn’t
this stuff
mainstream
by now?
This is not a new problem.
Ready, aim, fire.
1.   Understand your role
…and focus on being good at that.

2. Partner to fill gaps
…others are good where you are not.
3. Marketing 101 best-practices apply
…know your customer and your value
4. Learn by doing
…Launch, measure, improve. Rinse, repeat.
Avoid “analysis paralysis”
    ü
         Is there clinical evidence?
    ü
         Is there clinical need?
    ü
         Is the technology available?
    ü
         Do we need to reduce costs?
  Avoid the temptation to focus on questions that
  have been answered by others.


Source: “Healthcare Unbound” presentation by Tom Boyle, co-chair of European
Connected Health and VP at Watermark Health
Setting yourself up for success
1. Define
what problem(s) are you trying to solve and for whom?

2. Optimize
Redefine your processes based on new capabilities

3. Automate
Save your people’s time for high-value activities

4. Measure
Know how you will define & measure success before you deploy.

5. Support
Realign policies, people and processes to support your new way of working
Mobile application best practices
1.Accessibility & ubiquity
How do I get it? Will it work on my phone?

2. Usability & engagement
Do I want to use it?

3. Clinical validity & privacy
Does this app do what it promised it would? Is my data safe?

4. Scalability & operationalization
Remote deployment and management, integration, information vs data
Security vs usability
Some common mistakes we see
1. Select the device first
  ü Form follows function
  ü Business process + applications = device required
2. Run as a departmental initiative
  ü Instead, think matrixed business transformation
  ü Spend the time to build a detailed ROI
3. Going it alone
  ü Plan the work, work the plan (resources!)
  ü Work with experienced vendors where possible
Readiness checklist

üProblem first, solution second
üPlan for your solution in context
üGet the right people on the job
üScenarios & business case
üDefine and measure success
New care models via mobility
1. Healthcare providers are key
•
    Consumers would prefer to get applications from healthcare provider

2. But individuals will play a part as well
•
    73% of patients have indicated they would be willing to use remote monitoring technology
    to manage a disease
•
    50% of consumers would pay for a mobile health application*

3. Business models are ill-defined
•
    Not a billable service, so not likely to be embraced by fee-for-service organizations until
    incentives are in place (e.g. outcomes-based pay)
•
    Possible “uninsured” service as a private-pay option
•
    Private insurance reimbursement
•
    Some apps are looking to get a billing code from Medicare
                                       *Source: Pricewaterhouse Coopers “Healthcare Unwired” 2010
QxA=E
mHealth Tradeshow
Don’t forget to fill out our mHealth
survey for your chance to win a
BlackBerry PlayBook!
101
Still have some questions?

Have a mHealth opportunity you'd like to discuss?


        Contact Heidi.Wilson@Telus.com




                                    102

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TELUS: Unleashing the power of mHealth. 9 August 2011

  • 1. Unleash the Power of mHealth Aug 2011 Hosted by TELUS 1
  • 2. Today’s agenda • Welcome and today’s objectives • Terry Nemeth, Vice-President, TELUS • Lessons learned in mHealth from around the world • David Doherty, mHealth Expert and Co-Founder, 3G Doctor • The power of mHealth in Ontario • Heidi Wilson, mHealth Expert, TELUS • mHealth tradeshow
  • 3. TELUS’ value to your healthcare organization team Dedicated health • TELUS’ dedicated health teams understands the challenges our clients face. Our team, consisting of clinicians, healthcare consultants and technology experts, is passionate about unleashing the power of technology for our clients. Unparalleled breath of solutions • TELUS has an unparalleled breadth of industry leading technology solutions, outsourcing solutions and consulting services that enable healthcare organizations to reduce operational costs, increase efficiency and improve access and quality of care from hospital to home. Over two decades of experience in healthcare • TELUS is a trusted advisor to healthcare organizations across Canada. With over 26 years of experience in delivering results across the continuum of care, TELUS’ healthcare clients turn to us to help them overcome their unique challenges. 3
  • 4. Today’s objectives 1 Provide you with the opportunity to engage with innovative thought leaders and subject matter experts 2 Share experiences and innovative approaches to mHealth from around the world 3 Discuss best practices to leverage the power of mHealth in Ontario
  • 5. mHealth in action around the world David Doherty Mhealth Expert and Co-Founder 3G Doctor 5
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  • 11. NOKIA DECADE 2000 - 2010 2000 2010 YEARS
  • 12. NOKIA DECADE 2000 - 2010 2000 2010 YEARS
  • 13. NOKIA DECADE 2000 - 2010 2000 2010 YEARS
  • 14. What next? 2010 2020 YEARS
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  • 22. Registration & Payment Interactive Patient History Taking Questionnaire
  • 23. Registration & Payment Interactive Patient History Taking Questionnaire Remote Video Consult
  • 24. Registration & Payment Interactive Patient History Taking Questionnaire Remote Video Consult Comprehensive Written Report
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  • 30. PATIENT REPORTED HISTORY Past, Family, and Social History He denied: Diabetes mellitus. Alcoholism. Heart disease. Cancer. Treatment for Schizophrenia. Colon polyps. Epilepsy. High blood fats. Stroke. Thin bones. Mental retardation. Anxiety disorder. Manic depressive illness. He denied: Depression. Attempted Suicide. Drug problems. With significant DELAY and STRESS
  • 32. MOBILE = newest Mass Media
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  • 34. mHealth = newest USE OF Mass Media FOR HEALTHCARE
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  • 36. 8 Unique Abilities of Mobile as the newest Mass Media: 1st – mobile is personal 2nd – mobile is permanently carried 3rd – mobile is always on 4th – mobile has a built-in payment channel 5th – mobile is available at the point of creative impulse 6th – mobile is most accurate at measuring its audience 7th – only mobile can capture the social context of consumption 8th – only mobile can offer augmented reality
  • 37. 3 Hallmarks of mHealth success 1) What should be connected will be connected
  • 38. 3 Hallmarks of mHealth success 1) What should be connected will be connected 2) mHealth is similar to all other successful Mobile Content and Services – it can be adapted to work Everywhere
  • 39. 3 Hallmarks of mHealth success 1) What should be connected will be connected 2) mHealth is similar to all other successful Mobile Content and Services – it can be adapted to work Everywhere 3) There will always be successful analogies
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  • 46. THE BIGGEST OPPORTUNITY WE HAVE TO CONTAIN FUTURE HEALTHCARE COSTS CAN BE ACHIEVED BY TEACHING YOUR PATIENTS TO USE SMS TODAY
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  • 51. Worlds biggest iPad deployment started out as a small medical school educational initative
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  • 53. “text books don’t have to be text and they don’t have to be books”
  • 54. 50 0M $ Mobile content generates $50 Billion per annum for Mobile Carriers
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  • 56. Used today by 7,000 Caregivers in Canada
  • 57. £5 a month £0 a month Have to help advertisers Have to help advertisers
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  • 73. Making mHealth work for Ontario Heidi Wilson mHealth Expert TELUS 73
  • 74. Where were we 10 years ago?
  • 75. Google was a great idea
  • 77.
  • 78. Where are we now?
  • 79. 16.9 billion searches… …in March 2011
  • 80. Unexpected winners. Facebook is king. Paper tickets?!. (surpassed Google in 2010). (mobile boarding passes).
  • 81. Technology is now personal • 152 million – The number of blogs on the Internet (as tracked by BlogPulse). • 25 billion – Number of sent tweets on Twitter in 2010 • 100 million – New accounts added on Twitter in 2010 • 175 million – People on Twitter as of September 2010 • 7.7 million – People following @ladygaga (Lady Gaga, Twitter’s most followed user). • 600 million – People on Facebook at the end of 2010. • 250 million – New people on Facebook in 2010. • 30 billion – Pieces of content (links, notes, photos, etc.) shared on Facebook per month. • 70% – Share of Facebook’s user base located outside the United States. • 20 million – The number of Facebook apps installed each day.
  • 82. Your mom is on Facebook. Fastest-growing Facebook demographic. Women 55 + Source: Flowtown,
  • 83. …and healthcare is still largely paper-based.
  • 84. Why so slow? • Fragmented (so is travel and banking) • Highly mobile • Stakes are high (regulation) • Misaligned incentives • Change is hard (it always is)
  • 85. When demand > supply
  • 87. care ?? hea lth bly -line A ssem
  • 88. Mobility = new possibilities 1. Improve workflow with mobile apps (Easier) 2. Decision-support & clinical reference 3. One-to-many remote care models (Harder but transformative) 4. Self-care
  • 89. So why isn’t this stuff mainstream by now?
  • 90. This is not a new problem.
  • 91. Ready, aim, fire. 1. Understand your role …and focus on being good at that. 2. Partner to fill gaps …others are good where you are not. 3. Marketing 101 best-practices apply …know your customer and your value 4. Learn by doing …Launch, measure, improve. Rinse, repeat.
  • 92. Avoid “analysis paralysis” ü Is there clinical evidence? ü Is there clinical need? ü Is the technology available? ü Do we need to reduce costs? Avoid the temptation to focus on questions that have been answered by others. Source: “Healthcare Unbound” presentation by Tom Boyle, co-chair of European Connected Health and VP at Watermark Health
  • 93. Setting yourself up for success 1. Define what problem(s) are you trying to solve and for whom? 2. Optimize Redefine your processes based on new capabilities 3. Automate Save your people’s time for high-value activities 4. Measure Know how you will define & measure success before you deploy. 5. Support Realign policies, people and processes to support your new way of working
  • 94. Mobile application best practices 1.Accessibility & ubiquity How do I get it? Will it work on my phone? 2. Usability & engagement Do I want to use it? 3. Clinical validity & privacy Does this app do what it promised it would? Is my data safe? 4. Scalability & operationalization Remote deployment and management, integration, information vs data
  • 96. Some common mistakes we see 1. Select the device first ü Form follows function ü Business process + applications = device required 2. Run as a departmental initiative ü Instead, think matrixed business transformation ü Spend the time to build a detailed ROI 3. Going it alone ü Plan the work, work the plan (resources!) ü Work with experienced vendors where possible
  • 97. Readiness checklist üProblem first, solution second üPlan for your solution in context üGet the right people on the job üScenarios & business case üDefine and measure success
  • 98. New care models via mobility 1. Healthcare providers are key • Consumers would prefer to get applications from healthcare provider 2. But individuals will play a part as well • 73% of patients have indicated they would be willing to use remote monitoring technology to manage a disease • 50% of consumers would pay for a mobile health application* 3. Business models are ill-defined • Not a billable service, so not likely to be embraced by fee-for-service organizations until incentives are in place (e.g. outcomes-based pay) • Possible “uninsured” service as a private-pay option • Private insurance reimbursement • Some apps are looking to get a billing code from Medicare *Source: Pricewaterhouse Coopers “Healthcare Unwired” 2010
  • 99. QxA=E
  • 100. mHealth Tradeshow Don’t forget to fill out our mHealth survey for your chance to win a BlackBerry PlayBook!
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  • 102. Still have some questions? Have a mHealth opportunity you'd like to discuss? Contact Heidi.Wilson@Telus.com 102