Presentation to the American Gastroenterology Tech Summit in San Francisco, California on March 20, 2015

1. Mobile Technology Impact on
the Physician-Patient
Relationship
and Vice Versa
John Sharp, MSSA
AGA Tech
March 20, 1014

2. Take Aways
• Mobile technology is becoming pervasive for the
consumer/patient
• Mobile tools for engaging patients are in early phase
development
• Changing workflow to utilize mobile engagement
• Future holds promise for transforming patient care
and enhancing outcomes

3. Forces of change
Meaningful
Use
Patient ExpectationsPhysicians

4. Mobile technology is becoming
pervasive for the consumer/patient
80% of internet users own a smart phone
50% use mobile device to lookup health information
50% have access to their medical records online

5. Consumers Using Health Apps
• 40M smartphone owners actively use wellness apps
• Opportunity – moving toward collaborative care
Source: Power to the patient:
How mobile technology
is transforming healthcare
The Economist

6. Mobile tools
for engaging
patients are
in early
phase
development

7. Patient Portal Basic Features
 Future appointments, request
appointment
 Medication list and request a refill
 Test results
 Health summary, problem list
 Secure messaging
 Bill paying

8. Advanced Features of Portals
 Imaging and pathology results
 Discharge instructions and summary
 After visit summaries
 Open Notes
 Ability to transmit data to another provider
 Customized/personalized patient education
 Patient-Generated Health Data
 Ability to request corrections in the record

9. What about Apple Healthkit?
• Innovative health systems (Mayo, Duke, etc.) are developing
solutions
• Data moves from mobile device to EMR, not back
• Can enable collection of patient-generated health data

10. Changing workflow to utilize mobile
engagement
• How does this impact ongoing care
of chronic GI conditions?
• How does this impact specialty
practice?

11. Workflow – Chronic GI care
• Encourage use by patients with chronic conditions
– Confirm that their medications are correct and
being filled
– Help them understand key lab results

12. Workflow – Chronic GI Care
– Provide condition-specific education
– Provide graphs on weight, BMI, BP, etc.
– Secure messaging – Triage

13. Workflow – Specialty Practice
• Utilized pre-procedure mobile education tools –
videos, images
• Provide results of procedures
• Encourage patients to share their data with their
primary care physician

14. Workflow –
Patient Education Opportunity
through Mobile
• Colonoscopy prep app
• Geisinger Medical
Center

15. Workflow – Inpatient
Inpatient tablet use
at New York Presbyterian
• medications they are receiving
• lab results
• photos of their care team
• call for the nurse directly from the
tablet
• electronically record their pain
levels
• questions to their care team

16. Workflow – impact on outcomes
• Increased patient awareness of condition through lab
results, vitals
• Patient involvement in medication reconciliation
• Improved patient education, literacy
• Communicate More Effectively - Reduce the Number
of Phone Calls

17. Future holds
promise for
transforming
patient care and
enhancing
outcomes
• Source: The Economist, 2015

18. Future
• Telemedicine including video visits common
• Sensors and monitors used in the home,
remotely – Internet of Things
• Open notes the default
• Patients more
– engaged
– activated
– literate

19. Take Aways
• Mobile technology is becoming pervasive for the
consumer/patient
• Mobile tools for engaging patients are in early phase
development
• Changing workflow to utilize mobile engagement
• Future holds promise for transforming patient care
and enhancing outcomes

20. Contact Me
• LinkedIn.com/in/johnsharp
• Twitter @JohnSharp
• Website: www.himss.org