Presentation by PJ Gorenc, Nemours Center for Health Delivery Innovation at the Smart Health Conference 2018, held at Bally's Las Vegas on the 26-27th of April, 2018.

1. Rapid Rise of Mobile
Apps in Healthcare
PJ Gorenc
Nemours Center for Health Delivery Innovation

2. Patient Care by the Numbers
410,000 Patients/1.7 million annual encounters
3,800 Trainees (Residents, Fellows & Students)
837 Employed physicians
228 Researchers
1,600 Nurses
42 Specialties and subspecialties
49 Employed hospitalists
80 Pediatric care locations in five states
19 Collaborating hospitals
7,600 Employees
Wilmington, Delaware
Orlando, Florida
Nemours at a Glance
 Nonprofit devoted to children’s health, providing care,
research, and education
 Enduring legacy of Alfred I. duPont
Center for Health Delivery Innovation

3. Center for Health Delivery Innovation
Stating the Obvious
Problem:
• 78% of the more tech-savvy consumers say the healthcare digital
customer experience needs improvement.
• 50% said they would leave their current physician for a better digital
customer experience.
• Consumers want fast and easy digital experiences, but mobile healthcare is
perceived as lacking ease of use and features, with 62% not able to
accomplish what they want it to do, and 42% citing a lack of relevant
options.
Source:
 https://www.beckershospitalreview.com/patient-engagement/consumers-want-their-digital-healthcare-experience-to-be-more-like-retail-4-things-to-know.html
 The research was based on online responses from nearly 1,102 U.S. healthcare consumers during September 2017.

4. Center for Health Delivery Innovation
There’s an App for That
Problem:
• There’s an app that either exists, or is being developed for just about every
clinical problem that patients face.
• But there are too many! This fragmentation is:
 Not easy for patients
 Not easy for clinicians
 Not sustainable at scale

5. Center for Health Delivery Innovation
There’s a Device AND an App for That
Remote Monitoring
• Disease Management: devices+apps.
• Too many!
 Not easy for patients
 Not easy for clinicians
 Not sustainable at scale
Source:
https://www.tytocare.com/tytohome/
https://www.youtube.com/watch?v=1m-jniZo-Jg
https://www.propellerhealth.com/how-it-works/
https://www.novartis.com/news/how-digital-technologies-are-shaping-new-normal-people-living-copd
https://www.hapi.com/product/hapiscales

6. Center for Health Delivery Innovation
There’s a Device and an App for That
Device
Data Transmission
EMR
Clinician
Mom/Dad

7. Center for Health Delivery Innovation
Example: Asthma
One could easily wind up with several apps for one condition.
• Patient Record / Scheduling / Clinician Communication
• Telehealth
• Asthma Disease Management / Education
• Asthma Remote Monitoring – Peak Flow/Spirometry
• Asthma Remote Monitoring – Med. Adherence

8. Center for Health Delivery Innovation
Logic Puzzle
• Who pays?
• Who distributes?
• Who supports?
• Who pulls the information together to give an integrated, holistic view?
 There are risks with disjoining provision of technology from provision of care.
• How do we make this complexity easy for families & clinicians?

9. Center for Health Delivery Innovation
It’s got to be easy.
• Patients can’t be expected to be tech gurus.
• Clinicians can’t be expected to manage myriad workflows for apps / devices.
• Payers need to see the value.
• Sign-up / provisioning for several apps is digitizing the annoyance of filling
out the same paperwork over and over again.
• Digital expectations set by other industries.
• People will do the right thing – if it is easy.

10. Center for Health Delivery Innovation
Nemours App
Sustainability Strategy for Nemours
The Strategy:
• By starting work now on the Nemours App – Nemours will be ready when
the tide of consumerism turns desires into expectations.
• If we wait to solve the problems / challenges involved in developing top-flight
digital experiences until the market expects these things, it will be too late.
• By providing the right tools to link patient and clinician when the patient is
outside the clinic, we will help drive better outcomes, and a better bottom
line in a VBC world.
• NOTE: Sharing Nemours’ vision to promote the thinking, not the product.
 Not licensable. (But no promises if it proves successful.)

11. Center for Health Delivery Innovation
MyNemours Nemours Brightstart!KidsHealthCareConnect
Nemours Consumer Digital Properties
Patient Portal Public Website Telehealth Education Reading Readiness

12. Center for Health Delivery Innovation
Nemours, Anytime, Anywhere.
Re-imaging how patient families experience Nemours digitally.
First Condition: Asthma
• Provide tools designed with
families and clinicians that will
lead to better control of
childhood Asthma.
• Provide clinicians a view into
how their patients experience
their condition in between
visits.

13. Center for Health Delivery Innovation
Not Just Nemours Features

14. Center for Health Delivery Innovation
The app is the point of convergence.
Custom Developed
Custom Developed

15. Center for Health Delivery Innovation
Nemours App for Asthma – Design Thinking
With a patient focus driven by Design Thinking, we
began by listening.
 Listening to patient families – 42 interviews with parents & patients
 Listening to clinicians –30+ interviews with Nemours clinicians
 Listening to Nemours – 20+ interviews with business & technology professionals
 Listening to the industry – literature review of 136 papers, essays, and studies

16. Center for Health Delivery Innovation
Nemours App for Asthma

17. Anytime, Anywhere
 Take the complexity on ourselves, to make it
easy for our families and our clinicians.
 Find partners with SDK/API strategies that
support integration.
 Create an easy interface for families.
 Listen. Iterate. Evolve.
 EMPATHY: Keep the family first.