Mobile Health | nascent at McKesson

Mobile Health
Trends, Platforms &
UX Driven Development.

Presentation at McKesson December 2010 www.nascentgrp.com

A brand, product and service innovation consultancy.

Working internationally for a wide range of global brands:

SAP, Motorola, SanDisk, NewsCorp, NDS, Kodak, BetterPlace,
SuperDimension, Maccabi Healthcare Services

Expanding focus on the intersection of healthcare and mobile devices.

Presenter:
Guy Haviv : UX Design / Mobile Platforms Lead

Research:
nascent design research team


Outline

Why Mobile Platforms - Why Now?
Platforms Overview
Key Technologies / Strengths
Mobile Health Apps: Highlights
Touch Devices: Challenges in Medical Environments
(continues)

Presentation at McKesson December 2010

Outline #2

Product Development: A UX-driven process
New Products: Prototyping
Summary
Q&A / Open Discussion


Part 01
Why Mobile Platforms? Why now?


Why Mobile Platforms? Why Now?

Touch device statistics indicate:

Physicians are
early adopters.



Touch device statistics indicate:

The healthcare
industry is enthusiastic.


Physicians are Early Adopters

10% of 3m iPads in the U.S sold to physicians.
18% of physicians in the US using iPads.

9% of adult Americans using mhealth apps today.
14% of adult Americans will use them by 2011.


iPad Adoption by industry: healthcare is in top 3


The Healthcare Industry is Enthusiastic

60% of healthcare enterprises using smartphones health apps.

By 2014: Enterprise mhealth expected to be a
$1.7 billion market.

By 2015: 500m people are expected to use mhealth
smartphone applications worldwide.



Movement from early
adoption to mass market.


Recent Developments

Medtronic CIO buys 4,500 iPads for sales team

Boston Scientific bought 2,000 iPads for sales team

Stanford School of Medicine and UC Irvine School of Medicine
issue iPads to all new students
The Labor Party in the Australian state of Victoria is campaigning
for AUS$12 million to equip every doctor in the state with an iPad



There are many potential
benefits to adopting
mobile health:


Benefits

Allow more time with patients

Improved health record management and accessibility

Remote monitoring and care

Personalized health management & better compliance
Increased awareness - Earlier detection

Improved communication and training tools

Cut healthcare costs



Within 5 years

Mobile health app
distribution is expected
to go mainstream.


Part 02
Platforms Overview


Devices

Phones
Non-Phones
Tablets


Operating systems

iOS
Android
Blackberry
Windows Phone 7
WebOS
MeeGo


For the purpose of this talk

We’ll focus on iOS:
iPhone
iPod Touch
iPads


iOS

Key Technologies &
Strengths


iOS: Key Technologies & Strengths

Touch
Sensors
Incredible displays
Always connected
Multitouch gestures
Personal - almost intimate
(continues)


iOS: Key Technologies & Strengths

Platform is opinionated
UI standards clearly defined
Apps are small, precise, focused
Apps run full-screen
Touch = immediacy, intuitiveness
Built in UI concepts facilitate information
navigation


Technologies (highlights)

Core Animation
UI Kit
Webkit
Location Services
Audio / Video Playback / Streaming
Accessory Support
Airplay


iOS

App Distribution:
App Store
In App Purchase
Enterprise Program


Part 03



We broadly separated
apps into 3 groups:



Apps for everyone



Apps for everyone:
- Medical references
- Health management tools
- Existing condition management tools
- Pharmaceutical management and care


Apps for Everyone

Existing Condition Management

iBP
Blood sugar
tracking
$0.99


Apps for Everyone

Existing Condition Management

AsthmaMD
Asthma tracking
Free
Track Events
Triggers (Allergies)
Track Medicine


Apps for Everyone

Pharmaceutical Management

Walgreens
Drug
Database
Free

Store Locator
Scan Barcodes
Order Refills


Apps for Everyone

Pharmaceutical Management

Lexi Drugs &
Lexi Interact
Drug
database
$119.99

identify possible interactions
between drugs

Actively updated
- monitoring FDA changes
continuously



Apps for
med students &
physicians



Apps for med students & physicians:
- Educational / references tools
- EMR-EHR: electronic medical records
- Imaging
- Surgical assistance
- Healthcare for developing countries


Apps for Practitioners

Education / Reference

Merck Manual
Reference
$34.99
All reference data available for
offline browsing




Echocardiography
Atlas
Cardiology
Reference
$19.99
650Mb.
Examples of normal and abnormal
echocardiograms.
Annotated image & video.




Inkling
Interactive
Textbook
Platform
Free

Looks incredible overall.



EMR

Dr. Chrono EHR
Remote
access EMR
Free

Patient scheduling
Electronic medical billing
UI looks like it needs some work.



Remote Monitoring

Airstrip
Monitoring
Remote
Patient
Monitoring
Free (demo)
Interfaces with companion
backend (commercial)
AirStrip system

Cardiology solution also available



Imaging

mVisum
onDemand
DICOM,
PACS
Image Viewer
Free
View lab results from
Quest Diagnostic



Imaging

Osirix
Image Viewer
$19.99

Able to view CTs, Ultrasound, MRI in standard DICOM format
Based on OpenSource desktop client.
Widely used



Apps with supporting
accessories


Apps with supporting accessories

iBGStar™
Diabetes Manager
Blood
glucose meter
not yet released

December 2010


Thinklabs
Stethoscope
App
Visual heart &
lung sounds
$69.99


Speciality Devices

Vscan
Handheld
Ultrasound


Speciality Devices

Proteus
Biomedical
Ingestible
Drug /
Physical
Monitor
Low power, activated after
ingestion by stomach fluids.

Monitors incoming drugs /
physical condition, heart rate,
respiratory rate.


Part 04
Touch Devices: Challenges
in Medical Environments



Physical Challenges:


Physical Challenges

Not ruggedized
Hard to disinfect
Requires a dock
Difficult to operate with gloves
(video)


Physical Challenges: Osirix Video

Watch this video online:

http://www.youtube.com/watch?v=t9jW7WDL2js
Skip to 4:30



Regulatory Challenges
For mobile mhealth apps,
regulatory environment is unclear,
involving both the FDA & FCC.

Some apps might need approval as if they were devices, from both the FDA & the FCC.


Part 05
Product Development:
A UX-driven process



Quick point to consider

Mobile version !=
Porting existing software



UX driven development

Planning the product
around empowering
the user



Main output:

Detailed planning of the
system UI.
We call this Schematics.



Schematics align teams
around visible, tangible
functionality.


Schematics (example)



Process overview:



Concept to Product
UX driven process

This process is straightforward, practical.



Research
- Existing product + technology research
- User research (shadowing, documenting)
- Identifying business & ecosystem opportunities
(continues)



Planning, Designing
- Ideation - concept development
- Defining project scope
- Paper prototyping
- Schematic design
- Validation / prototyping cycles
- Visual design + development kickstart
(in parallel)


Part 06
New Products:
Rapid Prototyping


New Products: Rapid Prototyping

In a relatively small period of time

A small group can
plan, design & build a
mockup/prototype that
has tremendous impact.


New Products: Rapid Prototyping

A mockup makes
theory tangible.
Can persuade internally
Clarify product needs
A strong marketing tool


Part 07
Summary


Mobile health apps can:

Increase productivity by
increasing connectivity.


Mobile health apps can:

Facilitate new services
by connecting patients &
practitioners.


UX-driven product
development is practical,
tangible & increases
team focus.


Part 08
Q&A, Discussion


Thank You.


Mobile Health | nascent at McKesson

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