ehealth initiative advisory council on business and clinical … · 2016-07-21 · 2013 2015...

eHealth Initiative

Advisory Council on Business

and Clinical Motivators

July 20, 2016

2:00 p.m. EDT

2

Reminder

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speaking

(* 6 to mute, *7 to unmute)

This call is being recorded

eHI’s Innovation Showcase is on!

Why Attend?• Get ready for your “aha” moment at eHI’s Innovation Showcase. Discover new

ideas and the healthcare applications to enable your next leap forward.

• Got a problem? Find solutions to administrative, infrastructure, workflow, and

consumer data integration challenges.

• Need a partner? Our innovative environment matches solution developers with

healthcare senior executives for results.

We’re bringing back the Innovation Challenge! Informative sessions will highlight best

practices and innovations from leaders in: Data & Analytics, Interoperability, Privacy &

Security and Clinical and Business Motivators.

Space is limited so Register now at http://events.ehidc.org!

http://events.ehidc.org/

4

Agenda

Welcome and Overview of Agenda

Meeting facilitated by:• Leslie Kelly Hall, Vice President Policy, Healthwise

Workgroup goals, process and timeline

IMS Health Speakers– James Tong, Engagement Management– Michael Krupnick, Director of Product, AppScript– Brian Clancy, Senior Product Manager, AppScript Analytics

Next Steps

5

Business and Clinical Motivator

Workgroup Process

Process, Timeline and

Deliverables

6

Purpose of council: How to create

the business case

To identify, understand, and communicate successful examples of

innovative uses of technology with emphasis on clinical and

business improvements.

This group will harmonize efforts to ensure that patients, consumer

tools, devices, and mobile apps are part of the considerations of

best practices and identify, understand, and communicate

successful examples of innovative uses of technology with

emphasis on clinical and business improvements.

– What are organizations doing? Why? What have been the results?

– How have they overcome systemic issues/barriers?

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Goals: Develop Recommendations

and Trends

Identify key business drivers moving technology

What was the value proposition

Explain which technologies are creating momentum

around value-based care

Describe how the patient’s experience is changing

Describe how insurance benefits may cover or not cover

innovations

What is the future of innovation in these areas

What were the factors that came together

8

Deliverables in 2016

To identify, understand, and communicate successful examples of innovative uses of

technology with emphasis on clinical and business improvements

At least 20 new examples of success stories will be added to online resource center

that demonstrate

Set of overarching recommendations will be developed by group

Group will identify priorities that can be recommended for federal partners to take

action, and successful innovation that can be models for all stakeholders. At least 20

new examples of success stories will be added to online resource center that

demonstrate

9

We need your input

Understand from the industry the barriers,

purpose, initial successes, what worked

and why

10

Current Success Stories

American Heart Association

LabCorp

CRISP

Validic

Colorado Regional Health Information

Organization

CVS Minute Clinic (pending)

Making Mobile Health WorkDiscussion for eHealth Initiative Business

and Clinical Motivator Workgroup

IMS Health

20 Jul 2016

12

AgendaIMS brings leading global perspectives to digital health engagement,

helping the healthcare industry deliver the promise of digital health

1 2 3 4

IntroductionsMaking mHealth

Work Today

IMS Health:

Powering Digital

Patient Engagement

mHealth

Challenges

James TongEngagement Manager

Michael KrupnickDirector of Product,

AppScript

Making Mobile Health Work

Brian ClancySr. Product Manager,

AppScript Analytics

5

Q&A

13

About IMS Health


Our Mission

Connect information and technology services to deliver

intelligence and drive improved performance for a

growing universe of global healthcare customers.

Global Healthcare Insights

IMS Experience

Industry Thought Leadership Orchestrated Digital Engagement

14

Post-2013, consumers prefer Mobile


0.3 0.3 0.40.8

1.6

2.32.6

2.82.2 2.32.4

2.6

2.5

2.3

2.42.4

0.20.3

0.4

0.3

0.3

0.3

0.3

0.4

0

1

2

3

4

5

6

2008 2009 2010 2011 2012 2013 2014 2015

Other ConnectedDevices

Desktop/Laptop

Mobile

Hrs

Source: eMarketer, KPCB analysis

• Smartphone

• Tablet

Time Spent per Adult User per Day with Digital Media, USA

15

IMS Health Perspectives on Mobile x Health

IMS has been publishing on mHealth since 2013

IMS helps clients succeed through innovative thought leadership, case

studies, peer-reviewed research publications, and industry presence.

Strategy & Roadmap

• Mobile Marketing

• Engage & Retain

• Digital Health

• Biometric sensors & Wearable

Technologies

Economics & Operations

• Return-on-Investment

• Mobile portfolio rationalization

• Enterprise Performance Life Cycle,

Mobile Architecture

• Privacy & Security

Implementations

• Patient Engagement

• Provider Engagement

• Clinical Outcomes

• Patient Satisfaction

• Remote Monitoring

• Clinical Trials


16

43,689

90,088

46,399

2013 2015

mHealth apps continue to proliferate

Comparison of iOS mhealth Apps 2013 and 2015


Source: Mevvy, June 2015; IMS Health, AppScript, June 2015; IMS Institute for Healthcare Informatics, August 2015

106%

There are now 165K health apps on US app stores

17

mHealth Challenges: Fragmentation & Quality


Source: IMS Institute for Healthcare Informatics, September 2013

18

mHealth Challenges: Security & Standards


The Economist cites security and standards as top mHealth barriers

“Nearly half (49%)) of the EIU survey

respondents think consumer wariness about

privacy violations would be a barrier to the

adoption of m-health, and half (51%) say data-

privacy risks are their biggest concern.”

Security

• Healthcare organizations relay heavily on the

network layer to protect data.

• Recent news highlights various exploits to

SSL implementation.

• 75% of mobile breaches are a result of mobile

app mis-configuration

Standards

• Regulatory bodies for healthcare require strict

auditing and history capabilities to ensure that

accountability can be traced and tracked.

• Most commercialized mHealth applications have

no accountability

0

20

40

60

80

100

120

2009 2010 2011 2012 2013 2014 2015

Millio

ns

American Lives Affected by Health Data Breaches

Source: US DHHS

.05 M5.3 M

13 M2.6 M

6.3 M 12 M

+98 M

19

Key Practical Question: Where does mHealth Work Today?


“It really takes a thought leader, a physician champion to speak to and

really push the issue and give healthcare organizations examples of

where mHealth works. We need to demonstrate how we can use those tools

to help patient care, improve outcomes and actually give patients options for

investing in their own health.”

Alisa Niksch, MD, Tufts Medical Center

Source: IMS Institute for Healthcare Informatics, September 2015

20

Today, mHealth may be most likely to drive value in T2D, MI/CHF, and Med Adherence


Higher

Lower

Lower Higher

Asthma/COPD[ED / admissions]

Cli

nic

al

Vali

dati

on

(stu

dy q

uantity

, quality

, &

results)

Typical Health System ROI Potential(applicability to value based purchasing, ACO quality, & readmissions metrics)

T2D [HbA1C, others]

T1D[HbA1C]

Patient Portal [MU2]

Patient

Satisfaction [HCAHPS]

Obesity[lbs]

General

Fitness [steps]

Paid & Restricted & “HCP Req’d”Free & Available & “Patient-Only”

MI / CHF[Readmissions]

CV Disease[risk factors]

Med

Adherence[various]

Source: AppScript Score Database & Analysis

DirectionalNotable clinical validation; weak ROI Where to Start

Weak clinical validation; weak ROI Where to Study

Cancer[readmissions]

21

mHealth deployments have a lifecycle


$

$

$$

$

Planning your

big move

Building your

solution

Proof of

concept

and/or value

testing

Encouraging

growth

Routinely

measuring

business

results

Digital Patient Engagement Lifecycle

Strategy Build Pilot Promote Measure ROI

1 32 4 5

22

IMS Health Capabilities


Strategy Build Pilot Promote Measure ROI

1 32 4 5

AppScript™ mHealth Market

Insights

AppScript™ mHealth Expert

Network

IMS Consulting Group

AppNucleus™ Security and

mBAAS

Nexxus™ Marketing

Patient Edition

AppScript™mHealthResearch Network

AppScript™ mHealth

Prescription Workflow

Retrospective Studies

IMS Health Offerings

Information Services Technology

The MI AppScript™

mHealth Detail

Ad Targeting Data

$$

$$$

AppNucleus™ Care Plan App

AdIQ™ ROI Measurement

Digital Patient Engagement Lifecycle

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AppNucleus: Security and Mobile Backend

A secure digital engagement platform that can help enterprises aggregate digital health

applications into an ecosystem


Integration & Other Services

DoD IA/Security Certifications

Authority to Operate

Data Analytics Ready

Data Integrity Validation

APIs for integration

Service Oriented Architecture

Security & ID Management

Encrypted Data-at-Rest, Data-in-Transit

(FIPS 140-2)

Two-Factor Authentication

One-Time Passwords

Identity Management, HSPD-12

NIST 800-88 (Remote Wipe &

Revocation)

Digital Engagement

Bring Your Own Device (Multi-OS Support)

Data Collection (GPS, Surveys)

Bluetooth Enabled for Biometric Data

Capture

Secure Messaging

Online & Offline Capability

Multi-Channel Engagement

SOAP APIAES-Encrypted Exchange

TLS Pipe

One-Time Password

Bilateral 2-Factor

Authentication

One-Time Password

FIPS 140-2

Client ServersMobile App

Portfolio

AppNucleus

Platform

Patients Staff

Wearables & IoT

24

The US Army uses mCare to connect patients with their

care teams

• BYOD, 40k users

• Tailored Content (Messaging, Goal, Diabetes)

• Appointment Management

• Interactive Questionnaires

• Security - DIACAP, ATO, HIPAA Compliant

• iOS, Android, Windows, Blackberry, Java

• DoD Commercial Mobile Device Implementation Plan (DISA for Enterprise)

• US Army’s Greatest Inventions, 2010

• Industry Presence: American Telemedicine Association, mHealth Summit,

Healthcare Unbound

Army Medicine Case Study

• 150k+ Secure messages sent

• 176% Increase in patient engagement

• 70% User retention 6 months after download

• 85% Provider acceptance

• 56% Reported improvement in appointment attendance

• ROI Study & Analysis in progress

Source: Poropatich RK, Pavliscsak HH, Tong JC, Little JR, McVeigh FL. mCare: Using Secure Mobile Technology to Support Soldier Reintegration and Rehabilitation. Telemed J E Health.

2014; 20 (6): 563-9.Making Mobile Health Work

25

AppNucleus PortfolioThe AppNucleus platform has been used to solve a number of health care challenges. Selected solutions shown below.


Patient

EngagementiPharmaiPharma

mCareUS Army

QMedVA, Payers, Providers

iWinNIDA, Payers,

Providers

Patient EngagementElsevier, Life Sciences,

Payers, Providers

CheckmateCDC, Life Sciences,

Payers, Providers

iPharmaSAMHS, 59th MW

• Medication compliance

• Pain Assessment

• Post-Surgical care

• Fitness

• Physical Therapy

• Case management

• Telehealth

• Post-Surgical Care

• Physical Therapy

• Medication Compliance

• EMR Interoperability

• Case Management

• Mental/ Behavioral

Health

• Substance Abuse

Prevention

• Wellness

• Medication Compliance

• Patient Education &

Coaching

• Post-Surgical Care

• Secure Messaging

• Care Coordination

• Telehealth

• Biosensor Integration

• User Tracking

• Analytics Dashboard

• Case Management • Medication Compliance

• Patient Education

• Appointment

• Wait-Times

26

165KHealth Apps

1,000’s Wearables &

Clinical Devices

MM’sPatient Educational

Content

?

mHealth Market Failure


27

AppScript: mHealth Prescription Workflow

The Leading Discovery, Distribution, and Analytics Platform

for Mobile Health Technologies

Enables clinicians to find and e-prescribe apps to their patients


28

AppScript Score

A living score comprised of six

individual rating categories and

weighted algorithm:


29

AppScript enables faster & better mHealthdeployments

Quickly Deploy

mHealth

Deploy Best

Possible

mHealth

Test, Optimize,

& Document

mHealth

1

2

3

Ap

pS

cri

pt

Valu

e –

Ad

ded

AppScript Value Drivers

Ro

uti

ne

Us

e

1 2 3

1

2

3

Faster Better


30

Apps Discovered/Distributed via AppScript have ~3X higher retention than average health apps

20%

56%

0%

10%

20%

30%

40%

50%

60%

Avg. Health App Avg. Health App

with AppScript

^Source: flurry analytics

*Source: AppScript Provider pilots

App Retention at 30 Days

N = 1500 initial AppScript App Prescriptions*

~3Xbetter w

AppScript

^


31

Q&A / Contact


James TongEngagement Manager

Ph: +1 703 204 3844

[email protected]

Michael KrupnickDirector of Product,

AppScript

Ph: +1 973 331 6120

[email protected]

Brian ClancySr. Product Manager,

AppScript Analytics

Ph: +1 347 931 4905

[email protected]

mailto:[email protected]



32

Questions

33

Next Steps

Next Workgroup Meeting August 17, 2pm

ET

Continue success story interviews and

populate resource center

34

Participate as a Council Member

Join B&C listserv by contacting Claudia at

[email protected]

Seeing expert panel members to respond

to future presentations


35

Thank you!

ehealth initiative advisory council on business and clinical … · 2016-07-21 · 2013 2015...

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