Confused about Nutrition and Technology? Confused about Nutrition and Technology? Don’t Worry. Be Appy.Don’t Worry. Be Appy.Nadine Fisher MS, RD/LDNadine Fisher MS, RD/LD

Confused about Nutrition and Technology? Confused about Nutrition and Technology? Don’t Worry. Be Appy.Don’t Worry. Be Appy.Nadine Fisher MS, RD/LDNadine Fisher MS, RD/LD

Potential Learning Need Codes:(1000) Professional skills(1020) Computer, electronic technology(1090) Media skills(1110) Risk-taking(1140) Written communication skills, publishing(6000) Education, Training, and Counseling(7000) Business and Management(7040) Consultation(7050) Customer Focus(7070) Entrepreneurship, private practice(7120) Marketing

Potential Learning Need Codes:(1000) Professional skills(1020) Computer, electronic technology(1090) Media skills(1110) Risk-taking(1140) Written communication skills, publishing(6000) Education, Training, and Counseling(7000) Business and Management(7040) Consultation(7050) Customer Focus(7070) Entrepreneurship, private practice(7120) Marketing

ObjectivesObjectivesObjectivesObjectives

• Discuss the importance and role of mobile health apps to improve patient outcomes.

• Describe the importance and the relationship between mobile apps and data collection related to patient health record and EHR including delivery to their healthcare providers.

• Describe the development process from concept to app for both the private and public sectors.

What is Mobile Health (mHealth)?What is Mobile Health (mHealth)?What is Mobile Health (mHealth)?What is Mobile Health (mHealth)?

• mHealth (also written as m-health or mobile health) is a term used for the practice of medicine and public health, supported by mobile devices. (Wikipedia 2012)

Personal Health Record = PHRPersonal Health Record = PHRPersonal Health Record = PHRPersonal Health Record = PHR

• A personal health record (PHR) contains data maintained by the patient.

Electronic Health/Medical Record Electronic Health/Medical Record Electronic Health/Medical Record Electronic Health/Medical Record

• EMR’s are digital version of chart.

• EMR contain medical and treatment history of one practice.

• EHRs may include a range of data ( from multiple providers) with focus on total health of the patient.

Connecting mHealth Connecting mHealth Connecting mHealth Connecting mHealth

mHealth UsersmHealth UsersmHealth UsersmHealth Users

• Pew Internet and American Life Project: While 88% of Americans have a cell phone, only 10% have downloaded health-related mobile apps.

Why is mHealth Important?Why is mHealth Important?Why is mHealth Important?Why is mHealth Important?

• Empowers Client to Manage their Health

• Care Coordination Opportunities

• Immediate Exchange of Accurate Objective Information from Client to Provider

• Earlier and More Accurate Diagnosis

• Remote Monitoring Opportunities

Medical App EssentialsMedical App EssentialsMedical App EssentialsMedical App Essentials• Personalization

• Cloud based connection

• Interface with EHR/PHR

• Disease management, education & messaging

• Social support engagement (Social Media)

• Adheres to evidence based practices

• Secure system for collecting and transmitting health information

TechnologyTechnology Motivates MotivatesTechnologyTechnology Motivates Motivates

• A 2009 study found that

people who received personalized text messages about weight control and other health issues two to five times a day dropped more pounds over a four-month period than those who received printed materials in the mail.

RD Poll – Text to ScreenRD Poll – Text to ScreenRD Poll – Text to ScreenRD Poll – Text to Screen

How many of you are currently using a mobile technology such as text messaging in your practice?TEXT FNCE to 55678.

How Mobile Health Applications WorkHow Mobile Health Applications WorkHow Mobile Health Applications WorkHow Mobile Health Applications Work

• Tyrone Harvey, 43, diagnosed with diabetes in 2005 after 7 day hospitalization, struggles with blood sugar maintenance.

• Harvey participates in study and enters Blood Sugar Data into a web based PHR using cell phone.

App or Device?App or Device?App or Device?App or Device?

App or Device?App or Device?App or Device?App or Device?

Device or App?Device or App?Device or App?Device or App?

Activity: Apply the Mobile Health ConceptActivity: Apply the Mobile Health ConceptActivity: Apply the Mobile Health ConceptActivity: Apply the Mobile Health Concept

• Take a few minutes to consider how you might apply a mobile health concept to your current practice or to any practice.

• Share your ideas with your neighbor ( anyone seated in your immediate area).

• Discuss in groups of 2-4 what the advantages would be, disadvantages, challenges and barriers.

Apps, Data Collection & EHRApps, Data Collection & EHRApps, Data Collection & EHRApps, Data Collection & EHR

Medical AppsMedical AppsMedical AppsMedical Apps

Consumer Health AppsConsumer Health AppsConsumer Health AppsConsumer Health Apps

Nutrition AppsNutrition AppsNutrition AppsNutrition Apps

Which app/device?Which app/device?Which app/device?Which app/device?

• Popular today…– LoseIt! (free). Helps motivate dieters by allowing them to set and log

their daily caloric intake using bar code scanning technology.

– Withings WiFi Scale ($159 for the scale; the app is free). Monitors weight, BMI, body fat percentage and other health data when used with the wireless scale.

– iBGStar Diabetes Manager ($75 for the meter; the app is free). Tracks blood glucose levels and insulin use. Share information and trends with health-care team using iPhone-enabled glucose meter.

Current & Future ChallengesCurrent & Future ChallengesCurrent & Future ChallengesCurrent & Future Challenges

• FDA Approval

• Device versus App

• Cost of Device/App Development

• Client Compliance

• Maintaining Privacy and Security of Health Data

ConclusionConclusionConclusionConclusion

• Mobile Technology has changed the way consumers and health care providers access health related information.

• Mobile health is an exploding field that encompasses all areas of health care through the use of mobile devices and smart phones.

• Health Care Professionals need to be familiar with the current technologies (including social media and health related apps), used by their patients.

ResourcesResourcesResourcesResources

• FDA Guidance on Medical Devices and Apps

• Fierce Mobile Healthcare

• iMedicalApps

• Manhattan Research Cybercitizen Health Survey

• mHimss

• Mobi Health News

• Pew Internet Research

• Happtique

Thanks for Your Attention!Thanks for Your Attention!Thanks for Your Attention!Thanks for Your Attention!

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