Joy and Pain, The Double-Edged Aspects of
mHealth
Presented by: Fernando Martinez Ph.D., FHIMSS CHCIO
National Practice Director, Enterprise Information Assurance, Beacon Partners
HealthMart’12 Conference and Trade Show
Plus Health Datapalooza October 2, 2012
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• A third dimension to a two-dimensional
conversation
• No silver bullet –we are dealing with
dynamics and a fluid situation
• Point-of-care technology, changing and
evolving
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Thought-Provoking Discussion
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Embraced
http://www.ama-assn.org/amednews/2011/02/07/bisa0207.htm
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• Access to clinical / medical applications http://www.imedicalapps.com/2012/06/top-free-ipad-medical-apps/
• Familiarity with form-factor and interface
• Sense of independence and ubiquitous access
• Promise of lower organizational cost and higher provider satisfaction
• May improve clinical outcomes
• Perception of innovation and progress
• It’s what the providers want!
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WHY?
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• Retina displays, camera, voice recognition
• Bluetooth 4.0 enables providers to access
directly data from Bluetooth-enabled
medical home monitoring devices “Bluetooth data collection sensor devices on the body
can gather heart rate, temperature, pulse rate, weight,
glucose levels, etc. and transmit that data directly to the
iPads when the patient is in the healthcare facility, or to
a Web portal that is monitored by the healthcare
provider when the patient is at home”
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Improve Productivity
http://www.informationweek.com/healthcare/mobile-wireless/ipad-
features-may-accelerate-healthcare/232602825
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• Eliminate data entry errors “You’re not counting on a busy, multitasking healthcare
professional to accurately remember and transcribe the
information onto paper or key it in manually”
• Automate upload of data to electronic
health record (EHR) or to personal health
record (PHR)
• Empower consumers as well; diabetes or
cardiac monitoring
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Reduce Errors
http://www.informationweek.com/healthcare/mobile-wireless/ipad-
features-may-accelerate-healthcare/232602825
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The right combination of ease of use,
size, portability, long-lasting battery
power and relatively low cost of
adoption
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It Just Makes Sense!
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• Eases transition from
paper - can be carried
like a traditional chart
• Liberated from a fixed
computer device
• Some EHR providers
developing
exclusively for this
form factor
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Clinician Buy-In
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2012 HIMSS Leadership Survey,
comprised of responses from 302 HIT
executives, reported that 18% said that
mobile devices were the top
infrastructure priority - just behind
server virtualization, which came in first
at 19%
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Recognized Priority
http://www.informationweek.com/healthcare/mobile-wireless/ipad-
features-may-accelerate-healthcare/232602825
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Predicting Technology is Challenging
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• History teaches that predictions about
technology are not completely reliable
• Having a track record of accomplishments,
or being labeled smart or successful is not
enough
• IT leaders are embracing changes unlike
any we have faced before
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Technology Assumptions
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Credited with inventing Ethernet
http://www.informationweek.com/global-cio/interviews/12-worst-tech-predictions-of-all-time/229218884
Robert Metcalfe Founder of 3Com
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“. . .the Internet will
soon go spectacularly
supernova and in 1996
catastrophically
collapse.”
- Robert Metcalfe
Prediction
http://www.informationweek.com/global-cio/interviews/12-worst-tech-predictions-of-all-time/229218884
The Internet will collapse
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Founder – Dell Computers
http://www.informationweek.com/global-cio/interviews/12-worst-tech-predictions-of-all-time/229218884
Michael Dell
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"I'd shut [Apple] down
and give the money
back to the
shareholders."
- Michael Dell
Prediction
http://www.informationweek.com/global-cio/interviews/12-worst-tech-predictions-of-all-time/229218884
On the future of Apple computers
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It’s not just about being SMART
Keen insight does not just happen; it is the
by-product of preparation
“Chance favors only the prepared mind” - Louis Pasteur
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So What is the Point?
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Seek First to Understand
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• “Should the burden lie with regulations to
support a consumer tool, or should the
tools evolve to meet the requirements of
these important legislative developments?” http://www.healthcare-informatics.com/blogs/gabriel-perna/curious-case-ipads-healthcare
• Physicians are bringing devices into the
care delivery space, forcing organizations
to address regulatory and operational
concerns
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Consumerism
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In regard to vendor claims that a technology
or service is HIPAA-compliant
“HIPAA compliance is only achieved by
the provider, through a combination of
well-enforced employee policies and the
application of technology to help carry out
those policies”
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Industry
http://searchhealthit.techtarget.com/tip/New-mHealth-technology-brings-HIPAA-compliance-
vulnerabilities?asrc=EM_ERU_18931849
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Inverse Relationship?
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• Forrester conducted research encompassing 7,000 IT executives and workers across North America and Europe
39% worried about a lack of data leak prevention on mobile devices
30% feel there is insufficient separation between consumer and corporate data on mobile devices
25% do not use any form of data protection (PIN or password)
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Challenges
http://www.pcworld.com/article/2010527/forrester-report-finds-most-data-breaches-are-caused-by-
employees.html
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• Most organizations formulate policies for securing mobile devices, but, paradoxically, lack enough tools to enforce them
• It’s not simply a matter of having the appropriate tools and controls in place. Only 56% of information workers in North America and Europe say that they are aware of their organizations’ current security policies
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Challenges
http://www.pcworld.com/article/2010527/forrester-report-finds-most-data-breaches-are-caused-by-
employees.html
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• Difficulty tracking devices on an organization’s network - how to know when unauthorized devices are trying to log on
• Use of cameras (think telemedicine – a great option for rural areas and advancement of ACO models)
• Devices are already being used (ready or not)
http://mobihealthnews.com/special-issue-ipad-in-healthcare/
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Challenges / Limitations
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Closing Thoughts
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• If mHealth is not part of your IT strategy,
you don’t have an IT strategy
• Pressure to adopt is both internal and
external - it is essential to be nimble and
flexible
• There are significant risks - technology is
evolving faster than controls
• Have a plan, execute to plan, monitor
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Closing Thoughts
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Information Assurance
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Discussion
1.800.4BEACON │ BeaconPartners.com
BOSTON · CLEVELAND · SAN FRANCISCO · TORONTO
Thank You
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Thank You For more information
please contact:
Fernando Martinez, Ph.D. FHIMSS CHCIO
