Shivani Goyal, B.Eng, MASc!
60% of spending on chronic disease!
Diabetes!
Lung Disease!
Hypertension! Heart Failure!
Kidney Failure! Mental Health!
Cost of Care!
Qual
ity o
f Life
!
$1! $10! $100! $1,000! $10,000!
100%!
0%!
Specialty Clinical!Community Hospital!
ICU!
Assisted Living!Skilled Nursing !
Facility!
Healthy Independent Living!Community Clinic!
Chronic Disease Management!Doctors Office!
Acute Care!
Home Care!
Patient Self-Care!
From Intel & Center for Aging Services Technologies (CAST)!
mHealth!Cell phones vs. smartphone!
15,000 + health and wellness apps!
!
Remote Patient Monitoring!
Highly Automated!
Congestive Heart Failure RCT Results!
150 pg/mL!BNP Horomone!
7.4%!Left Ventricular Ejection Fraction!
7 Points!Self-Care!
NO CHANGE in the control group!
Hypertension & Type 2 Diabetes!
20% Drop in risk of heart attack or stroke!NO CHANGE!
NO ADDITIONAL MEDS OR OFFICE VISITS!
Type 1 Diabetes!
Its not working…!
Mobile!!Encourage Self-monitoring!!Teachable Moments!!Allow Communication With Parents and Providers!!Fast & Discrete!!Promote Positive Health Behaviors!!Be wireless!
The Pilot Study!
49.6% Daily average frequency of
blood glucose measurements!
0! 10! 20! 30! 40!
Russia!Australia!
United Kingdom!Spain!
Mexico!France!Brazil!China!Italia!
Canada!Korea!
United States!
Percentage!
>55,000 Downloads!8,000 Daily Active Users!
11 Languages!
Type 2 Diabetes
Asthma
Its not working…!
What about everyone else?
Invincible)18,35)years)old) Little)disease)burden)
Stressed,out)middle)aged)adults) Medium)disease)burden)
Older)adults) Heavy)disease)burden)
Remote Patient Monitoring!
Tone%is%playful%and%unique%%
Awards%are%progressive%%
Social%interac8on%through%Facebook,%Twi>er%or%email%
Encouragement)
So)much)data!)%
September%19th,%2012%to%February%27th,%2013%
74,$396$total%downloads%%
69,952%users%%
Female)>)Male)
Promotions)work!)
Engagement)levels)
Approach)was)successful)
Poor communication is one of the most common underlying causes of medical error.!
Complex patients are particularly vulnerable!
Evidence BasedRigoursly Designed
Patient Focused Social
Consumer Initiated!