How Can Diabetes Educators Harness the Potential of Digital Health?

Transcription

1 How Can Diabetes Educators Harness the Potential of Digital Health? Kevin A. Clauson Pharm.D. Associate Professor Lipscomb University Nashville, Disclosure to Participants Notice of Requirements For Successful Completion Please refer to learning goals and objectives Learners must attend the full activity and complete the evaluation in order to claim continuing education credit/hours Conflict of Interest (COI) and Financial Relationship Disclosures: Kevin A. Clauson, PharmD, AIDS Institute: Consultant; Janssen Healthcare Innovation: Received grants or funds in support of research of related company products.; McKesson Foundation: Received grants or funds in support of research of related company products.; World Health Organization: Consultant Non-Endorsement of Products: Accredited status does not imply endorsement by AADE, ANCC, ACPE or CDR of any commercial products displayed in conjunction with this educational activity Off-Label Use: Participants will be notified by speakers to any product used for a purpose other than for which it was approved by the Food and Drug Administration. J Automat Chem 1983;5(4): That it will ever come into general use is extremely doubtful - London Times in 1834 appraising value of stethoscope J Healthc Inf Manag 2010;24(3):

2 Learning Objectives 1. Define digital health 2. List drivers of digital health development and momentum 3. Delineate how digital health tools enhance diabetes care and self-care Key terminology and concepts in digital health Which is the most inclusive or umbrella term of these health technologies? A. Consumer health informatics B. Digital health C. Mobile health (mhealth) D. Ubiquitous health (uhealth) Use of information and communication technologies (ICT) to improve human health, healthcare, and wellness for individuals and across populations Front Pub Health 2015;3:134. Definition of Digital Health Social Media Big Data Analysis of remotely stored health data to derive insights and develop algorithms to inform or improve patient health Social platforms that facilitate information and insight exchange and serves as a tool to collect this information directly from patients in realtime Sensors, Wearables, and Connected Devices Devices that that continuously collect and transmit vital signs, heart rate and other health data in real-time Digital Health Tools mhealth and Connection Tools The use of mobile devices, online platforms, or kiosks for health and disease management, the practice of medicine, and to enhance communication and engagement among healthcare stakeholders Digital Diagnostics and DIY Tools Digital technologies that enable diagnosis of conditions or enhance the analysis of diagnostic tests, with an emphasis on self diagnosis. EHR and Supporting Tools Electronic health records, clinical decision support tools, and other digital solutions that allow clinical knowledge and resources to be used more effectively and efficiently 5 Drivers of digital health development 1. Social media 2. Consumerism/participatory medicine 3. Cost and ubiquity of mobile/digital devices 4. Cost and availability of data 5. Intrinsically multidisciplinary field Digital Health is focused on redefining the product value proposition, not on how to market the existing product better through digital channels (i.e., Informational Websites, Banner Ads, Help Desks, Advertisements, etc.) Reproduced with Permission from Boehringer Ingelheim Front Public Health 2015;3:134. 2

3 3 Drivers of digital health momentum Belief (in some quarters) that digital health can help achieve: 1. better health outcomes AND 2. deliver an improved patient experience, 3. while reducing costs. Digital health tools to enhance diabetes care and self-care Lifestyle Medication adherence Disease-specific What is the most successful* wearable technology company in the US? Wearables refers to accessories or sensors incorporating advanced technologies that enable personalized mobile information processing. PwC. Consumer Intelligence Series: The wearable life 2.0, 2016 Conf Proc IEEE Eng Med Biol Soc 2014;2014: **Based on longevity + revenue HELP! I VE FALLEN AND I CAN T GET UP www. misfit.com 3

4 mymotiv.com Which type of smartphone is most frequently owned in the US? A. Android Smartphone share by platform in U.S. 2.5% 0.8%0.1% B. Blackberry C. iphone D. Windows 43.9% 52.7% Android (Google) iphone (Apple) Windows Blackberry Other Source: comscore MobiLens Mobile Metrix, February CTIA's Wireless Industry Summary Report, Year-End 2013 Results, Pay-a$-you-go phones are used by ~ 70 million people in the US mhealth is the use of mobile devices and global networks to deliver health services and information Am J Health Syst Pharm 2013;70(15):

5 Proteus Digital Health Discover Digital Medicine Pill + Patch + App + Portal Contains ingestible biosensor IEEE Transactions On Biomedical Engineering 2015;62(1):

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7 What category of technology has been used to connect and import user-generated data into electronic health records for pediatric diabetes? A. Software Adapted from: J Am Med Inform Assoc 2016;23(3): Dexcom Apple Epic Data collection Data consolidation Data analysis and communication Patient wears CGM Data are conveyed on mobile device to Health app via HealthKit Data are conveyed on mobile device to Epic MyChart app B. Middleware C. Hardware Glucose data are transmitted to receiver for visualization Provider communicates with patient/parent Securely via Epic MyChart Data are available for analytics/review within the EHR SHARE2 Data are conveyed to Share2 app on Apple mobile device FOLLOW Data are visible remotely by a parent through Follow app on Apple mobile device Smart contact lenses for diabetes Challenges with digital health JAMA 2009;302(11): Honk if you love Jesus if you are ready Text to meet Him! 7

8 Are we isolating future generations with devices? (maybe things haven t changed as much as we think) Privacy Security Regulatory Interoperability Financial Questions. Some answers. Probably more questions. Thank you for your participation! kevin.clauson@lipscomb.edu 8