ehealth Initiative Advisory Council on Business and Clinical Motivators July 20, :00 p.m. EDT

Transcription

1 ehealth Initiative Advisory Council on Business and Clinical Motivators July 20, :00 p.m. EDT

2 Reminder Please mute your line when not speaking (* 6 to mute, *7 to unmute) This call is being recorded 2

3 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

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 4

5 Business and Clinical Motivator Workgroup Process Process, Timeline and Deliverables 5

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? 6

7 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 7

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 8

9 We need your input Understand from the industry the barriers, purpose, initial successes, what worked and why 9

10 Current Success Stories American Heart Association LabCorp CRISP Validic Colorado Regional Health Information Organization CVS Minute Clinic (pending) 10

11 Making Mobile Health Work Discussion for ehealth Initiative Business and Clinical Motivator Workgroup IMS Health 20 Jul 2016

12 IMS Agenda brings leading global perspectives to digital health engagement, helping the healthcare industry deliver the promise of digital health Introductions mhealth Challenges Making mhealth Work Today IMS Health: Powering Digital Patient Engagement Q&A James Tong Engagement Manager Michael Krupnick Director of Product, AppScript Brian Clancy Sr. Product Manager, AppScript Analytics 12

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. IMS Experience Industry Thought Leadership Global Healthcare Insights Orchestrated Digital Engagement 13

14 Post-2013, consumers prefer Mobile Time Spent per Adult User per Day with Digital Media, USA Hrs Other Connected Devices Desktop/Laptop Mobile Smartphone Tablet Source: emarketer, KPCB analysis 14

15 IMS Health Perspectives on Mobile x Health IMS has been publishing on mhealth since 2013 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 IMS helps clients succeed through innovative thought leadership, case studies, peer-reviewed research publications, and industry presence. 15

16 mhealth apps continue to proliferate Comparison of ios mhealth Apps 2013 and ,088 46,399 43, % There are now 165K health apps on US app stores Source: Mevvy, June 2015; IMS Health, AppScript, June 2015; IMS Institute for Healthcare Informatics, August

17 mhealth Challenges: Fragmentation & Quality 17 Source: IMS Institute for Healthcare Informatics, September 2013

18 Millions mhealth Challenges: Security & Standards The Economist cites security and standards as top mhealth barriers 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 American Lives Affected by Health Data Breaches Source: US DHHS +98 M 13 M 5.3 M 6.3 M 12 M.05 M 2.6 M 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 dataprivacy risks are their biggest concern. 18

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 19 Source: IMS Institute for Healthcare Informatics, September 2015

20 Clinical Validation (study quantity, quality, & results) Today, mhealth may be most likely to drive value in T2D, MI/CHF, and Med Adherence Directional Higher Notable clinical validation; weak ROI General Fitness [steps] Obesity [lbs] T1D [HbA1C] CV Disease [risk factors] Med Adherence [various] Asthma/COPD [ED / admissions] T2D [HbA1C, others] Where to Start MI / CHF [Readmissions] Lower Cancer [readmissions] Patient Portal [MU2] Patient Satisfaction [HCAHPS] Weak clinical validation; weak ROI Lower Higher Where to Study Typical Health System ROI Potential (applicability to value based purchasing, ACO quality, & readmissions metrics) Free & Available & Patient-Only Paid & Restricted & HCP Req d Source: AppScript Score Database & Analysis 20

21 mhealth deployments have a lifecycle Digital Patient Engagement Lifecycle 1 Strategy 2 Build 3 Pilot 4 Promote 5 Measure ROI $ $ $ $ $ Planning your big move Building your solution Proof of concept and/or value testing Encouraging growth Routinely measuring business results 21

22 IMS Health Capabilities Digital Patient Engagement Lifecycle 1 Strategy 2 Build 3 Pilot 4 Promote 5 Measure ROI $$ $ $ $ AppScript mhealth Market Insights AppScript mhealth Expert Network IMS Consulting Group AppNucleus Security and mbaas AppNucleus Care Plan App Nexxus Marketing Patient Edition AppScript mhealth Research Network Ad Targeting Data The MI AppScript mhealth Detail AppScript mhealth Prescription Workflow Retrospective Studies AdIQ ROI Measurement IMS Health Offerings Information Services Technology 22

23 AppNucleus: Security and Mobile Backend A secure digital engagement platform that can help enterprises aggregate digital health applications into an ecosystem Wearables & IoT Mobile App Portfolio Bilateral 2-Factor Authentication AppNucleus Platform Client Servers One-Time Password TLS Pipe AES-Encrypted Exchange SOAP API FIPS One-Time Password Patients Staff 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 Security & ID Management Encrypted Data-at-Rest, Data-in-Transit (FIPS 140-2) Two-Factor Authentication One-Time Passwords Identity Management, HSPD-12 NIST (Remote Wipe & Revocation) Integration & Other Services DoD IA/Security Certifications Authority to Operate Data Analytics Ready Data Integrity Validation APIs for integration Service Oriented Architecture 23

24 Army Medicine Case Study 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 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 24 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):

25 AppNucleus Portfolio The AppNucleus platform has been used to solve a number of health care challenges. Selected solutions shown below. mcare US Army QMed VA, Payers, Providers iwin NIDA, Payers, Providers 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 Patient Engagement Patient Engagement Elsevier, Life Sciences, Payers, Providers Checkmate CDC, Life Sciences, Payers, Providers ipharma ipharma SAMHS, 59 th MW Medication Compliance Secure Messaging Telehealth Case Management Medication Compliance Patient Education & Care Coordination Biosensor Integration Patient Education Coaching User Tracking Appointment Post-Surgical Care Analytics Dashboard Wait-Times 25

26 mhealth Market Failure 165K Health Apps 1,000 s Wearables & Clinical Devices MM s Patient Educational Content? 26

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 27

28 AppScript Score A living score comprised of six individual rating categories and weighted algorithm: 28

29 AppScript Value Added Routine Use AppScript enables faster & better mhealth deployments AppScript Value Drivers Quickly Deploy 2 Deploy Best 3 mhealth Possible mhealth Test, Optimize, & Document mhealth Faster Better 29

30 Apps Discovered/Distributed via AppScript have ~3X higher retention than average health apps App Retention at 30 Days N = 1500 initial AppScript App Prescriptions* 60% 50% 40% 30% ~3X better w AppScript 56% 20% 10% ^ 20% 30 0% ^Source: flurry analytics *Source: AppScript Provider pilots Avg. Health App Avg. Health App with AppScript

31 Q&A / Contact James Tong Engagement Manager Ph: JTong@us.imshealth.com Michael Krupnick Director of Product, AppScript Ph: MKrupnick@us.imshealth.com Brian Clancy Sr. Product Manager, AppScript Analytics Ph: BClancy@imshealth.com 31

32 Questions 32

33 Next Steps Next Workgroup Meeting August 17, 2pm ET Continue success story interviews and populate resource center 33

34 Participate as a Council Member Join B&C listserv by contacting Claudia at Claudia.Ellison@ehidc.org Seeing expert panel members to respond to future presentations 34

35 Thank you! 35