interagency working group for mhealth february 24, 2010
TRANSCRIPT
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Interagency Working Group for mHealth
February 24, 2010
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Focus of the Working Group•Frame mHealth within global health strategy
•Apply public health standards and practices
•Emphasize appropriate, evidence-based, and scalable approaches in resource-poor settings
•Build capacity of implementing agencies
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February 24th Agenda
•Review Health Affairs meeting
•Introduce mHealth Alliance
•Review mHealth Initiative conference
•Discuss Mobile Data Collection Guide
•Next meeting- April 6, 2010
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Health Affairs www.healthaffairs.org/E-Health in Developing
Countries
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E-Health in Developing Countries
Curioso, Universidad Peruana•Privacy, not track names
•South-South, South-North (Text4baby)
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E-Health in Developing CountriesJaffe, Health Level 7:•Interoperability = share and reuse data
without loss or ambiguity. Maintain meaning for human and computer.
•Challenges: legacy technology, privacy and security, data w/o context degrades information.
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E-Health in Developing CountriesHersh, Oregon Health & Science University•Building human capacity in informatics•Focus on information, not technology•Workflow, organizational and cultural
context, •Informatics professionalism, certificates
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Introduction to the mHealth Alliance
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Peggy D'Adamo, USAID
mHealth InitiativeInternational Networking Conference
February 3-4, 2010Washington, DC
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mHealth International Networking Conference•1st conference organized by mHealth
Initiative (http://www.mobih.org/) •300 participants, including IT companies
& developers •Heavy focus on smart phones, esp. IPhone
and IPad•Heavy focus on the IT side of mHealth
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1st Day Highlights
•Sybase – http://www.sybase.comUsing sms for:▫Medication reminders▫Health alerts
•Ramsell Technologies -http://www.ramselltechnologies.com/Tele-adherence systems▫Tailored messages for diabetes patients
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2nd Day Breakout Sessions
•Using portable devices (flash drive/smart card) as electronic medical records
•Using mobile/wireless technology to promote behavior change and for prevention
•Creative use of mobile/wireless technology by health workers
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What do providers want?
•Bedside tools•Voice activated tools•Wireless tools
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What changes behavior in the medical profession?•Being more efficient•Being more effective•Involving providers (especially nurses) in
design and implementation•Involving patients in design
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mHealth @ CDC •Health promotion texting pilot program•Text for Baby•DOTs pilot with Danya/Kenya •YouTube Videos•Facebook•Twitter•Email updates, widgets, content
syndication
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2nd Day Highlights•Keas
▫Started by Adam Bosworth (Google Health)▫Online personal care plans
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First Technical Subgroup- Mobile Data Collection Guide
•Popular area of mHealth
•Provide direct and internal advantages
•Control over introduction and use of mHealth
•Especially interviewer-assisted surveys
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Potential Advantages
•Reduced error of data •Reduced loss of data
•Faster data collection
•Reduced cost
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Reduced Error of Data
•Electronic format, automated checks and controls, faster data editing by supervisor
•Internal consistency
•Social desirability bias
•Quantitative versus qualitative
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Reduced Loss of Data
•Reports lost in transfer or storage
•Learning curve?
•Option of paper backup (offset advantages?)
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Faster Data Collection
•Electronic format, transmission speed, skip duplicate data entry, easier data editing
•Faster at which step, for which user?
•Additional training time
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Reduced Costs
•High initial costs: equipment, any programming
•Reduced variable cost: data entry
•Multiple uses to spread costs
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Discuss Mobile Data Collection
•Error, speed, data error and loss
•Resource requirements
•Design considerations
•Useful information sources
•Your M&E colleagues
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Next Steps
•Revise and update Mobile Data Collection Guide
•Provide Guide and sources in online format for review and discussion
•Plan next mHealth areas for next meeting