mhealth technologies applications that radically change chronic disease management

mHealth technologies: mHealth technologies: Applications can Radically Applications can Radically CChange Chronic hange Chronic

Disease ManagementDisease Management

Mobile technologies hold great promise to transform healthcare organizations by bringing clinical workflow, patient vitals, and

healthcare delivery to the point of care.

Prasanna Vadhana Kannan, Industry AnalystMedical Devices and Imaging

12/6/2012

© 2012 Frost & Sullivan. All rights reserved. This document contains highly confidential information and is the sole property of

Frost & Sullivan. No part of it may be circulated, quoted, copied or otherwise reproduced without the written approval of Frost & Sullivan.

Today’s Presenter

Prasanna Vadhana Kannan,

Industry Analyst

Frost & Sullivan

2

• 5+ years industry expertise in evaluating emerging technology

developments and industry trends in the medical devices; diagnostic

imaging; and biotechnology clusters.

• Has an in-depth understanding of Technology Roadmap and

Applications Landscape Analysis of medical devices & diagnostic

imaging innovations

• Received certification in Innovations Management and graduation in

Industrial Biotechnology

Focus Points

• Mobile health: Geared towards better healthcare management

• Business Accelerators and Challenges

• mHealth applications : Smart healthcare integration

• Emerging Opportunities for mHealth application scenarios

Key Trends and Future Outlook

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• Key Trends and Future Outlook

Poll Question

According to you, what could be the most important issue holding out healthcare practices and clinicians from adopting smartphone-enabled management tools and medical apps?

• Physicians having own perceptions around mHealth technology utilization and adoption

• Concerns revolving around the costs of mHealth tools setup

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• Concerns revolving around the costs of mHealth tools setup

• Healthcare facilities taking reliability of patient health data delivered via mHealth platform as a concern

Backgrounder on Mobile Healthcare Technologies

Why should we start thinking about mobile healthcare solutions?

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Why mobile healthcare solutions?• Myriad constraints are being experienced by healthcare systems of developing nations. These constraints include high

population increase, high burden of disease incidence, limited healthcare workforce, low financial resources to supporthealthcare infrastructure and health information systems.

• Recent rapid growth in mobile communications usage in developing countries to large segments of the healthcare work forceis contributing towards reduction in healthcare costs.

• The adoption of mobile healthcare technologies speedens up the process of delivering healthcare information and outcomes.More advanced mobile phone technologies are enabling the prospects for further healthcare delivery.

Picture Credits: Multi-Tech Systems Inc. (Minneapolis)

Through usage of mobile phone or personal digital assistant(PDA)

servers :

• Patients have immense possibilities for adequate recordings of

biomedical signals at home that includes: Glucose analysis, Respiratory

parameters, Blood pressure measurements, and

electrocardiogram(ECG) recordings.

• The measuring equipment being mobile facilitates the biomedical

recordings to be stored as a fragment of the electronic health record(EHR)

in a database.

• Many mobile medical devices are now connected to medical

Through usage of mobile phone or personal digital assistant(PDA)

servers :

• Patients have immense possibilities for adequate recordings of

biomedical signals at home that includes: Glucose analysis, Respiratory

parameters, Blood pressure measurements, and

electrocardiogram(ECG) recordings.

• The measuring equipment being mobile facilitates the biomedical

recordings to be stored as a fragment of the electronic health record(EHR)

in a database.


Mobile health: Geared towards better healthcare management

6


information technology networks and information technology(IT) networks

are these days remotely accessible through the medical devices--This

stands out as a desirable developmental trend.

• The storage capacity, faster computing speeds, ease of use, and

portability render mobile devices an optimal solution in terms of diagnosis

and monitoring of chronic conditions.

• With mobility being discussed as a prominent theme and a top

takeaway from health IT conference (HIMSS12’), many vendors are

focused upon an iPhone or an iPad app. design and healthcare providers

are realizing the need to manage the ‘BYOD’ (bring your own device)

trend in hospital settings.


information technology networks and information technology(IT) networks

are these days remotely accessible through the medical devices--This

stands out as a desirable developmental trend.

• The storage capacity, faster computing speeds, ease of use, and

portability render mobile devices an optimal solution in terms of diagnosis

and monitoring of chronic conditions.

• With mobility being discussed as a prominent theme and a top

takeaway from health IT conference (HIMSS12’), many vendors are

focused upon an iPhone or an iPad app. design and healthcare providers

are realizing the need to manage the ‘BYOD’ (bring your own device)

trend in hospital settings.

BodyMedia FIT system on-body monitoring systemPicture Source: BodyMedia Inc.(Pittsburgh, PA)

Measurement of Data

Measurement attributes used include blood glucose meters, Holter Monitors, scales.

Monitoring of information:

Monitoring attributes include telehealth systems, tele-monitoring units.

Knowledge Management:

Management attributes include time-based analysis, patient behavior change, clinical decision support tools, predictive analysis, closed loop ROI analysis.

Chronic Disease Management:Transitioning beyond just “Data”

7

Picture Credits: WaveSense diabetes manager, AgaMatrix Inc.

Picture Credits: Complete Telehealth + Telecare solution, Numera

Business Accelerators

Widespread end user adoptionIncreased

acceptance of mHealth solutions by

Government influence in

uptake of mHealth solutions is high

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mHealth solutions by physicians

Source: Frost & Sullivan.

Business Challenges

Data security poses challenge

Lack of trained healthcare-IT staff to

support mHealth systems

Competing health system

priorities

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priorities

Informational mobile health solutions----Sustainable ImpactPenetration Rate---MatureVitality GlowCaps; Great Call Medication Reminder Service; Vitaphone,Medicall phone consultation

Mobile data collection tools for mapping incidences and diseasesurveillance--Moderate impactPenetration Rate---MatureEpisurveyor; ChildCount+; mDHIL tool

mHealth

mHealth Applications: Smart Healthcare Integration

Source: VITALITY Inc.

Cambridge, MA

10

Mobile networks for management of long-term conditions—Huge ImpactPenetration Rate---EmergingAGNITY Healthcare; WellDoc Inc.; Numerex Corporation

mHealth apps. for well being and remote monitoring applications—Huge ImpactPenetration Rate: Is Touted as Future of chronic disease management

AgaMatrix Inc.; SHL telemedicine Limited; Asthma Signals Inc.

mHealth Expands to more than healthcare on Mobile Phone

Mobile Remote Monitoring capabilities Picture Credits: Groupe Speciale Mobile Association(GSMA) London, UK

Source: DataDyne

Source: Numerex

Corporation(Atlanta, GA)

Emerging Opportunities for mHealth Application Scenarios

DairyProducts

Anti-Ageingand BeautyTreatments

• Surveillance and data-collection platforms

• Disease surveillance projects reporting outbreaks

• Mobile device-based EHealth

records

• Personalized fitness support apps.

• Drug safety and

• Hospital appointment booking

reference• Open source software platform for

patient management & diagnostic tools

• Mobile enhanced RFID-based

tracking of drugs

• Mobile broadband network-based screening

• Mobile video consultations

Public Health

Research

Healthcare system

Efficiencyservices

11


Bakery Products

and Confection-

ary

BeveragesProcessed

Foods

Animal Feed

• Wireless devices as personal emergency response systems(mPERS

• Wireless fall prevention devices and geriatric support

Self-management of diabetes, cardiovascular, and asthma conditions• Mobile phone-based

calendars for improved

medication adherence

• Drug safety and healthy eating awareness mobile apps.

• Mobile access to medical databases

consultations• SMS-based data

review and diagnosis Primary Diagnosis of Medical Conditions

EmergencyResponse

Long-TermDisease

Management Solutions

Wellness Informational

tools

• The growing coverage of mobile networks and the increasing number of active subscribers emerges to be a major drivingforce for mHealth interventions and the plethora of applications continues to increase in diversity with new innovations.

• Significant advancements in mobile phone technologies are enabling prospects for improved healthcare delivery, which inturn speedens up the process of delivering healthcare information and outcomes.

• Automated real-time blood glucose recording and diabetes management through mobile phones and software networks is anactive area of research these days. Clinical findings revealed till date pinpoint towards mobile diabetes management systemsas the highest growth potential sector presently and for the next four years.

• Amongst the most promising mobile diabetes intervention systems designed, Telcare Inc.’ cellular-enabled blood glucose

meter; AgaMatrix Inc.’ WaveSense diabetes manager; and WellDoc Inc. Diabetes Management platform are noteworthy to

Mobile Diabetes Management

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meter; AgaMatrix Inc.’ WaveSense diabetes manager; and WellDoc Inc. Diabetes Management platform are noteworthy to

mention.

WellDoc Diabetes Manager system

Picture Credits:

WellDoc Inc. (Baltimore, Maryland)

• MHealth (Mobile health) is an exciting area of opportunity for healthcare growth and will provide innovative solutions for

stakeholders, both providers and patients alike, across the spectrum.

• With complexity increasing in chronic disease management on a daily basis, solutions which can improve outpatient careare becoming vital components of healthcare delivery. Mobile cardiac management is one area in which newer productofferings can make a true difference in the strengthening efforts geared towards public health surveillance with respect tocardiac diseases incidence worldwide.

• Mobile cardiac monitoring solutions involving wireless cardiac telemetry systems targeting arrhythmic events and mobileelectrocardiogram recorders(ECGs) have been demonstrated to significantly improve patient outcomes as a result ofchanges in patient management.

• Prominent players working towards bringing forward mobile cardiac monitoring tools as a valuable diagnostic tool ensuring

Mobile Cardiac Management

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• Prominent players working towards bringing forward mobile cardiac monitoring tools as a valuable diagnostic tool ensuringpatient safety includes: AliveCor Inc.’ mobile ECG; SHL Telemedicine’ Smartheart technology; Aventyn Inc.’ Vitalbeat patientmonitoring system, to name a few…

NUVANT cardiac telemetry system

Picture Credits:

Corventis. Inc. (San Jose, CA)

• Smartphone mobile applications that will allow people with asthma, their family, caregivers, and physicians to accuratelyand effortlessly manage their breathing distress symptoms is increasingly preferred. Mobile acoustic respiratorymonitoring platforms that use mobile sensors and signal processing software to monitor changes in lung function andtreatment response are sought-after platforms for ongoing asthma monitoring needs.

• Wireless sensors attached to the inhalers, mobile applications, advanced analytics and feedback, all are observed to aidin achieving improved collection and interpretation of large amounts of patient data.

• Key mobile asthma interventions that can remotely monitor asthma symptoms and improve adherence with controllermedications are listed herewith: iSonea Limited’ AsthmaSense app. for smartphone users; Asthmapolis Inc.’ mobilesensor and mobile app. ; AsthmaWin’ digital mobile application for day-to-day management.

Mobile Asthma Management

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Asthmapolis sensor

Picture Credits:

Asthmapolis Inc. (Palo Alto, California)

Poll Question

Which of the following mHealth applications holds a bright potential for improved patient care?

• Intelligent medication adherence support tools

• Health and fitness-related smart phone apps

• Sensors as peripherals for smartphones, which enable personalized

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• Sensors as peripherals for smartphones, which enable personalized disease monitoring

Key Trends and Future Outlook

• Existing mHealth applications have shown that the

combined use of a mobile network and connected

device can greatly extend the reachability of

healthcare platforms, and the potential for further

development is huge.

• The development of low-cost sensors as peripherals

for smartphones is actively being pursued as it allows

improved diagnosis outcomes to be achieved closer to

the patient without the need for commuting to imaging

center.

• In the event of outbreaks of infectious diseases,

• Existing mHealth applications have shown that the

combined use of a mobile network and connected

device can greatly extend the reachability of

healthcare platforms, and the potential for further

development is huge.

• The development of low-cost sensors as peripherals

for smartphones is actively being pursued as it allows

improved diagnosis outcomes to be achieved closer to

the patient without the need for commuting to imaging

center.


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Source: Frost & Sullivan analysis.Mobile communications at the heart of hospital transformation

Picture Credits: Livewire Limited(Cambridge, UK)


mobile monitoring tools can enable patients to receive

due medical assistance without the need to travel.

• Within the next three to four years, remote diagnosis

could begin to encompass prescription delivery on the

basis of remote consultation. Scope to employ SMS-

based review and authentication of prescriptions is

promising.

• Healthcare data collated from remote diagnosis can

be combined with data interpreted from physician’

office consultation to augment epidemiological

research findings.


mobile monitoring tools can enable patients to receive

due medical assistance without the need to travel.

• Within the next three to four years, remote diagnosis

could begin to encompass prescription delivery on the

basis of remote consultation. Scope to employ SMS-

based review and authentication of prescriptions is

promising.

• Healthcare data collated from remote diagnosis can

be combined with data interpreted from physician’

office consultation to augment epidemiological

research findings.

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For Additional Information

Britni Myers

Corporate Communications

Healthcare

(210) 477-8481

[email protected]

Prasanna Vadhana Kannan

Industry Analyst

Medical Devices and Imaging

Technical Insights

(404) 697-2628

[email protected]

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Pramodh Ishwarakrishnan

Research Manager

Medical Devices and Imaging

Technical Insights

91-44-66814135

[email protected]

mhealth technologies applications that radically change chronic disease management

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