open mhealth: engaging patients and clinicians in
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Engaging Patients and Clinicians inmHealth through the OpenmHealth
PlatformIda Sim, MD, PhD
Co-‐Founder, OpenmHealthDirector, Center for Clinical and Translational Informatics
University of California San FranciscoSeptember 20, 2011
mHealth: “Full of sound andfury, signifying nothing”?
Hype Cycle, Gartner Group
Plateau of Productivity
• “A Learning Healthcare System that isdesigned to generate and apply the bestevidence for the collaborative health carechoices of each patient and provider; todrive the process of discovery as a naturaloutgrowth of patient care”
U.S. Institute of Medicine, Roundtable Charter
Global Impact of Chronic Disease
WHO | Facts related to Chronic Diseasehttp://www.who.int/dietphysicalactivity/publications/facts/chronic/en/
Global Cost of Chronic Disease
$47 trillionby 2030 $14.7 trillion
US 2010 GDP
World Economic Forum, 2011
CDC Chronic Disease Overviewhttp://www.cdc.gov/chronicdisease/overview/index.htm#ref2
• Almost 1/2 ofAmerican adults haveat least 1 chronicdisease– obesity (~1/3)– heart disease and
stroke– cancer– diabetes– arthritis
StovepipedmHealth
• Health apps builtindependently– little data sharingandinteroperability
• Resulting userexperience is…
Plateau of Diminished Promise
Siloed mHealth
Why open architecture?
StovepipedmHealth
• Limits the emergentpower and potentialof mHealth
Internet Hourglass Model
• Standardize andmake open the“narrow waist”
• Reduces duplication,spurs communityinnovation, supportscommercial and non-‐profit uses
OpenmHealth.org
Estrin DE, Sim I. Science; 330: 759-60. 2010.
Open Architecture forUser Engagement
• Define, build, and share modules of the basicdata-‐related functions common to engagingpatients and clinicians– data trending (e.g., is weight really down?)– signal detection (e.g, asthma exacerbation?)– inferencing (e.g, activity = walk,run,bike,car…?)– data visualization (e.g., stock infographics)
• Exploring user interaction, incentives, gaming
Tipping towards Open
• First openmHealth collaborative pilot– PTSD Coach, with VA National PTSD Center
• Looking for other pilots to drive key componentsof shared architecture, e.g.,– gaming– incentives
• Supporting best practices and generation of bestevidence
• Sensitive to needs of all communities
Goal for mHealth Ecosystem• Becomes a learning community enabled by an open
architecture, to more effectively innovate, share,and deploy best technology and best practices forimproving individual and population health
• Ida Sim [email protected]• Deborah Estrin [email protected]• http://openmhealth.org/
– a project of the Tides Center (www.tides.org)
• Funding– Robert Wood Johnson Foundation– California Health Care Foundation
• Collaborators– MIT, Columbia, CMU, Northwestern, Google,
Microsoft HealthVault, Curious, …