Health and medical apps will become a significant tool in healthcare, to be used by payers, providers, patients, and consumers. This is a brief general overview of the topic

1. Medical Apps in Clinical Practice
David Lee Scher, MD, FACP, FACC, FHRS
DLS Healthcare Consulting, LLC
Sr Medical Advisor, Happtique
Website: Digitalhealthconsultants.com
Blog: Davidleescher.com
@dlschermd

2. Digital Health Technologies: Superconvergence
into Individualized Medicine
• Wireless sensors
• Genomics
• Information systems
• Mobile connectivity
• Internet/social networking
• Computing power + data universe
Topol, E. The Creative Destruction of Medicine, 2012

3. WHY APPS?

5. Which Mobile Capabilities Patients
Want Their Doctor to Have
• 42%: An app to see their test results.
• 33%: Remote monitoring devices.
• 30%: Access to patient health records via
mobile device.
• 13%: Didn’t think apps would help improve
care at all.
Source: 2012 Ruder Finn mHealth Report

6. Five Pitfalls of Designing a Medical App
• The motivation for the app development is
misguided
• Lack of clinician involvement
• Poor attention to usability
• Not knowing the healthcare landscape
• Not building to regulatory specifications
http://davidleescher.com/2013/01/31/five-pitfalls-of-
designing-a-medical-app/

7. Five Barriers to mHealth Adoption:
Physician Perspective
• Lack of awareness
• Lack of faith in safety, reliability
• Lack of quality apps
• Fear of increased work, workflow disruption
• Lack of reimbursement

8. Barriers to mHealth Adoption:
Patient Perspective
• Reasons for not using them:
– 27%: Didn’t have a need to.
– 26% Preferred in-person communication with
doctor.
– 11%: Privacy concerns.
– 9%: Didn’t find them useful.
– 7%: didn’t know they were available.
Source: Ruder Finn mHealth Report

9. Happtique Moves into app Testing,
Certification
By Joseph Cohen
Posted: February 27, 2013 - 2:15 pm ET

10. Certification Program
CHAIR: David Lee Scher, MD BLUE RIBBON PANEL
Former Cardiologist and
mHealth Authority Set Standards for App Certification
Franklin A. Shaffer, EdD, RN, FAAN APP CERTIFICATION
REVIEW BOARD
Head of the Nursing Advisory
Council
Implement Program and Oversee Reviewers
Shuvo Roy, PhD
Leading biomedical scientist and
researcher NURSE PHYSICIAN OTHER
REVIEWERS REVIEWERS PROVIDER
REVIEWERS
Review Apps
Dave deBronkart
ePatient Dave
Leading Patient Advocate
10

11. Happtique App Certification
• Standards:*
– Safety
– Operability
– Privacy
– Content
*Available for download at Happtique.com

12. Facts About Health Apps*
• 97,000 mHealth applications are listed on 62
full catalog app stores.
• 15% are designed for healthcare professionals
(CME, RPM, healthcare mgt).
• 42% of apps: Paid business model.
• Top 10 mHealth apps generate 4 million free
and 300,000 paid downloads per day
*Research2guidance, 3/13

13. • GENERAL HEALTHCARE AND FITNESS
– 6.1.1. Fitness & nutrition
– 6.1.2. Health tracking tools
– 6.1.3. Managing medical conditions
– 6.1.4. Medical compliance
– 6.1.5. Wellness (traditional and corporate)
• MEDICAL INFORMATION
– 6.2.1. Reference
– 6.2.2. Diagnostic Tools
– 6.2.3. Continuing Medical Education (CME)
– 6.2.4. Alerts and Awareness
• REMOTE MONITORING, COLLABORATION, AND CONSULTATION
– 6.3.1. Remote monitoring (safety)
– 6.3.2. Remote Consultation
– 6.3.3. Remote Collaboration
• HEALTHCARE MANAGEMENT
– 6.4.1. Logistical & payment support
– 6.4.2. Patient health records

15. DYNAMIC CONTENT BASED ON USER TYPE
Pinnacle Apps & Content
My App Formulary
Apps
Documents
Neurology Documents
Videos

16. SECURE PRESCRIBING AT THE POINT OF CARE

18. Back Browse Filter
1 Pediatrics Formulary
Search Apps 3
Amazing Baby
Free
Other Formularies iOS Rating
Clear Prescribe
2 Favorites
mRx Prescription Pad
WebMD Baby
Free
iOS Rating
All Catalogs Prescribe
Patient Name:
Similac Baby Journal
Free
Patient Name:
iOS Rating
Prescribe
Apple Device
Healthy Children
Android Device
Free
iOS Rating
Add an Prescribe
Glucose Item
Buddy Asthmapolis
Free
iOS Rating
Prescribe
Comments:
Shots by STFM
Free
iOS Rating
Prescribe
Clear Carb Counting with Lenny US
Free
Prescribe
iOS Rating
Prescribe
ADHD Tracker 1.0
Free
iOS Rating
Prescribe
PROTOTYPE ONLY

19. Prescription
History Back Patients mRx
Patients Screen Search
Catherine Davidson
Catherine Davidson catherinedavidson1984@gmail.com
!
catherinedavidson1984@gmail.com
AmazingBaby
Prescribed on 12/31/2012
Abby Edwards
abby.p.edwards@gmail.com Clicked to fill on 1/2/2013
! Steven Finch WebMD Baby
finchfam@happtique.com
Prescribed on 1/12/2013
! Not Filled
Timothy Fredrickson Resend
!
tjr49382@hotmail.com
George Gibbs
warshington@gmail.com
! Ron Jaworsky
jaworsky777@aol.com
! James Stuart Korsokov
rimskykorsokov@hootsuite.com
! Seth Manning
other_manning_brother@aol.com
Brenda Perez
bperez1296@gmail.com
Leslie Stephenson
stephensonL@hotmail.com
! Bubba Watson
therealbubba@aol.com
! Brandee Younger
nycharpist@gmail.com
Leslie Stephenson
stephensonL@hotmail.com
Billy Zaks
PROTOTYPE ONLY

25. Challenges
• Need filtered actionable data/alerts
• Full connectivity with EHRs
• Clinical efficacy studies
• ? Reimbursement
• Interoperability among apps and platforms
• Complete, reasonable and appropriate
regulatory requirements

26. QUESTIONS?