Presentation at the Florida Society of Health-System Pharmacists 45th Annual Meeting in Orlando, FL

1. PHARMACY
Is there an app for you?
Kevin A. Clauson, PharmD

2. Objectives
• Define basic terminology for mobile health
(mHealth) and applications (apps)
• Review highest utility mobile phone apps
for pharmacy
• Discuss apps that can be used with or
recommended for patients

3. mHealth is the
use of mobile
devices and
global networks
to deliver health
services and
information

4. Access to
web-based
resources
How SmartPhones Are Changing Healthcare
for Consumers and Providers 2010

6. Remote Monitoring

7. International Journal of Electronic Healthcare 2007;3(3):303-16.

8. mHealth
Security &
Privacy

9. JAMA 2009;302(11):1159-60.
Honk if you love Jesus
if you’re ready
Text to meet Him!

10. JAMA 2009;302(11):1159-60.
Texting increases crash risk
by 23.2 times!

12. What is the
difference
between a
“feature phone”
and a…

13. ”smartphone”

14. mHealth Devices
o iPhone
o Android
o Blackberry
o Windows
o iPad/TabletPC
o USB
o Fitbit
o Etc.

15. Smartphone OS Share
2% 3%
9%
38% Android
iPhone
21% BlackBerry
Windows
HP webOS
Other
27%
Source: Nielsen Mobile Insights 2011

16. Applications (apps)
Native app Web app
Device-specific Software in browser-
software designed rendered language
to run on its (i.e., surfing the web
OS/firmware (e.g., from your phone);
download Angry needs internet
Birds from App connectivity to work
Store onto iPhone)
“App” voted 2010 Word of the Year (ADA)

17. Pharmacy Apps
Drug References

18. • Epocrates Rx
(FREE)
• Pro ($99)
• Essentials ($199)
• Available for all
platforms below

20. Pharmacotherapy 2007 ;27(12):1651-8.

21. Lexi-Comp*
• Lexi-Drugs ($75)
• Clinical Suite
($175)
• Complete ($285)
*all prices for one-year subscription

22. iPad
Interface

23. • Full drug, dx
state & protocol
suite
• Linked CME/CE
• FREE

25. • No native app for
HP webOS (e.g.,
TouchPad)
• Web app is eMed
• App is actually
optimized browser
for Medscape
content
• Needs internet
connection to use!

26. • Micromedex Drug
Information
– Native app only for iOS
(Apple) [FREE]
• Web browsing/install
for other platforms
– Clinical Xpert
– mobileMicromedex
– Micromedex Mobile 2.0
• FREE for institutional
subscribers (& DI/iOS)

28. Clinical
Pharmacology
No native app for
any platform/OS
Web browsing ONLY via login

29. Pharmacy Apps
Calculators

30. • MedCalc (FREE)
• MedCalc Pro
($4.99)
• Over 200
formulas/scores
• Support for
English, Spanish,
French, and
German

35. Pharmacy Apps
A Few Words
about EHRs
and PHRs…

38. Pharmacy Apps
Professional &
Productivity

41. • All questions
structured to
elicit yes/no OR
numerical
answers
• Spanish, Haitian
Creole, Chinese
(Cantonese/
Mandarin)
• FREE

48. Skype & oovoo

49. • (Digital)
peripheral brain
• Articles, web
clipping, photos,
images, etc.
• FREE

50. Pharmacy Apps
Patient-targeted

51. 82% of
American
adults owns a
cell phone*
Owns
*Range: 57% (65+) to 90% (18-29) Does not own
Pew Cell Phones and American Adults 2010

52. Pew Internet Mobile Access 2010
87% of blacks
and Hispanics
own a cell phone*
*Compared to 80% of whites

53. Pew Internet Mobile Access 2010
Hispanics use
their phone to go
online and to text
more frequently
than any other
group*
*English-speaking Hispanics

54. Consumers want to use health apps
To keep track of
health information 48.5
To help manage
58.4
disease or drug
To gain information 91.1
0 20 40 60 80 100
Percent
Source: Consumer Health Information Corporation, April 2011 (n=395)

55. Consumers would most prefer to
receive a medication reminder via:
Phone call 1.3
Buzzing drug 2.5
vial
Email 15.2
Phone alarm 19.5
App 20.3
Text 41.1
message/SMS
0 20 40 60 80 100
Percent
Source: Consumer Health Information Corporation, April 2011 (n=395)

60. Local
Flavor

62. Text BABY to 511411
Envia BEBE al 511411
para Español
Florida Department of Health
www.text4baby.org

66. Recommended
Resources
 iMedical Apps.com
 MobiHealthNews.com
 Medgadget.com
 Palmdoc.net
 MedicalSmartphones.com

67. Summary Points
• mHealth may help extend pharmacy
services, drive change to the practice
model, and reach underserved populations
• Many opportunities for pharmacy exist in
mHealth, but we have to seek them out
• Apps offer a low entry point for clinical
utility and a way to engage with patients

68. Images
• http://www.mhealthalliance.org • http://www.mobirolla.com/wp-
content/uploads/Windows-Phone-7.png
• http://vimeo.com/12175855
• http://www.vidagranola.com/wp-
• http://www.nuance.com content/uploads/2010/03/fitbit.gif
• http://www.montesheraldblog.com/jitter • http://cowbgonaca.blogspot.com/2011/06
bug_senior_citizen_cell_phone.jpg /wallpaper-for-android-mobile.html
• http://hipsterjew.com/files/2010/07/eins • http://www.mac-wallpapers.com/Apple-
tein_ipod.jpg Wallpapers/white-apple-logo-wallpaper/
• http://www.quickpwn.com/2010/06/ipho • http://www.laptopsteria.com/wp-
ne-4.html content/uploads/2011/06/blackberry-
logo.jpg
• http://bit.ly/mRZIki
• http://cdn.pocketnow.com/html/portal/n
ews/0000015324/incredible-s-screen.jpg
• http://www.onestopwebmasters.com/wp-
content/uploads/2011/04/hp-logo.jpg
• http://www.atakos.com/wp-
content/uploads/2011/04/Blackberry-
8800.jpg
• http://www.epocrates.com

69. Images
• http://medcalc.medserver.be/ • http://www.imedicalapps.com/2011/0
3/blackberry-medical-apps-epocrates-
• http://medcalc.medserver.be/profeatures. essentials-app-review/
html
• http://itunes.apple.com/us/app/lexico
• http://www.applecorelabs.com/products/ mp/id313401238?mt=8
RxCalc/
• http://www.appdiscover.com/iphone/
• http://www.slideshare.net/JFahrni/how- medical/313401238-lexicomp-app/
rounds-reports-and-mobile-computing-
support-the-role-of-the-clinical- • http://www.medscape.com/
pharmacist
• http://twitter.com/#!/mobilehealth/statu • https://market.android.com/details?id
s/77747332367646721 =com.medscape.android&featur
• https://market.android.com/details?id=c • http://palmdoc.net/images/emed_201
om.bim.pubmed&feature=search_result 1-02-05_194939.png
• http://www.pharmacytimes.com/mobile • http://www.micromedex.com/2/mobil
e.html
• http://www.medibabble.com • http://www.goldstandard.com/pages/C
PM-AboutCPM.html

70. Images
• http://www.jeancoutu.com • http://www.greatcall.com/AppStore/ipho
ne-apps.aspx
• http://itunes.apple.com/us/app/ashp-
mobile-midyear- • http://www.diabetesmine.com/wp-
2010/id405949252?mt=8 content/uploads/2010/09/ibgstar-
strip.png
• http://pharmacistsociety.skipta.com/p
ublic/images/1page_img1.jpg • http://www.diabetesmine.com/wp-
content/uploads/2010/09/iphone-
• http://www.pharmqd.com/ ibgstar.png
• http://www.shownearby.com/press/log • http://itunes.apple.com/us/app/tapcloud
/id424174431?mt=8
os/
• http://www.pharma.bayer.com/scripts/pa
• http://www.skype.com ges/en/news_room/news_room/news_ro
om97.php
• http://www.oovoo.com • http://www3.bcbsfl.com/wps/portal/bcbs
fl/links/mobile
• http://www.evernote.com • http://www.doh.state.fl.us/family/mch/te
xt4baby/text4baby.html
• http://itunes.apple.com/us/app/seaworld
-orlando-gps-map/id339963201?mt=8
• http://www.sensei.com/
• http://hopephones.org
• http://www.slideshare.net/about/logos

71. Expanded slide deck can be found at:
www.slideshare.net/kclauson

72. clauson@nova.edu www.unhub.com/kevinclauson