Funding for this project was provided by the Robert Wood Johnson Foundation and the California Health Care Foundation. Learn more about Ida Sim’s research at UCSF Profiles http://profiles.ucsf.edu/ProfileDetails.aspx?From=SE&Person=5380156

1. Engaging Patients and Clinicians in
mHealth through the OpenmHealth
Platform
Ida
Sim,
MD,
PhD
Co-­‐Founder,
OpenmHealth
Director,
Center
for
Clinical
and
Translational
Informatics
University
of
California
San
Francisco
September
20,
2011

2. mHealth:
“Full
of
sound
and
fury,
signifying
nothing”?
Hype Cycle, Gartner Group

3. Plateau
of
Productivity
• “A
Learning
Healthcare
System
that
is
designed
to
generate
and
apply
the
best
evidence
for
the
collaborative
health
care
choices
of
each
patient
and
provider;
to
drive
the
process
of
discovery
as
a
natural
outgrowth
of
patient
care”
U.S.
Institute
of
Medicine,
Roundtable
Charter

4. Global
Impact
of
Chronic
Disease
WHO | Facts related to Chronic Disease
http://www.who.int/dietphysicalactivity/publications/facts/chronic/en/

5. Global
Cost
of
Chronic
Disease
$47
trillion
by
2030 $14.7
trillion
US
2010
GDP
World Economic Forum, 2011

6. • Almost
1/2
of
American
adults
have
at
least
1
chronic
disease
– obesity
(~1/3)
– heart
disease
and
stroke
– cancer
– diabetes
– arthritis
CDC Chronic Disease Overview
http://www.cdc.gov/chronicdisease/overview/index.htm#ref2

7. Stovepiped
mHealth
• Health
apps
built
independently
– little
data
sharing
and
interoperability
• Resulting
user
experience
is…

9. Siloed
mHealth
Plateau of Diminished Promise

10. Why
open
architecture?

11. Stovepiped
mHealth
• Limits
the
emergent
power
and
potential
of
mHealth

12. Internet
Hourglass
Model
• Standardize
and
make
open
the
“narrow
waist”
• Reduces
duplication,
spurs
community
innovation,
supports
commercial
and
non-­‐
profit
uses

13. OpenmHealth.org
Estrin DE, Sim I. Science; 330: 759-60. 2010.

14. Open
Architecture
for
User
Engagement
• Define,
build,
and
share
modules
of
the
basic
data-­‐related
functions
common
to
engaging
patients
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

16. Tipping
towards
Open
• First
openmHealth
collaborative
pilot
– PTSD
Coach,
with
VA
National
PTSD
Center
• Looking
for
other
pilots
to
drive
key
components
of
shared
architecture,
e.g.,
– gaming
– incentives
• Supporting
best
practices
and
generation
of
best
evidence
• Sensitive
to
needs
of
all
communities

17. 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
for
improving
individual
and
population
health

18. • Ida
Sim
ida.sim@ucsf.edu
• Deborah
Estrin
destrin@cs.ucla.edu
• 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,
…