mHealth technologies: Applications can Radically Change Chronic Disease 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 Analyst Medical 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.

Todays Presenter

Prasanna Vadhana Kannan, Industry Analyst Frost & Sullivan

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
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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

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

Why should we start thinking about mobile healthcare solutions?

Backgrounder on Mobile Healthcare Technologies

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

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 support healthcare infrastructure and health information systems. Recent rapid growth in mobile communications usage in developing countries to large segments of the healthcare work force is 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.
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Mobile health: Geared towards better healthcare management

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

Chronic Disease Management:Transitioning beyond just Data

Knowledge Management: Monitoring of information: Monitoring attributes include telehealth systems, telemonitoring units. Management attributes include time-based analysis, patient behavior change, clinical decision support tools, predictive analysis, closed loop ROI analysis.

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

Picture Credits: Complete Telehealth + Telecare solution, Numera

Picture Credits: WaveSense diabetes manager, AgaMatrix Inc.

Business Accelerators
Government influence in uptake of mHealth solutions is high

Increased acceptance of mHealth solutions by physicians

Widespread end user adoption

Source: Frost & Sullivan.

Business Challenges

Data security poses challenge

Lack of trained healthcare-IT staff to support mHealth systems

Competing health system priorities

Source: Frost & Sullivan.

mHealth Applications: Smart Healthcare Integration

Informational mobile health solutions----Sustainable Impact Penetration Rate---Mature Vitality GlowCaps; Great Call Medication Reminder Service; Vitaphone, Medicall phone consultation Mobile data collection tools for mapping incidences and disease surveillance--Moderate impact Penetration Rate---Mature Episurveyor; ChildCount+; mDHIL tool

Source: VITALITY Inc. Cambridge, MA

mHealth Expands to more than healthcare on Mobile Phone

Mobile networks for management of long-term conditionsHuge Impact Penetration Rate---Emerging AGNITY Healthcare; WellDoc Inc.; Numerex Corporation

Source: DataDyne

mHealth apps. for well being and remote monitoring applicationsHuge Impact Penetration Rate: Is Touted as Future of chronic disease management

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

Mobile Remote Monitoring capabilities

Source: Numerex Corporation(Atlanta, GA)

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

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Emerging Opportunities for mHealth Application Scenarios

Surveillance and datacollection platforms Disease surveillance projects reporting outbreaks Mobile device-based EHealth records Mobile broadband network-based screening Mobile video consultations SMS-based data review and diagnosis Hospital appointment booking reference Open source software platform for patient management & diagnostic tools Mobile enhanced RFID-based tracking of drugs

Public Anti-Ageing Health and Beauty Research Treatments

Healthcare Dairy system Products Efficiency services

Primary Diagnosis Animal Feed of Medical Conditions

Bakery Wellness Products Informational and tools Confectionary

Personalized fitness support apps. Drug safety and healthy eating awareness mobile apps. Mobile access to medical databases

Wireless devices as personal emergency response systems(mPERS Wireless fall prevention devices and geriatric support
Source: Frost & Sullivan.

Emergency Processed Response Foods

Long-Term Disease Beverages Management Solutions

Self-management of diabetes, cardiovascular, and asthma conditions Mobile phone-based calendars for improved medication adherence
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Mobile Diabetes Management

The growing coverage of mobile networks and the increasing number of active subscribers emerges to be a major driving force 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 in turn 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 an active area of research these days. Clinical findings revealed till date pinpoint towards mobile diabetes management systems as 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 mention.

WellDoc Diabetes Manager system Picture Credits: WellDoc Inc. (Baltimore, Maryland)

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Mobile Cardiac Management

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 care are becoming vital components of healthcare delivery. Mobile cardiac management is one area in which newer product offerings can make a true difference in the strengthening efforts geared towards public health surveillance with respect to cardiac diseases incidence worldwide. Mobile cardiac monitoring solutions involving wireless cardiac telemetry systems targeting arrhythmic events and mobile electrocardiogram recorders(ECGs) have been demonstrated to significantly improve patient outcomes as a result of changes in patient management. Prominent players working towards bringing forward mobile cardiac monitoring tools as a valuable diagnostic tool ensuring patient safety includes: AliveCor Inc. mobile ECG; SHL Telemedicine Smartheart technology; Aventyn Inc. Vitalbeat patient monitoring system, to name a few

NUVANT cardiac telemetry system Picture Credits: Corventis. Inc. (San Jose, CA)

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Mobile Asthma Management

Smartphone mobile applications that will allow people with asthma, their family, caregivers, and physicians to accurately and effortlessly manage their breathing distress symptoms is increasingly preferred. Mobile acoustic respiratory monitoring platforms that use mobile sensors and signal processing software to monitor changes in lung function and treatment 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 aid in 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 controller medications are listed herewith: iSonea Limited AsthmaSense app. for smartphone users; Asthmapolis Inc. mobile sensor and mobile app. ; AsthmaWin digital mobile application for day-to-day management.

Asthmapolis sensor Picture Credits: Asthmapolis Inc. (Palo Alto, California)

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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 disease monitoring

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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, 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 SMSbased 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 communications at the heart of hospital transformation Picture Credits: Livewire Limited(Cambridge, UK)

Source: Frost & Sullivan analysis.

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For Additional Information

Britni Myers Corporate Communications Healthcare (210) 477-8481 Britni.myers@frost.com

Prasanna Vadhana Kannan Industry Analyst Medical Devices and Imaging Technical Insights (404) 697-2628 prasannavk@frost.com

Pramodh Ishwarakrishnan Research Manager Medical Devices and Imaging Technical Insights 91-44-66814135 pramodhi@frost.com

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