mark_smith - University of Auckland

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Transcript mark_smith - University of Auckland

About us
Healthphone Solutions Limited is a global provider of software for
the community and population health industries
Founded in 2004 in Auckland, NZ – Global HQ in Seattle
Teams in Australia, Canada, NZ, UK, USA and Singapore
Healthphone software is delivered as Software-as-a-Service
through major global and regional partners
Healthphone’s integrated solutions platform is designed to improve
outcomes for people with chronic conditions – especially those
involving behavior modification
Healthphone’s goal is to become the platform standard for
personal health management, chronic disease management and
long term condition management worldwide
What is HME-STOMP?
HME-STOMP is a second-generation
SMS-based smoking cessation program
built on the Healthphone Messaging
Engine
STOMP is clinically proven:
– Random-controlled trial of 1,705 New
Zealand smokers over age of 15 years
conducted by the Clinical Trials Research
Unit at The University of Auckland, New
Zealand
– Clinical trials showed a two-fold increase
in self reported quit rates at 6 months
(28% vs 13%) with results consistent
across age, income, sex, and
geographical location
What does STOMP do?
Personalized smoking cessation service
– Creates a text message based program for
a participant based on their demographic
and smoking cessation information
– Automatically sends smoking cessation
messages to participants
– Automatically processes and sends
responses to text messages received from
participants
Text messages processed and responded
to as part of the core STOMP Program :
– Join
– Opt-In
– Slip Up
– Crave
– Relapse
– Opt-Out
What Does HME do?
HME is Healthphone’s Messaging Engine that supports Clinical
Interventions and Programs:
– Interactive SMS/Text messaging
– Participant Management
– Message Scheduling
– Multi Lingual
– Time Zone Aware
– Blackout
– Demographic Tags
–
–
–
–
Ad Hoc Messaging
Able to incorporate external Program content
Admin reporting and analytics
Benchmark data for research
Roadmap Programs and Interventions include:
–
–
–
–
–
Depression/Anxiety
Diabetes Management
Fitness/Nutrition
Medications Management
Obesity/Weight Management
The Portals
STOMP Administration Portal:
– Participant Management
– Program Management
–
–
–
–
–
Text Message Content
Website User Management
Demographic Tags
Polls
Ad Hoc Messages
– Reports
STOMP Participant Portal:
– Self -Enrollment
– Profile Management
– Program Management
– Linked to your website
Why is it important? – Key influences
Public Health Impact
=
Efficacy x Reach
Smoking is the number
one preventable cause
of premature death
~80% of the world's
population had mobile
phone coverage as of
2006. ~90% estimated
by 2010.
100 million smoking
deaths in the 20th
Century
More than 85% of
young New Zealand
adults now have a
mobile phone
Smoking typically
begins in adolescence
STOMP showed twofold increase in reported
quit rates
~70% of smokers want
to quit
Healthphone – Enabling Productive Interactions
Clinical Interactions
Consumer Interactions
Acute Care
HIS
Community Care
Public / Health
CCMS
Primary Care
EMR
Patient and/or Caregiver Interactions
Wagner EH. Chronic disease
management: What will it take to
improve care for chronic illness?
Effective Clinical Practice.
1998;1(1):2-4
High Level Processes
Referral
Assessment
Admission
Measurements
& Results (e.g.
lab orders)
Multi
Disciplinary
care plan
Education &
Consumer
interaction
Remote
(home based)
monitoring
Exception
Management
Supporting Chronic Disease Management
Referral
Assessment
Admission
Measurements
& Results (e.g.
lab orders)
Multi
Disciplinary
care plan
Education &
Consumer
interaction
Remote
(home based)
monitoring
Exception
Management
Patient Education and consumer
interaction via Patient Portal
(www) or intelligent SMS
messaging
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High-Level Architecture (Now)
HME-STOMP - Stand-Alone
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HME (Future)
Healthphone Platform - Vision
13
Supporting Assessments at point of care
Referral
Assessment
Customer configurable assessments using
CCMS (via desktop www) or on-line or
store/forward off-line PDA.
Including specialized Wound Management
mobile assessment
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Admission
Measurements
& Results (e.g.
lab orders)
Supporting Care Planning & Delivery
Create Protocolised (configurable)
care Plans for each patient.
Assign track and update tasks to
internal staff, external
specialists and directly to the
patent and their familiies.
Track via www, PDA (real time or
offline store/forward) or via
patient portal
Multi
Disciplinary
care plan
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Education &
Consumer
interaction
Remote
(home based)
monitoring
Exception
Management
PDA Clinical Note 2.2.0
PDA My Tasks 2.2.2
Conclusion
We see mobility and mobile devices as having increasing utility in
the healthcare sector
User interface considerations range from ….
– creating/ factoring text content into usable chunks (160 characters)
– creating MMS and downloadable content for mobile devices
– Creating WAP Sites optimised for mobile viewing
– Developing downloadable apps across a range of mobile platforms (Symbian,
Android, Windows Mobile, RIM etc)
– Optimising UI components for healthcare specific requirements
– Optimising mobile UI to allow better patient interaction (eg traumatic brain
injury)