While there are many cases illustrating how an engaged patient is a great asset to the healthcare ecosystem, one of the most compelling is that of Eric Dishman’s. In his TED talk, Eric shares his personal experience with the inefficient healthcare system. Through his own example he demonstrates how mobile technological tools can help fill in the gaps of the current flawed system. More importantly, he champions the role of a more engaged patient as a way to improve healthcare outcomes.
Patient Engagement is a Focus Across all Stakeholders
Healthcare has long been a paternalistic, hierarchical, doctor-knows-it-all industry. With the advent of the internet, social networks and smartphones this is no longer so. Patients today are much more informed, connected and ready to take an active role in their fitness and well-being. Moreover, in the wake of Affordable Care Act, patients are paying higher deductibles and out-of-pocket payments that further require them to take stock of their own health and wellness. As healthcare transitions from pay-for-service to pay-for-outcomes, providers have to ensure their services are effective and efficient, which necessitates a highly engaged patient. For payers as well patient engagement is pivotal to achieve shared savings under new delivery structures such as the Affordable Care Organizations (ACO) and Patient Centred Medical Homes (PCMH). Given that poor adherence costs US healthcare nearly $290 billion a year, patient engagement has been rightly deemed as the ‘blockbuster drug of the century’.
mHealth to Drive Patient Engagement
Mobile Health (mHealth) has enormous potential (as highlighted in Eric’s example above) to revolutionize healthcare through patient engagement. And as the focus of the healthcare system moves to Meaningful Use Stage 3, the strategic importance of mHealth is all the more pronounced.
Source: Chilmark Research
As highlighted in the figure above, mHealth started with simple data storing and sharing systems moving to sophisticated preventive engagement. The applications include SMS medication reminders, remote medical advice and remote monitoring. A few recent innovations in the patient mHealth space are as follows:
Education and Wellness
- Kurbo Health: Mobile subscription service focused on fighting childhood obesity
- HealthTap: Access to doctors anytime, anywhere to get personalized answers
- Prana: Wearable tracking breath and posture
- Medtep: Targeting disease prevention through monitoring life habits
- Nephosity : Collaborative medical imaging services
- Sano: API for bloodstream (not yet launched)
- ViSi Mobile System: Platform for vital signs monitoring designed to keep clinicians connected to their patients
Diagnostic and Treatment Support
- Cellscope: Smartphone enabled home otoscope
- Lantern: Offers online and mobile coaching programs to support mental health
- Helius: Clinicians, patients and families can use the real-time information about medication-taking, rest and activity to make informed treatment decisions
The use and popularity of above applications attests that mobile technology enables patients to be more informed, collaborative and committed. But integration of IT systems, complex healthcare environment, quantifying the benefits, measuring the ROI, patient stickiness and privacy concerns pose serious barriers to adoption. Given an opportunity to save $290 billion and a case as compelling as Eric’s, can we afford to ignore it?