On Saturday the 24th September 2016 at University College Cork the annual Street Medicine Symposium will meet to share information and best practice on Health and Homelessness. The meeting is being organised by the Adult Homeless Integrated Service, HSE South in partnership with the Department of General Practice and GP Vocational Training Scheme, UCC and The Partnership for Health Equity.
There will be plenty of opportunities to interact and connect with ‘Street Medicine’ colleagues from around Ireland and further afield, confirmed speakers include:
My talk will discuss the opportunities to take a Mobile First approach to help meet the complex challenges of homelessness. It will only be a short session but will introduce the 1 hour online CPD accredited HISI course I’ll be launching at the event titled “mHealth: Helping meet the challenges of Homelessness”.
Key points I’ll be looking to introduce/cover include:
> Why we should think ‘Mobile First’ when designing services to serve homeless populations.
> How mobile can help encourage inclusion and ensure homeless populations stay connected and aren’t left behind.
> How Mobile connectivity can help bridge language barriers and create independence and wealth.
> Mobile Communities and Addiction Treatment programs.
> The opportunity Mobile provides us with to serve immigrant Patients.
> The Mobile opportunities for Mobile Fundraising and Awareness.
> mHealth success stories from around the world.
If you have any ideas or suggestions for my please share them in the comments below and I’ll try to add them.
To register for the meeting click here (this event is CPD accredited).
Unfortunately the call for papers closed in July but if you would like to get involved in the event with sponsorship or a booth etc you can contact the organising team on firstname.lastname@example.org
*** UPDATE 23 August 2016: A background reading list ***
Some great shares by Claudia Pagliari kick off a recommended reading list:
CNET: Homeless, not phoneless: The app saving society’s forgotten tech users If you became homeless, would you keep your smartphone? One app offers life-saving guidance, in the recognition that someone might not have a bed but likely still has a phone.
U.S. Minority Homeless Youth’s Access to and Use of Mobile Phones: Implications for mHealth Intervention Design.
Journal of Substance Abuse: Factors Associated With Patterns of Mobile Technology Use Among Persons Who Inject Drugs
Journal of Health Communications: Perceptions, Attitudes, and Experience Regarding mHealth Among Homeless Persons in New York City Shelters.
A fascinating MASSDevice article reports on an interview with Apple CEO Tim Cook.
“CEO Tim Cook says that the healthcare market’s potential could dwarf the smartphone market that accounts for some 65% of Apple’s $234 billion in annual revenues”
Okay so we’ve heard Tim Cook’s enthusiasm for mHealth before (eg. does Tim Cook have plans to define this decade by making iPhone synonymous with mHealth, Neelie Kroes interviews Tim Cook at Startup Fest Europe, etc) but I think this is very important because it means everyone in the mobile industry now knows that the market leader is having another transition just as it did with the launch of the iPhone (a device that had a potential market that we know completely dwarfed the huge revenues that the company had been generating from the iPod and iTunes markets).
“The consumer electronics giant – which is rumored to be developing a stand-alone device to monitor heart rate, pulse, blood and sugar changes – has a significant advantage over medical device and drug manufacturers, Cook told FastCompany.com”
To me this rumour is nonsensical and illustrates a fundamental misunderstanding of what how digital technologies converge (as Tomi Ahonen explains when they converge they converge to Mobile). Why would Apple want to make a stand alone device that didn’t double as an iPhone 7/8/9 that society already wants to carry? Why wouldn’t Apple want to utilise every last drop of the market leading trust it has established in the iPhone brand to help differentiate it’s mHealth device from all the me-too rivals that will be hot on its tails as it starts generating $Billions in profits from this new and largely untapped $Trillion market?
““When you look at most of the solutions, whether it’s devices, or things coming up out of Big Pharma, first and foremost, they are done to get the reimbursement [from an insurance provider]. Not thinking about what helps the patient. So if you don’t care about reimbursement, which we have the privilege of doing, that may even make the smartphone market look small,” he told the website”
It stuns me that so many VC backed disruptive ‘digital health’ startups think the objective is to prioritise the needs of insurers when it’s even clear to economists that this focus isn’t even in the short term interest of insurance companies. To help illustrate the point that talk is cheap consider that the International Diabetes Federation CEO called for mHealth to become an embedded compulsory part of how we provide quality care for diabetics 2 years ago at a BUPA mHealth event on the top of a London skyscraper and the organisation with 32 million customers still doesn’t provide mobile embedded glucometers to it’s Patients in 2016!
PS. This is something we try and help clients do in the consulting work we offer eg. the BornMobile Generation wouldn’t even begin to think about reimbursement when designing a healthcare experience.
““We’ve gotten into the health arena and we started looking at wellness, that took us to pulling a string to thinking about research, pulling that string a little further took us to some patient-care stuff, and that pulled a string that’s taking us into some other stuff,” he said“
I think this is a great example of the potential for markets to open up when you take a outsider approach to them. Get some ideas by watching this talk I gave at a Clinical Trial Industry event earlier this year on the topic of what would happen if we took a Mobile First approach to designing Clinical Trials.
*** UPDATE MONDAY 15 August 2016 ***
An exciting outcome of this development is that medics can now feel comfortable about taking the financial decision to leave their work as clerks for insurance companies and start earning their living in the mHealth market serving Patient needs directly. Unless of course this mHealth just amounts to $3T of snake oil!
We’ve been invited to present a mHealth workshop at Imperial College London (Europe’s largest medical school) 2nd Trauma conference being held in the Alexander Fleming Building on the South Kensington campus (19-20 November 2016).
The workshop will double up as the a new “mHealth for Emergency Care” module of the Healthcare Informatics Society’s CPD accredited mHealth course and will profile:
Speakers at Imperial Trauma will include:
To Be Announced.
Submit an Abstract to Present at Imperial Trauma
ICSM Surgical Society invites abstracts from all medical students on any topic related to Trauma Medicine and Surgery take part in The Professor Kenneth D. Boffard Abstract Competition.
The authors of shortlisted abstracts will be invited to prepare a poster on their chosen topic. These posters will be on display throughout the conference and will be judged on Saturday 19th November 2016. First and second-placed winners will have their abstracts published in the British Journal of Hospital Medicine and also receive a year’s subscription to the journal. More info can be found here.
Join us at Imperial Trauma
Click here to buy a ticket to attend as a delegate.
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We have been busy working with Professor Sam Lingam MD (Hons) FRCPCH FRCP (Glas) DCH DRCOG to produce an app that helps Parents to share complex Paediatric and Allergy histories with their Doctors. To get some final feedback before the app goes live to the world we will be hosting a meeting in London’s Harley Street. There are a few places available to attend that we would like to offer to readers of mHealth Insight.
Professor Lingam is a very talented and experienced Paediatrician who has published some of the formative work in this area eg. the first ever paper on allergies by a Paediatrician (in 1984!), a paper discussing why Paediatricians should share all their notes with their Patients (in 1986!), the basis of this questionnaire and it’s template (he’s been providing it to Parents in a paper based format since the 1980’s!).
At 3G Doctor we have been using Instant Medical History (the world’s most advanced Patient History Taking Questionnaires) for nearly 10 years and it has taught us so much about the opportunities that emerge when Patients get the opportunity to share their medical history via their mobile. As partners with Prof Lingam on this global project we want to take the innovative paper based questionnaires he developed in his work at world leading children’s Hospitals and make them accessible to billions of Patients the world over who don’t have access to such interactive tools. They will also be added to the Paediatric history taking questionnaire sets used within Instant Medical History.
The feedback event
The event (date to be confirmed) will be held at Professor Lingam’s 117A Harley Street Clinic (London’s first Walk in clinic). As an attendee you will get the opportunity to:
> Learn of the clinical value of this Patient empowering tool and the Clinician template.
> Trial the app and share your feedback.
> Meet with world class medics who we’ve already confirmed for the meeting
> Meet with the world class Mobile Developers who we have building the app and learning from your insights.
Places are limited but if you would like to apply to attend and contribute to making this incredibly powerful tool available free of charge to Patients and their Parents the world over please get in touch via the following form:
Note: if you are selected to attend all of your travel expenses will be reimbursed.
I noticed this “Data Overload: Doctors, Apps, and Wearables” video of Dr Robert Watcher being promoted on Twitter and it seems to be peddling a very common misconception amongst people who don’t actually understand or use mHealth with Patients eg. Forbes “Doctors Don’t Know What To Do With Data From Fitness Trackers” (Dec 2015), Laurie Orlov: mHealth Mania – beware the hype (Feb 2013), “Mobile health = Hype” (Dec 2012), etc.
“more and more patients are using wearables and apps that’s both exciting but it’s also creating some real problems for physicians why is it exciting because patients now have the ability to monitor their own sugars or their breathing rates or their steps and for many of them that kind of engagement is very positive but for many physicians when you talk about the idea of all 2,000 their patients collecting data all day long and streaming and wirelessly to the physicians medical record for most doctors they find that prospect terrifying”
Why do people peddle such nonsense? There’s plenty of evidence showing that healthcare utilisation isn’t even increased when you give Patients ECG machines! (so long as they’re Mobile First designed/make sense to the born mobile generation).
Also what’s the point in making this all seem like it’s new and terrifying? I have friends who have been monitoring their blood glucose for 20+ years and there’s no question that their self care has increased the workload of their GP (AND it’s also enabled them to live much longer healthier lives).
“and so we have to figure out a way of managing this data and I suspect what it will be is having more sophisticated computer programs that essentially triage the data and in particular larger practices there may need to be other individuals than the doctors health coaches case managers and others were monitoring the data helping patients manage their own care and getting the doctors involved in the patients seem to be doing poorly”
Endocrinologists working with Patients who use Telcare medical devices (that have their own embedded mobile connectivity) have been doing this for years. Check out this talk Prof Jonathan Javitt (coFounder of Telcare) gave back in 2013 that explains how this new model of care is empowering Patients and their Care Teams.
Related: The future of health monitoring is here but it’s being used to make animals run faster.