Is mHealth A Boon To Pharmaceutical Industry

Mobile health or mHealth is amongst the greatest advanced developments within the healthcare industry which have proven incredible growth over the last couple of years. This phenomenon is noticed because of the growth in personal health devices, that can be easily worn or can be used by having a smart phone or can be used in a tablet. Mobile Health means the usage of mobile communications, such as for example personal digital assistant, mobile phones, laptops and so on, for health and information services. Based on the Cutting Edge Information’s white paper release 2015, the value of mHealth within the pharmaceutical sector will keep growing.

Although figures don’t always show the overall facts, certain figures mentioned within the white paper are very informative. During the 1st quarter in 2014 the overall mHealth applications on the iOS and the Android platforms leaped over 100,000 and keeps growing. Even more informative is that in the past thirty months 5,000 among those applications gained revenues over $1 million. Mobile strategies this time account for 14% of marketing blends of teams which were surveyed. Some other sources apparently support these results. According to the predictions of Mobile Health Market News, clinical mHealth spending is going to rise $2.5 billion during 2011 to 2016. As per mHealthWatch predictions, the mHealth industry by 2017 will reach $26 billion.

In the industry where information is essential and suggestions by external partners are so crucial, the appeal is obviously clear. Even, the paper alerts pharma not to fully depend on mobile technologies to get desired outcomes. With the help of these devices to enhance medical education along with patient adherence, businesses can better place themselves to take advantage of mHealth in the future. Nowadays, a lot more consumers rely on the internet, usually through their smartphones, than in the past to get medical information. Whereas text message campaigns don’t need smart phones, but to access the internet it does requires. The global penetration for mobile broadband is 32% just the double what it had been in the year 2011. In Europe, it is 64% which is the highest penetration rate, when compared to North & South America together it is just 59%. The broadband speed also must be considered, as it can vary across geographic areas because it differs around geographic locations.

While smartphones along with tablets are increasing all over the world, companies have turned to mHealth development services in order to improve interaction with the patients. Uses to cover anything from text messages to the remind patients for having medicines to even more interactive systems which could coordinate, for instance, a glucose meter by using a mobile app for the diabetes patients.

There could be unwillingness from Big Pharma getting involved in new technologies, particularly when they’re not sure with the Food and Drug Administration (FDA)’s position. The FDA has reviewed mHealth technologies and also the level that it may need to regulate them. What sort of mobile apps could be subject to regulatory oversight had been specified in the Safety and Innovation Act of 2012, whereas final guidance given during September 2013 highlighted the FDA will focus its concern upon medical mobile devices. As a whole, the FDA promises to work out its regulatory oversight upon mobile applications which either function in connection using a separate medical device otherwise change a current mobile platform, for instance tablet, Android, an iPhone and more, to the regulated medical device, reports the paper. Actually, in cases where a mobile app has got the potential to have an effect on patient safety for the better or even for worse, then the FDA wants to examine it. Some other mobile initiatives would be examined on the case by case basis.

Although mHealth is really an approach for pharma companies in order to develop themselves to patient-centric, unanswered concerns in the regulatory end might still result in a few companies to be reluctant. Despite having guidance in place, it is not possible to make sure how the FDA is going to impose its final judgment. The acceptance from the FDA during January 2015 associated with a number of mobile medical apps might give some knowledge. In the decision, the FDA regarded the risk posed from the system as “low to moderate.” It is likely to reduce concerns and motivate the development of even more mobile apps. Even so, companies must not move to the mHealth development services without having complete knowledge what they really want from an app.

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Why doctors are unhappy with their EHRs?

An EHR is actually a digital collection of a patient’s health records created in one or more consultations in every care delivery system. Many physicians are not happy with their electronic health records. The top EHR vendors are improving various areas of their products’ workflow, usability, UI, load and response times along with the other features that are built to enhance both the user experience and the productivity. However, do the physicians, specialists, and nurses really utilize the EHR any longer than they used to do 5 years ago? Based on a latest study done by the American Medical Association (AMA) along with AmericanEHR Partners, only 34% of doctors stated that they have been pleased or very pleased with their electronic health record in 2014, as compared to 62% in the year 2010.

The study results states that 42% of the doctors believe that their electronic health records capability to enhance efficiency had been challenging to very challenging, 72% think that their electronic health record hardly made any difference to reduce their workload, 54% stated that their electronic health record raised the operating expenses, 43% reported that they had not got over with the workflow challenges regarding their electronic health record. To be eligible for meaningful use incentives, doctors are required to follow given workflows that are not really efficient. Probably users were pleased 5 years back prior to the arrival of the more difficult Stage 2 needs.

Many EHRs usually are not as attractive, intuitive and simple to navigate just as widely used websites such as Facebook & Amazon or even a lot of smartphone applications. Also the many tech-adverse medical professionals are quite used to the slicker interfaces which are traditional with mainstream applications. It could then be one of the reasons why they become annoyed by the EHR’s relative clumsiness. Many of the EHRs are very pricey to use and maintain. Doctors usually complain about EHRs being ineffective, affecting the provider-patient relationship and also failing to minimize workflow. In spite of MU incentives, lots of physicians are still not able to have a positive ROI.

The study even explained a direct connection with physician satisfaction along a period of time a doctor utilized the EHR. Like for example, amongst the doctors who have been inducted into the system for 3 years or less, merely 25% claimed some amount of satisfaction. The amount of satisfaction rose to 50% in doctors who have made use of their EHR for 5 or more years. During the last 5 years, adoption of EHR has risen rapidly and also developed a significant growth of new EHR users. Since practices are moving towards digital world today, workflow usually decreases since physicians find it difficult to understand new software and also adapt workflows. Because of the difficulties in using an EHR, it is hardly unusual that early on users were not so satisfied. But if experienced users are usually more satisfied, it appears fair to believe that we are going to notice satisfaction ratings rise in the years to come.

Then again the concern of whether we should worry about physicians not being satisfied with their EHRs. Michelle Ronan Noteboom, Contributing writer for many publications and health IT vendors, mentioned in one of her articles that she is at opinion that doctor satisfaction do matter, although not as much as enhancing the standard of patient care. Patient care is going to be improved once all the providers get access to detailed and accurate documentation. Usually, the records of patient from a provider may integrate with the records by some other provider to make one longitudinal record which is easy to understand and gives a complete picture associated with patient’s health history.

Certainly we’re nowhere near to getting that goal however the chart notes which the physicians are usually generating in the EHRs these days are giving the foundations for the single, interoperable patient record. Doctors might reason that their usage of EHR has been doing very little to enhance patient care yet such point of view can be a little narrow-minded. Will it matter when physicians don’t like their EHRs? Must we make an effort to identify the types of their unhappiness with EHRs and do everything possible which will make physicians happier? Otherwise must we direct your attention towards the patient and devote ourselves in doing whatever it requires getting the aim of the single, interoperable patient record which improves the care quality?

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How is mHealth metamorphosing Healthcare delivery?

Various researches have indicated the various benefits which implementation of mHealth is to bring forth in the healthcare industry. Although there is an inclination to quantify the benefits in monetary terms, the real focus should be on identifying the major changes in healthcare delivery which mHealth is going to bring about. The accuracy of monetary benefits is always going to be debatable but not the tangible benefits drawn from mHealth adoption. Of the many benefits predicted two areas which are going to see some real changes are remote patient monitoring and chronic disease management. In the event of the first, it will result in patients spending less time in hospitals and in outpatient visits. What has been really exciting is to have mHealth hardware getting directly linked to companion apps.

However, mHealth is expected to grow more so as Smartphone-based rather than being delivered through bespoke devices. As far as chronic disease management is concerned, from addressing high healthcare costs, inequality of care and medicinal waste, mHealth can actually bring about some serious positive change in lifestyle. Plus, it allows patients in some capacity to manage their health independently. For a chronic disease like diabetes, triggered mainly by incorrect lifestyle, mHealth can prove a really meaningful contribution in managing it well. For e.g. patients can use the proven apps to adhere to treatment regimes. Physicians can use make use of Patient portals to communicate directly with patients and provide information on disease management. All these and many more channels can be used to get patients to manage their blood glucose levels and reduce instances of emergency room visits and readmissions. Studies done have also indicated that with the younger lot, who unfortunately suffer from the disease, there are apps specially designed which use pictures and text messages which engage them to improve their compliance to care process at home. Also, it helps to get responses to queries from physicians in quick time. The texting program has seems to be gaining in popularity with text reminders ensuring better adherence.

Overall, these are early stages for adoption of mHealth apps. Most of the ones available currently do not have a high degree of sophistication, and are underutilized. However, it is laying the foundation for the next level of innovation to follow where the apps developed will be more suited to the changing healthcare landscape. Since a lot of changes related to healthcare IT are scheduled in the next few years, with some mandated by the federal government, the mobiles apps in the future will have to take into account the regulatory compliances to pervade into the lives of all stakeholders in the industry. The mHealth market is entirely in sync with the smartphone application market. Hence, the adoption is sure to pick from developed countries before it moves to others. In absolute terms, mHealth will see a exponential adoption since the number of people using smartphones and tablets is expected to be in billions in the next 5 years. That is also the time when it is expected to have entered the commercialization phase. But between then and now some major changes will also have to be done. For instance the regulations will have to be modified and defined in clear terms and the solutions have to handle more complex situations. The changes currently taking place in the operational models in the industry will create a an environment conducive to mHealth adoption. One of the studies done to identify the trends which will shape the market for mHealth had the following points to share

• The main driver for the mHealth usage will be the penetration of Smartphones
• There will customized mHealth applications available for smartphones or tablets
• Most of the applications will be native
• There are likely to be niche stores for mHealth apps
• The commercialization phase will require better regulations to be in place
• The market will be driven by the buyers
• The traditional health distribution channels will start adopting mHealth apps
• Countries with high smartphone penetration and healthcare budgets will be the main benefactors
• The chronic diseases will draw special focus
• New business models will come into play

With the adoption rate for mHealth apps on the rise, healthcare software testing also starts assuming increasing importance. It becomes vital and hence imperative to use app testers to test the robustness and security of the apps before they are rolled out to the patients and users.

We provide Healthcare software development services. To know more about the expertise of our healthcare application developers, please visit Mindfire Solutions.

Measures to handle Health IT hazards

Implementation of the Medicare and Medicaid EHR incentive programs has led to widespread adoption of EHRs everywhere. The trigger to all this was with the Obama government encouraging the adoption of Health IT by passing the Recovery Act in 2009. In the year 2011, the Medicare and Medicaid EHR incentive programs made it possible for physicians, hospitals, and other eligible providers to draw incentives for adopting and meaningfully using certified electronic health records. Health IT, besides all the benefits that it is supposed to bring forth, also needs to ensure safety of patients. Understanding the relevance of this area, the federal government has established a communications infrastructure to capture data about IT-related patient safety events. This is expected to hugely benefit the providers since it will result in the right intervention to handle issues when they arise. Thus new systems, when they get implemented, should without fail take into account the safety of patients. Two things hold the key to achieve this; more engagement from the Patient’s end and provision for exchange of patient information among providers. Surveys conducted have indicated some common occurrences of problems which can broadly be categorized to fall under the following heads:

• Information that is very coarse : generic statements

• Information that’s too fine : being very specific reduces chances of considering alternatives

• Missing reality : only reports and numbers do not necessarily indicate the actual situation

• Multiplicity : results / analysis from various sources suggesting conflicting information

These are problems which physicians encounter when they deal with Information systems in real time. What needs to be done here is to have a provision for giving feedback to system developers on a regular basis to close the loopholes. Physicians need to be empowered to suggest improvements when they observe problems. Not providing feedback and being operationally efficient in following what the systems prompt can in the long run prove to be a big pitfall for the industry.

Health IT is expected to bring about tremendous benefits to patients care. However since it involves complex technologies, there are high chances of mistakes occurring in its roll out. Information errors comprise a major chunk of the potential hazards of Health IT. From data mismatches to interoperability failures between devices and systems to distractions caused by smartphones and devices, all these have the potential to undo or spoil a lot of the positives of health IT implementation. If we take the last point into account, the event does not seem to be as fatal as the effect it ends up having. In today’s world of BYOD culture, physicians carry their own smartphones and tablets to work. It is quite obvious to have a lot of apps available in these devices in addition to the ones which are required to work with. Since a lot of these apps have live updates etc. it is quite normal to get distracted by them if one were using the device during patient visits with the apps switched on. Apart from the fact that it may lead to mistakes and missing out on relevant information, focusing more on the device might lead to not noticing vital clues in patients affecting the quality of care. The medical schools are trying to address the matted by devising special courses to help the future physicians learn about ways to integrate technology into their workflow without getting distracted or affected in ways which might prove to be detrimental.

Experts in the industry are suggesting ways by which the concern of safety in Health IT can be addressed. One such recommendations is to device a framework which can be rolled out in three phases and get combined with EHR implementation and related Meaningful Use requirements. The important thing to keep in mind is to incorporate safety into training of Healthcare providers and also into certification of software products. The software developers involved in developing these complex systems also need to be involved and explained their need to share responsibility for the safety. Finally measures should be taken to ensure that physicians find it easy and convenient to share their feedback and concerns whenever they want to. Nothing can be more vital than their feedback. Healthcare software development teams can help you build clinical and EHR/EMR software projects within allocated budgets and time schedules.

We provide healthcare mobile app development services. To know more about the expertise of our Healthcare software developers, please visit Mindfire Solutions.

Top trends driving Healthcare IT in 2013

Going by what some of the stalwarts of the industry feel, healthcare like the education industry is more than a decade behind where it should be in terms of adoption of technology. To say that it has had a tremendous impact on the manner in which the industry goes about offering its services would be an understatement. There is huge amount of scope available for improvement in this field. However, the irony lies in the fact that for real development to actually start taking shape the current landscape needs to undergo a complete change. The Healthcare industry now has too many players, of smaller size, trying to grab a market which seems limited in terms of innovations. Hence the expectations from these players is to deliver high levels of services for less, which kind of in turn is bound to put a lot of financial burden on them . As these vendors keep jostling amongst themselves for a higher share of hospital market which is kind of limited, the later on the contrary want less number of vendors to deal with. This is simply because they want to be more efficient in their operations and not run into a state where the burden of handling multiple vendors takes a toll on their core job. Thus the industry as it grows, which it must, will see a lot of changes happening in the near future culminating in the presence of fewer and efficient vendors offering a better ROI than what they do now. A lot of mergers and acquisitions are not far away as we proceed into the future.

What Health IT systems do is that they equip doctors, hospitals, and other providers to provide better coordinated care. They also ensure reduction of errors and readmissions all of which result in costing more money and leaving patients less healthy .The year 2012 proved to be a windfall year for Healthcare IT with a record $1.2 billion pumped into the sector through venture funding. While the major chuck of the deals were in health information management, significant investments seem to have been made in companies which focused on consumers e.g. Mobile health, Telehealth, Personal Health etc.

The first quarter of 2013 has also seen record investment in this field. The trigger to all this was with the Obama government encouraging the adoption of Health IT by passing the Recovery Act in 2009. In the year 2011, the Medicare and Medicaid EHR incentive programs made it possible for Doctors, hospitals, and other eligible providers to incentives for adopting and meaningfully use certified electronic health records. This move, as part of the Recovery Act, kind of incentivized early adoption of EHRs which is critical for broader healthcare Quality and efficiency improvement. It results in better care coordination, reduction of duplicate tests and procedures and finally rewarding hospitals for keeping patients healthier. The results till date prove to be highly encouraging with more than half of eligible professionals and 80 percent of eligible hospitals having meaningfully adopted EHRs and received the incentive payout. This trend is expected to up and lead to complete adoption by 2015 post which the government has plans of penalizing the ones who fail to comply with the mandate.

There is however another concern which is quite grave that is showing along with the wider adoption of EHR and it involves protection of patient data contained in its electronic health record system. By rule, to become eligible for the incentive payout, only those EHRs which are certified need to be used meaningfully. But one also needs to take into account the fact that finally the usage of the system has a human element involved and that is where adequate training needs to be given to the staff as well as monitor their access. There have been a few instances were law suits have been filed by patients where their data has been found to be compromised. This becomes a matter of grave concern and requires all concerned stakeholders to take all the requisite steps to ensure that such discrepancies are removed completely. According to the U.S. Department of Health & Human Services, 40 percent of large data breaches have involved laptop or storage devices that have been lost or stolen.Healthcare software development teams can help you build clinical and EHR/EMR software projects within allocated budgets and time schedules.

We provide clinical software development services. To know more about the expertise of our healthcare software developers, please visit Mindfire Solutions.