HL7 Ambassador Series Mobile Health Work Group

The HL7 Organization Founded in 1987, Health Level Seven International (HL7), with members in over 55 countries, is a not-for-profit, ANSI- accredited standards developing organization HL7 is dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and management, delivery and evaluation of health services HL7's 2,300+ members include approximately 500 corporate members who represent more than 90% of the information systems vendors serving healthcare Over 43 healthcare standards from anatomic pathology to vocabulary Take a Flash tour at html html

And growing An International Organization with Over 30+ HL7 Affiliates Argentina Australia Brazil Austria Canada China Columbia Croatia Czech Republic Denmark Finland France Germany Greece Russia Italy Japan Mexico New Zealand Romania South Korea Spain Sweden Switzerland Taiwan The Netherlands Turkey United Kingdom United States Uruguay Chile Hong Kong India Luxembourg Singapore

HL7 Mission - Interoperability Goals HL7's mission is to provide standards for interoperability that: improve care delivery optimize workflow reduce ambiguity enhance knowledge transfer Wide range of healthcare standards: clinical, clinical genomics, administrative, clinical research, electronic claims attachments, public health, personal health, etc

What is Mobile Health? Many things to many people Mobility is the common factor Mobile patients and service users Mobile health and care providers Mobile technologies Extending reach, enabling innovation A new challenge for HL7 International Mobile Health means mobile information...and greater dependence on standards

M-health Stakeholders Mobile Health Dimensions & Stakeholders Technology Health IT Devices/Mobiles Telemedicine Security Policy Gov (federal-local) Advocacy-Lobbies Prof. Associations Standard Dev Orgs Society-Culture Consumers Patients Foundations Media-News-Arts Business Providers Payers Vendors Telecom/Health Science Universities Informatics Engineering Health/Bio 6

The PHR and Mobile Applications Mobile optimized page vs. mobile application 85% of US adults own a cell phone – of those 53% own smart phones

How Many Apps? According to MobileWalla (January 15, 2013) 13,110 Health Apps 475 Diet and Nutrition Apps 3534 Exercise and Physical Activity Apps 574 PHR Apps!! My Fitness Pal has over 30 million users 19% of all smart phone users have a health app and for exercisers, diet and weight apps are most popular (Pew Internet) November/12

Smart Phones Physical Activity Use Case Physical activity app measures daily exercise routines Point of care testing for blood glucose tracks daily blood sugar levels Data is transferred to PHR PHR correlates and graphs relationship of exercise in managing blood glucose levels

Mobile Health WG Focus Includes: How to capture health data from a device, and transmit the data to Populate the patients EHR or PHR Mobile Communic ation Device (phone / tablet / PC) Mobile Communic ation Device (phone / tablet / PC) Audio Inputs Video Data Health Care Device Health Care Device(s) 3G / 4G Mobile Internet WiFi 3G / 4G Mobile Internet WiFi Circuit Switched Network (PSTN) Circuit Switched Network (PSTN) Zero or More Devices As Needed data Electronic Health Record Personal Health Record Personal Health Record HL7 Approach to Mobile Health Mobile Health Work Group (MHWG) established in 2012 HL7 members from across the world share experiences and knowledge HL7 standards will be ready to help the industry meet the many challenges of Mobile Health

Mobile Health in Action: USA PTSD mobile applications from the VA's National Center for PTSD, supporting self-help and treatment. Online consumer services from Kaiser Permanente; secure services available seamlessly through a website or a smartphone app. 11

Mobile Health in action: More areas of current work Public health reporting and alerting News from CDC, public health meets mobileCDC Personal Health Records HL7 PHR-S Functional Model Standard Meaningful Use, Stage 2, Patient access to patient summaries & View/Transmit to 3 rd party Continua Health Alliance - industry organization of healthcare and technology companies collaborating to improve the quality of personal healthcare. Establishing interoperable personal connected health solutions – and extensions into the home to: foster independence, empower individuals provide personalized health and wellness management. 12

Further reading... HL7 Mobile Health NEWS Mobile Health Alliance Continua Health Alliance PWC white paper – Touching lives through mobile health pwc_mhealth_report.pdf 13