1. Am I healthy now? Achieving the promise of mobile health technologies Harry Greenspun, M.D. Senior Advisor for Health Care Transformation and Technology Deloitte Center for Health Solutions

2. Context

3. Device sales Mobile data usage Context: exponential growth is expected

4. Copyright © 2013 Deloitte Development LLC. All rights reserved. 33 mHealth – its in the hands of users Leveraging the power and reach of mobile communications to enable health services provision, mobile offers great versatility and utility for health care Health care CONSUMERS Health care PROFESSIONALS Health care INDUSTRY Fitness, healthy living & wellbeing Home monitoring Remote monitoring Physician connectivity Clinician driven bedside tools Diagnostics & decision support Health facilities Life sciences companies Health plans Social health networks for information, motivation & support Communication with health providers Self-directed health care Track/record bio-metric data M2M remote monitoring Look up health information Apps to maintain or improve health status & wellbeing Diagnostics & decision support Big data – smart dashboards Track/record bio-metric data Imaging & monitoring tools at the bedside Data integrity & error reduction through centralized digital records Digitalized information for exchange between providers M2M remote monitoring Billing Scheduling Administrative simplification Claims processing Purchasing Asset management Clinical trials enrollment

5. Copyright © 2013 Deloitte Development LLC. All rights reserved. 44 Downloadable health apps for smart devices are a rapidly growing component of mHealth

6. Copyright © 2013 Deloitte Development LLC. All rights reserved. 5 3 trends have been shown to make users skeptical of mHealth apps Privacy and security concerns Skepticism about the accuracy of the apps Gap in what some users say they want and the health care industrys current capabilities

7. mHealth check-up

8. Copyright © 2013 Deloitte Development LLC. All rights reserved. 7 8% virtually sent or received a health-related picture with provider 25% used technologies To monitor & manage fitness & health goals 11% used technologies to receive alerts to take medication or treatment 19% downloaded a mobile app to track their health Text Status update: how Millennials currently use mHealth Although uptake remains limited to early adopters, the interest in future use is strong Millennials

9. Copyright © 2013 Deloitte Development LLC. All rights reserved. 8 Primary diagnosis: concerns around privacy, security, and accuracy in mHealth Seniors serve as the core group of skeptics that believe mHealth is not risk-free Concerned that the privacy and security of their personal information might be at risk when using a mobile device to access health records or tests online) Suited only to fitness and wellness purposes, not for managing serious health conditions Likely to have potential errors Not likely to greatly assist them in improving their health or managing a health condition. Not likely to be highly accurate and very reliable 22% 23% 31% 35% Survey respondents feel that mobile apps are…

10. Copyright © 2013 Deloitte Development LLC. All rights reserved. 9 Consumer demand for mHealth is already here 13% have accessed, stored, or transmitted personal health information or records in the past year 48% are interested in doing so 23% have used a mobile device to pay a medical bill 52% say they would like access to tools or websites that enable them to review quality rankings, satisfaction rankings, and patient reviews for specific doctors and hospitals

11. Copyright © 2013 Deloitte Development LLC. All rights reserved. 10 Consumers are comfortable sharing personal information using mHealth 62% of consumers are comfortable using a video, computer program, or mobile device app to learn more about or choose between different treatment options for a particular condition 62% of consumers are comfortable addressing a health concern through an email or text with their health care provider 52% of consumers are comfortable consulting with their health care provider through a video connection Health care CONSUMERS Health care PROFESSIONALS Mobile Information Sharing

12. Copyright © 2013 Deloitte Development LLC. All rights reserved. 11 Challenges Some key questions remain unanswered: Is a mobile device used to manage patient care and extract data from patients a medical device that should be regulated? If so, how? How do mobile devices used by clinicians interface with the Meaningful Use program? How will the mHealth industry respond to its maturing role as part of the medical device industry? Will the health care industry be able to successfully monetize mHealth? How will an industry plagued by a slow rate of behavior change adapt amid the fast-paced shift being witnessed elsewhere?

13. Copyright © 2013 Deloitte Development LLC. All rights reserved. 12 Opportunities Opportunities for developing new mHealth apps, content, products, and services are emerging daily 11 Shift toward a patient-centered and value-based delivery model Transition to a more diverse, integrated, and seamless system of care no longer dominated by episodic acute care treated at a brick-and- mortar hospital is evident New fields of opportunity emerge everyday: personalized health care; population health; diagnostics; utilization management; management of infectious diseases and global epidemics

14. Four critical quadrants must to align properly in order for mHealth to become a reality in various markets Our view: four dimensions of mHealth Infrastructure Demographics Political landscape Disease dynamics National investment in and from telecommunications Emerging and developing markets Health care system infrastructure: bricks and mortar or mobile-grown Mobile penetration Economic factors such as median income of the population, strong middle class Rural or urban population centricity Regulatory burden and innovation factors in telecom, health care, government Privacy and security compliance Taxation via tariffs Payment incentives or disincentives Health disparities Communicable disease vs. non-communicable disease burden

15. Copyright © 2013 Deloitte Development LLC. All rights reserved. 14 As providers and payers increasingly turn to mobile-enabled health care, the tools for deployment are already in consumers hands. Consumers are ready, willing, and able to use mHealth – once convinced of the accuracy, value, and security of technologies. When these hurdles to adoption are overcome, mobile technology will be poised to transform health care. What do these mHealth views mean for you?

16. Q & A

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